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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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.

Stephanie Sugin (NPI 1114997137)

Field	Value
Entity Type	Individual
Organization	Stephanie Sugin
Address	1201 W Main St
City	Waterbury
State	CT
ZIP	06708
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 23, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

Practice profile and revenue drivers: STEPHANIE SUGIN is a retina specialist whose Medicare billing is overwhelmingly driven by intravitreal drug administration codes, with J0178 (aflibercept) generating $756.2K (55.1% of Medicare revenue) and J2777 (faricimab) generating $370.6K (27.0%). The third top code, 67028 (isolated intravitreal injection), contributes $72.8K (5.3%), indicating that pharmaceutical administrations — rather than high volumes of primary office visits — are the core service line. Diagnostic imaging and E/M codes appear as complementary services but represent much smaller revenue shares.

High revenue concentration in a narrow service set: the precomputed top-3 figure shows these three codes account for 87.5% of the provider's total Medicare revenue, signaling concentrated financial exposure to intravitreal therapeutics and related injection procedures. This concentration means changes in drug pricing, reimbursement for J0178 or J2777, or clinical shifts in preferred therapies could materially affect the provider’s Medicare revenue.

Effectively single‑payer footprint: lifetime Medicare revenue is $1.4M while there is no Medicaid billing on file, so this provider operates with an essentially Medicare-only billing profile in the available data. Payer mix considerations for network inclusion or risk adjustment should reflect reliance on Medicare patients and little to no Medicaid volume to offset revenue swings.

Competitive standing on top drug codes: volumes for the leading drug codes fall in the middle of national peer distributions — J0178 ranks #1196 of 3204 providers (63th percentile) and J2777 ranks #820 of 2039 providers (60th percentile) — and are described as typical, unremarkable volume. These ranks indicate the provider is a modest but not dominant national participant for major intravitreal therapies.

Imaging and office-visit utilization: retinal imaging (92134) appears among the higher-count CPTs with 1.2K claims and $39.6K (2.9% of Medicare revenue), and comprehensive established exams (92014) produced $40.3K (2.9%). Both services support the injection-focused practice rather than drive revenue; their reported statistical labeling is typical, unremarkable volume, suggesting routine utilization levels consistent with a retina-focused practice.

Operational implications for payers and contracting: because injectable pharmaceuticals (J0178 and J2777) and associated injection procedure codes dominate revenue, payer contracting and prior-authorization workflows should prioritize reimbursement terms and drug coverage rules for these agents. Administrative processes that streamline buy-and-bill, drug reconciliation, and injection authorization will likely have outsized operational impact for this provider.

Tenure and stability: the NPI was enumerated on 2006-01-23 (~20 years ago), indicating long-standing enrollment in Medicare and an established billing history. That tenure supports interpreting current patterns as stable practice behavior rather than a short-term anomaly.

Clinical focus implied by code mix: the combination of high-volume drug codes and procedure 67028 aligns with ongoing management of neovascular retinal disease using intravitreal biologics, supported by routine diagnostic imaging and periodic comprehensive exams. This code mix is characteristic of a retina practice that centers on recurring therapeutic injections with ancillary diagnostic follow-up rather than a general ophthalmology outpatient model.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,100	$690	$756.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	12,780	$30	$370.6K
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.	710	$100	$72.8K
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…	420	$100	$40.3K
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.	1,240	$30	$39.6K
99214	The provider sees an established 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…	360	$100	$34.8K
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…	400	$70	$29K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	120	$70	$9.1K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	70	$120	$8.5K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	40	$120	$4.4K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Stephanie Sugin — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	40	830	$690	$713.1K
J2777	10	30	8,190	$30	$340.4K
67028	23	50	540	$100	$66.4K
92014	87	580	100	$90	$18.6K
92012	47	300	120	$70	$15.2K
92235	13	30	40	$110	$14.8K
99214	736	6,480	90	$90	$14.2K
99213	2,022	6,440	70	$60	$8.1K
92134	22	320	60	$30	$7.7K
92004	160	410	30	$110	$5.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nauman Chaudhry	CT	Retina Specialist (Ophthalmology) Physician	$5.1M	$0
Juner Colina-biscotto	CT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Glenn Gandelman	CT	Cardiovascular Disease Physician	$1.7M	$593.4K
Thomas Berenberg	CT	Retina Specialist (Ophthalmology) Physician	$1.5M	$0
Jaime Strachan	CT	Vascular Surgery Physician	$1.5M	$0
Robert Schoen	CT	Rheumatology Physician	$1.3M	$0
Angela Bosjolie	CT	Ophthalmology Physician	$1.2M	$0
Jeffrey Green	CT	Cardiovascular Disease Physician	$1M	$0
Robert Wiznia	CT	Ophthalmology Physician	$228.5K	$644.2K
Marcus Mayus	CT	Internal Medicine Physician	$748.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prospect Waterbury, Inc.	CT	General Acute Care Hospital	$0	$84.6M
Access Rehab Centers, LLC	CT	Rehabilitation Clinic/Center	$0	$36.9M
Emergency Physicians Of Connecticut PC	CT	Emergency Medicine Physician	$0	$10.8M
Connecticut Counseling Centers Inc	CT	Methadone Clinic	$196.2K	$9.9M
Pediatric Assoc Of Conn PC	CT	Pediatrics Physician	$0	$8.5M
Refocus Eye Health Of Central Connecticut, P.C.	CT	Ophthalmology Physician	$0	$8.2M
Myeyedr Optometry Of Connecticut, LLC	CT	Optometrist	$0	$4.7M
General Hearing	CT	Hearing Instrument Specialist	$0	$4.3M
Connecticut Neurodevelopmental Services	CT	Neurology with Special Qualifications in Child Neurology Physician	$0	$4M
Easter Seal Rehabilitation Center	CT	Rehabilitation Clinic/Center	$0	$3.9M

Stephanie Sugin — 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