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    OpenPayerNPI Medicare & MedicaidSarah Read
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    Sarah Read — Billing Profile & Reimbursement Data

    NPI 1124381652 · Aiea, HI · Ophthalmology Physician

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    Sarah Read is a ophthalmology physician provider located in Aiea, Hawaii. This profile covers 12 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
    OrganizationSarah Read
    Address98-1079 Moanalua Rd Ste 470
    CityAiea
    StateHI
    ZIP96701
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 19, 2012

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

    Payer SourceTotal Paid
    Medicare$939.4K
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: total Medicare revenue is $939.4K and there is no Medicaid billing on file. The absence of Medicaid activity indicates the practice’s Medicare work drives its entire reported public‑payer revenue base.

    Revenue is highly concentrated in a small set of injection and procedural codes: the top 3 Medicare codes (J0178, J2777, 67028) account for 76.7% of this provider’s total Medicare revenue. Specifically, J0178 generated $440.1K (47.0%), J2777 generated $201.9K (21.6%), and 67028 generated $76.3K (8.1%) of Medicare revenue.

    The procedure mix shows an office‑based retina focus: large revenue from drug administration codes J0178 (aflibercept) and J2777 (faricimab) together with high counts for the intravitreal injection procedure 67028 suggest the practice primarily delivers intravitreal anti‑VEGF therapy. This pattern is consistent with ongoing management of retinal vascular diseases such as wet AMD or diabetic macular edema rather than a predominantly surgical subspecialty.

    Despite high therapeutic volume in dollar terms, the provider is a modest national participant on anti‑VEGF injectable codes: J0178 ranks #1700 of 3204 providers (47th percentile; typical, unremarkable volume) and J2777 ranks #1285 of 2039 providers (37th percentile; typical, unremarkable volume). Similarly, the intravitreal injection procedure 67028 ranks #1615 of 4255 providers (62th percentile; typical, unremarkable volume), indicating the practice is not an outlier or market leader for these drug administration services.

    The provider shows above‑typical activity in office ophthalmology and retinal imaging: 92012 (691 claims) ranks in the 94th percentile (notably above typical) and 92134 (1.5K claims) ranks in the 94th percentile (notably above typical), while 92014 ranks in the 89th percentile. These elevated percentiles for established‑patient E/M and OCT imaging indicate strong ongoing follow‑up, diagnostic capacity, and continuity of care for retina patients.

    Surgical procedures and new comprehensive evaluations are limited, suggesting an office‑based practice model rather than an operating‑room surgical center. Examples include 67036 with 15 claims ($8.5K, 28th percentile) and 92004 with 11 claims ($1.3K, 0th percentile), both consistent with low surgical volume.

    Compounded medications represent a secondary revenue stream: J7999 appears with 336 claims and $24.5K revenue (2.6% of Medicare revenue) and ranks #280 of 1333 providers (79th percentile; typical, unremarkable volume). This indicates some use of compounded therapies alongside standard anti‑VEGF treatments but not a primary driver of revenue.

    The NPI was enumerated 2012-06-19 (~14 years ago), signaling a stable, established presence in Aiea, HI. Coupled with concentrated Medicare revenue and a service mix weighted to injections, imaging, and established‑patient visits, the profile is consistent with an experienced community ophthalmologist focused on medical retina care rather than broad Medicaid or high‑volume surgical practice.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg650$670$440.1K
    J2777Injection, faricimab‑svoa, 0.1 mg6,960$30$201.9K
    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$76.3K
    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…630$90$59.3K
    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…690$70$49.1K
    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.1,460$30$46.7K
    J7999Compounded drug, not otherwise classified340$70$24.5K
    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…170$120$21.4K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$570$8.5K
    92250Code 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,…230$30$7K

    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

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178520330$680$350.4K
    J27776104,140$30$173.8K
    67028420390$90$44.1K
    6703651020$1,050$23.1K
    9201427220120$90$22.5K
    9201210150110$60$13.1K
    J7999410100$70$12.8K
    92134615060$30$7.2K
    992042063030$110$5.3K
    922504018090$30$4.2K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jorge FortunFLOphthalmology Physician$3.7M$0
    Jack StringhamUTRetina Specialist (Ophthalmology) Physician$3.4M$0
    Jaclyn KovachFLOphthalmology Physician$3.1M$0
    Stephen SchwartzFLRetina Specialist (Ophthalmology) Physician$2.1M$0
    Luis HaddockFLOphthalmology Physician$2.1M$0
    Raymond WeeHIOphthalmology Physician$1.5M$0
    James LaiHIOphthalmology Physician$1.4M$0
    Philip RosenfeldFLRetina Specialist (Ophthalmology) Physician$1.3M$0
    University Of MiamiFLAmbulatory Surgical Clinic/Center$1.2M$0
    William SmiddyFLRetina Specialist (Ophthalmology) Physician$1M$0

    Nearby Providers

    Other providers in the same ZIP code as Sarah Read, 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
    Sarah Read — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii