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    OpenPayerNPI Medicare & MedicaidJoshua Mali
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    Joshua Mali — Billing Profile & Reimbursement Data

    NPI 1124261375 · Lawrenceville, NJ · Retina Specialist (Ophthalmology) Physician

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    Joshua Mali is a retina specialist (ophthalmology) physician provider located in Lawrenceville, New Jersey. This profile covers 11 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
    OrganizationJoshua Mali
    Address4 Princess Rd Ste 101
    CityLawrenceville
    StateNJ
    ZIP08648
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 16, 2009

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg27,060$30$784.7K
    J0178Injection, aflibercept, 1 mg490$690$334.4K
    J2778Injection, ranibizumab, 0.1 mg850$180$153.7K
    99214The 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…1,220$90$108.2K
    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.830$90$76.7K
    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.1,320$30$36.9K
    J7999Compounded drug, not otherwise classified50$70$2.9K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…20$120$2.3K
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.60$30$1.9K
    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…20$120$1.9K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01786190880$690$693.6K
    J27775608,820$30$319K
    J277829401,140$180$240.8K
    6702851100810$100$91.1K
    9921427913,640130$90$23.6K
    J79994850120$70$14.1K
    992152,9183,75040$140$12K
    921344570090$30$10K
    992045,7977,16040$130$6.5K
    9225087093090$30$5.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0
    Eric SuanMDOphthalmology Physician$3.8M$0
    Matthew SpeicherMDOphthalmology Physician$3.7M$0
    Howard FineNJRetina Specialist (Ophthalmology) Physician$3.6M$0
    Timothy PolkMDOphthalmology Physician$3.5M$0
    Jonathan PrennerNJRetina Specialist (Ophthalmology) Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wishing Well Adult Day Health Care, LLCNJNursing Facility/Intermediate Care Facility$0$30.5M
    Oaks Integrated CareNJAdult Mental Health Clinic/Center$0$7.7M
    Kekul ShahNJOphthalmology Physician$2.4M$0
    Darmakusuma IeNJOphthalmology Physician$2M$0
    Medlife Diagnostic LaboratoriesNJClinical Medical Laboratory$500.9K$1.2M
    Angana ShahNJOphthalmology Physician$1.1M$0
    Kimberly PalangioNJEpilepsy Physician$641.7K$0
    Edita SurblieneNJNurse Practitioner$451.9K$0
    Manuel VergaraNJEpilepsy Physician$432.5K$0
    Mahmood SiddiqueNJInternal Medicine Physician$414.2K$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. New Jersey Distribution
    Joshua Mali — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey