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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEric Weichel
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    Eric Weichel — Billing Profile & Reimbursement Data

    NPI 1124053350 · Bowie, MD · Ophthalmology Physician

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    Eric Weichel is a ophthalmology physician provider located in Bowie, Maryland. This profile covers 21 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
    OrganizationEric Weichel
    Address16901 Melford Blvd. #111
    CityBowie
    StateMD
    ZIP20715
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 12, 2006

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    ERIC WEICHEL has $4.1M in lifetime Medicare revenue and no Medicaid billing on file, making Medicare the effective sole public-payer footprint for this provider. The absence of any Medicaid claims means payer mix is highly concentrated on Medicare at the population level and there is no in-state Medicaid activity to diversify public-payer risk or volume.

    Revenue is heavily concentrated in a narrow set of services: the precomputed top three Medicare codes (J0178, 92014, J2778) account for 75.6% of this provider's total Medicare revenue. J0178 alone represents $2.5M revenue (59.7% of this provider's total Medicare revenue), indicating strong dependency on a single drug/service for the majority of Medicare receipts.

    The CPT/HCPCS mix points to a retina‑focused, injection‑centric ophthalmology practice that also maintains high office throughput. High revenue and claim counts for intravitreal drug codes (J0178, J2778, J2777, Q5128) alongside large volumes of comprehensive established visits under 92014 and retinal imaging under 92134 suggest the practice combines frequent injection therapy with diagnostic imaging and routine comprehensive exams.

    On competitive standing, this provider is a major national‑volume participant for several core services: J0178 ranks #98 of 3204 providers nationally (97th percentile; notably above typical national volume for this code), and 92014 ranks #18 of 35415 providers nationally (100th percentile; extreme outlier), signaling top‑tier volume nationally for aflibercept injections and exceptionally high volumes of comprehensive established visits.

    Several diagnostic and procedure codes are also extreme outliers or notably above typical volume, highlighting unusually high throughput. 92134 ($129.2K revenue, 3.1%) ranks #160 of 26868 providers nationally (99th percentile; extreme outlier), and 92202 ($35.6K revenue, 0.9%) ranks #13 of 2327 providers nationally (99th percentile; extreme outlier), which together reflect outsized use of retinal imaging and extended ophthalmoscopy relative to peers.

    The practice performs surgical retina procedures but at much lower scale than injections and office visits: 67028 shows $233.2K revenue (5.6%) and ranks #292 of 4255 providers nationally (93th percentile; notably above typical national volume), while 67041 ($24.8K), 67108 ($11.3K) and 67036 ($7.4K) are billed in far smaller absolute amounts. This pattern indicates occasional operative interventions layered on a dominantly outpatient, injection‑and‑imaging service line.

    Drug billing reflects a mix of branded biologics, biosimilars and unclassified/compounded products used in intravitreal therapy: Q5128 generated $120.9K, J3590 $95.4K, J3490 $87.2K and J7999 $14.9K in revenue, with national ranks in typical ranges. The presence of both branded agents and biosimilars/compounded drugs signals therapeutic variety and substitution across available intravitreal products rather than reliance on a single formulation.

    The provider's NPI was enumerated on 2006-07-12 (~20 years ago), indicating long tenure in the market. Combined with concentrated Medicare revenue and multiple extreme outlier ranks across injections, imaging and comprehensive visit codes, this tenure supports characterization of an established, retina‑oriented ophthalmology operation with very large Medicare outpatient volume and no Medicaid activity.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,620$680$2.5M
    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…3,820$100$382.2K
    J2778Injection, ranibizumab, 0.1 mg1,480$190$275.3K
    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.2,200$110$233.2K
    J2777Injection, faricimab‑svoa, 0.1 mg4,980$30$144.4K
    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.3,800$30$129.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg570$210$120.9K
    J3590Unclassified biologics40$2,450$95.4K
    J3490Unclassified drugs40$1,980$87.2K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…2,740$10$35.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01785100950$690$887.3K
    J277748708,520$30$487.3K
    J27781450650$180$207.8K
    J3590132050$2,390$128.9K
    6702812120700$100$101.5K
    Q5128520200$210$78K
    J34907210070$450$62.1K
    J73121420270$160$53.1K
    920145620210$90$44K
    6704151020$1,060$30.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Retina Group Of Washington, PLLCMDOphthalmology Physician$0$19.5M
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Gordon ByrnesVARetina Specialist (Ophthalmology) Physician$4.9M$0
    Daniel BerinsteinMDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Alexander MelamudVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Michael LaiMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    Jordana FeinVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Gayatri ReillyMDRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sundeep KasiVARetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Center For Comprehensive ServicesMDIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$17.2M
    Annapath, IncMDClinical Medical Laboratory$6.2M$2.4M
    Caroline Larosiliere Dds And AssociatesMDPediatric Dentistry$0$4.7M
    Lakeview Surgery Center LLCMDAmbulatory Surgical Clinic/Center$2.6M$43.5K
    William PhillipsMDRetina Specialist (Ophthalmology) Physician$2.4M$0
    Matthew KirkbrideMDAnatomic Pathology & Clinical Pathology Physician$749.1K$0
    Jan ZinckeMDSpecialist$731.8K$0
    Alyson HallMDOphthalmology Physician$651.5K$1.8K
    Tu-anh ChuMDAnatomic Pathology & Clinical Pathology Physician$594.6K$0
    Zhengtong PeiMDAnatomic Pathology & Clinical Pathology Physician$563.7K$0

    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. Maryland Distribution
    Eric Weichel — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland