Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Georgia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Atul Sharma (NPI 1104829241)

Field	Value
Entity Type	Individual
Organization	Atul Sharma
Address	1100 Johnson Ferry Rd Ne
City	Atlanta
State	GA
ZIP	30342
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-centric practice: total Medicare revenue is $2.2M and there is no Medicaid billing on file, so payer mix is functionally single-payer Medicare. The absence of any Medicaid revenue means analyses of in-state Medicaid market share or Medicaid-driven service lines are not applicable for this provider.

Revenue is highly concentrated in intravitreal therapeutic codes: the top three Medicare codes account for 84.6% of Medicare revenue, with J0178 generating $1M (46.7% of Medicare revenue), J2777 generating $442K (19.8%), and J2778 generating $400.8K (18.0%). This concentration means a large share of the practice’s revenue depends on a small set of drug-administration codes.

The code mix points to a retina-focused, procedure-driven ophthalmology practice: high-volume injectable drug codes (J0178, J2777, J2778) combined with retinal imaging (92134) and intravitreal injection procedure code 67028 indicate routine in-office management of retinal disease rather than a general ophthalmology primary-care model. Low revenue contribution from standard E/M office visit codes (for example, 99214 and 99213) further supports a workflow centered on procedures and drug administration.

Competitive standing on the major injectable drugs is modest-to-strong but not dominant nationally: J0178 ranks #801 of 3204 providers (75th percentile) and is described as "typical, unremarkable volume," J2777 ranks #705 of 2039 providers (65th percentile, "typical, unremarkable volume"), while J2778 is relatively stronger at #188 of 1208 (85th percentile, "typical, unremarkable volume"). In short, the practice has above-average national presence on some agents (notably J2778) but is not an extreme outlier in injectable volume.

Imaging and diagnostic utilization is a notable strength: 92134 produced $65K (2.9% of Medicare revenue) and is explicitly labeled as "notably above typical national volume" at the 96th percentile, indicating especially high OCT/retinal imaging use versus peers. Other diagnostic/exam codes such as 92014 ($72K, 3.2% of revenue) are characterized as "typical, unremarkable volume," suggesting the standout diagnostic activity is specifically in advanced retinal imaging rather than routine office exams.

Evaluation & management billing is low relative to peers, consistent with a procedure-focused model: 99214 contributed $3.3K (0.1% of Medicare revenue) and is ranked in the 19th percentile ("typical, unremarkable volume"), while 99213 contributed $868 (0.0%) and is at the 3rd percentile ("typical, unremarkable volume"). These low E/M volumes imply most patient encounters are billed through procedure/drug administration or imaging codes rather than higher-volume office visit codes.

The provider has long tenure in Medicare enrollment (NPI enumerated 2005-05-23, ~21 years ago), indicating an established practice likely with a stable referral base and operational processes tuned to intravitreal injections and retinal imaging workflows. That longevity supports interpretation of current patterns as sustained rather than a short-term spike.

From a business-risk perspective, the practice’s heavy dependence on a few injectable codes (top three = 84.6% of Medicare revenue) creates sensitivity to reimbursement or utilization shifts for those specific agents (J0178, J2777, J2778). Monitoring drug-specific reimbursement changes and national utilization trends for these codes will be important for assessing near-term revenue stability.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,530	$680	$1M
J2777	Injection, faricimab‑svoa, 0.1 mg	15,240	$30	$442K
J2778	Injection, ranibizumab, 0.1 mg	2,240	$180	$400.8K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	1,580	$100	$152.9K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	800	$90	$72K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,100	$30	$65K
J9035	Injection, bevacizumab, 10 mg	350	$50	$18.7K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	110	$120	$13.4K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	190	$70	$12.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	170	$30	$4.8K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Atul Sharma — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	70	970	$680	$700.6K
J2777	21	40	14,100	$30	$524.3K
J2778	8	30	1,170	$180	$286.2K
67028	15	80	720	$90	$71.9K
92014	56	850	130	$80	$19.7K
99214	11,137	13,640	120	$80	$17.8K
92012	116	380	90	$60	$10.5K
J9035	9	70	120	$50	$10.3K
99213	12,733	13,360	80	$60	$9.2K
92134	20	620	70	$30	$7.1K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Atul Sharma, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Stephanie Vanderveldt	GA	Ophthalmology Physician	$4.1M	$0
Sri Krishna Mukkamala	GA	Hospitalist Physician	$3.4M	$0
Alexander Bottini	GA	Retina Specialist (Ophthalmology) Physician	$3M	$0
David Chin Yee	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Gregory Lee	GA	Ophthalmology Physician	$2.9M	$6.3K
Robert Stoltz	GA	Specialist	$2.6M	$0
Hyung Cho	GA	Ophthalmology Physician	$2.5M	$0
Sean Koh	GA	Ophthalmology Physician	$2.5M	$0
Mark Rivellese	GA	Ophthalmology Physician	$2.1M	$0
Rahul Komati	IL	Retina Specialist (Ophthalmology) Physician	$1.9M	$0

Nearby Providers

Other providers in the same ZIP code as Atul Sharma, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scottish Rite Children's Medical Center	GA	Pediatric Hematology & Oncology Physician	$0	$493.4M
Life Hope Labs LLC	GA	Clinical Medical Laboratory	$8.3M	$7.3K
The Childrens Center For Digestive Health Care LLC	GA	Pediatric Gastroenterology Physician	$0	$8.1M
Northside Emergency Associates, LLC	GA	Emergency Medicine Physician	$0	$6.1M
Atlanta Perinatal Consultants, LP	GA	Neonatal-Perinatal Medicine Physician	$0	$4.8M
Children's Orthopaedics Of Atlanta P.C.	GA	Orthopaedic Surgery Physician	$0	$2.5M
Paul Sutej	GA	Rheumatology Physician	$2.4M	$0
Childrens Care Pediatrics, PC	GA	Pediatrics Physician	$0	$1.9M
Resurgens Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Daniel Oh	GA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Atul Sharma — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References