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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRaymond Wee
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    Raymond Wee — Billing Profile & Reimbursement Data

    NPI 1104980382 · Aiea, HI · Ophthalmology Physician

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    Raymond Wee is a ophthalmology physician provider located in Aiea, Hawaii. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRaymond Wee
    Address98-1079 Moanalua Road
    CityAiea
    StateHI
    ZIP96701
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 21, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-focused practice: lifetime Medicare revenue is $1.5M while Medicaid revenue is none, indicating no Medicaid billing on file. The precomputed concentration metric shows the top 3 Medicare codes account for 78.4% of total Medicare revenue, underlining heavy dependence on a small set of services.

    Revenue is highly concentrated in anti-VEGF and intravitreal injection services. The single largest line item is J0178 with 1.1K claims, $672 avg paid/claim, and $723.1K revenue (47.4% of Medicare revenue), followed by J2777 with 12.4K claims, $29 avg paid/claim, $360.3K revenue (23.6%), and 67028 with 1.3K claims, $90 avg paid/claim, $112.7K revenue (7.4%); together these three codes make up the reported 78.4% share.

    The code mix indicates a retina-focused ophthalmology practice with strong in-office injection throughput plus high-volume diagnostic follow-up. High-volume anti-VEGF billing (J0178 and J2777) combined with substantial counts for office-based exams and imaging (for example, 92014 with 1.1K claims and $107.3K revenue, and 92134 with 1.9K claims and $58.3K revenue) points to an ambulatory clinic model centered on chronic retinal disease management.

    Competitive standing for injectable drugs is middle-of-market rather than dominant. J0178 ranks #1214 of 3204 providers (62th percentile; typical, unremarkable volume for this code) and J2777 ranks #848 of 2039 providers (58th percentile; typical, unremarkable volume for this code), which suggests typical national volume for anti-VEGF administration rather than a regional or national leadership position.

    By contrast, office visits and retinal imaging are relative strengths versus national peers. 92014 (1.1K claims, $107.3K revenue) ranks #1229 of 35415 providers (97th percentile; notably above typical national volume), 92134 (1.9K claims, $58.3K revenue) ranks #1154 of 26868 providers (96th percentile; notably above typical national volume), and 92012 (826 claims, $56.2K revenue) ranks #732 of 17177 providers (96th percentile; notably above typical national volume), indicating above-typical clinic throughput for established-patient exams and posterior-segment imaging.

    Surgical and operating-room procedures appear to be occasional revenue drivers rather than core service lines. Codes such as 67042 (19 claims, $940 avg paid/claim, $17.9K revenue) and 67036 (16 claims, $641 avg paid/claim, $10.3K revenue) account for only single-digit percentage shares of Medicare revenue (1.2% and 0.7% respectively) and rank in the low-to-mid national percentiles, consistent with occasional surgical case volume.

    There are ancillary medication and compounding entries contributing modestly to revenue, and one small but notable low-ranked code. J7999 (448 claims, $71 avg paid/claim, $31.8K revenue; ranks #191 of 1333 providers, 86th percentile; typical, unremarkable volume) indicates some use of compounded drugs, while J2778 (123 claims, $183 avg paid/claim, $22.5K revenue) is present at low national rank (#1180 of 1208, 2th percentile; typical, unremarkable volume), showing ranibizumab use is limited relative to peers.

    The provider has an established NPI history—enumerated on 2006-12-21 (≈20 years ago)—which, combined with the pattern of persistent office visit and imaging volumes, suggests a stable, mature practice focused on longitudinal ophthalmic care rather than a recently opened high-volume injectables-only operation.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,080$670$723.1K
    J2777Injection, faricimab‑svoa, 0.1 mg12,420$30$360.3K
    67028The 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.1,250$90$112.7K
    92014An 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…1,140$90$107.3K
    92134The 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.1,880$30$58.3K
    92012For 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…830$70$56.2K
    J7999Compounded drug, not otherwise classified450$70$31.8K
    J2778Injection, ranibizumab, 0.1 mg120$180$22.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$940$17.9K
    99204The 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…130$120$15.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178220330$680$350.4K
    J27772104,140$30$173.8K
    J2778310350$180$104.2K
    67028220390$90$44.1K
    6704241030$1,190$38.2K
    6703631020$1,050$23.1K
    9201410220120$90$22.5K
    920125150110$60$13.1K
    J7999110100$70$12.8K
    92235101030$110$11K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James LaiHIOphthalmology Physician$1.4M$0
    Gregg KokameHIOphthalmology Physician$991.7K$0
    Sarah ReadHIOphthalmology Physician$939.4K$0
    Retina Consultants Of Hawaii IncHIOphthalmology Physician$0$646.3K
    Elysse TomHIOphthalmology Physician$147.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Diagnostic Laboratory Services, IncHIClinical Medical Laboratory$10.5M$46M
    Pali Momi Medical CenterHIGeneral Acute Care Hospital$0$49.3M
    Dlmc, Inc.HIHome Health Agency$0$39.5M
    Usrc Pearlridge, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.7M
    International Life Support IncHIAmbulance$1.2M$8.6M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$5.8M
    Pharmacare International, Inc.HICommunity/Retail Pharmacy$125.1K$4.7M
    Emergency Medicine Physicians Of Honolulu Pali Momi, LLCHIEmergency Medicine Physician$0$4.2M
    Absolute Care Management ServicesHIPoint of Service$0$3.2M
    Derek B Tom Dds LLCHIPediatric Dentistry$0$2.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Raymond Wee — 5 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii