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    OpenPayerNPI Medicare & MedicaidPhilip Brunetti
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    Philip Brunetti — Billing Profile & Reimbursement Data

    NPI 1124522636 · Anchorage, AK · Ophthalmology Physician

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    Philip Brunetti is a ophthalmology physician provider located in Anchorage, Alaska. 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
    OrganizationPhilip Brunetti
    Address1577 C St Ste 105
    CityAnchorage
    StateAK
    ZIP99501
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 20, 2018

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer at the claims level: total Medicare revenue is $1.1M and there is no Medicaid billing on file. The absence of any Medicaid activity suggests the practice’s Medicare population accounts for the overwhelming majority of billable volume and revenue capture.

    Medicare revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes (J0178, J2777, and 99213) account for 70.3% of this provider’s total Medicare revenue. That concentration indicates the business is dependent on a narrow mix of drug administrations and office E/M encounters for most of its Medicare receipts.

    The top revenue drivers reflect an ophthalmology practice oriented around intravitreal drug therapy and routine outpatient care: J0178 (614 claims, $689 avg paid/claim, $423K revenue, 39.9% of this provider's total Medicare revenue) and J2777 (8.4K claims, $29 avg paid/claim, $243.6K revenue, 23.0% of this provider's total Medicare revenue) are the largest single-code contributors, while 99213 (939 claims, $83 avg paid/claim, $77.9K revenue, 7.4% of this provider's total Medicare revenue) drives office visit volume. The mix of high‑paid single injections (J0178) and very high count, lower‑unit‑paid injections (J2777), together with frequent low‑complexity E/M visits, suggests a throughput model focused on recurring intravitreal treatments plus routine follow‑up visits.

    Competitive standing on the injection codes is modest: J0178 ranks #1753 of 3204 providers nationally (45th percentile; typical, unremarkable volume) and J2777 ranks #1139 of 2039 providers nationally (44th percentile; typical, unremarkable volume). By contrast the provider shows unusually high national relative volume for basic office visits: 99213 ranks #7507 of 457151 providers nationally (98th percentile; extreme outlier, far above typical national volume), indicating this clinician bills a far higher-than-typical number of established‑patient low‑complexity E/M encounters versus national peers.

    Operationally, reliance on drug administration codes creates revenue sensitivity to shifts in drug mix, utilization, or reimbursement: J0178 contributes 39.9% and J2777 contributes 23.0% of Medicare revenue, meaning changes in utilization or unit price for either code could materially affect topline Medicare receipts. That structural concentration also means initiatives that change injection frequency, payer coverage policy, or unit reimbursement could have outsized financial impact.

    The provider’s procedural and diagnostic mix also includes cataract and retina services beyond injections and E/M. For example, 66984 (149 claims, $492 avg paid/claim, $73.3K revenue, 6.9% of this provider's total Medicare revenue) and 67028 (633 claims, $107 avg paid/claim, $67.7K revenue, 6.4% of this provider's total Medicare revenue) show meaningful surgical and intravitreal procedure volume, while retinal imaging 92134 (1.2K claims, $37 avg paid/claim, $45.3K revenue, 4.3% of this provider's total Medicare revenue) supports ongoing diagnostic care — together these codes reflect a broader ophthalmic service line beyond injections and routine visits.

    The provider has an established billing history dating to NPI enumeration on 2018-03-20 (~8 years ago), which aligns with the accumulated $1.1M in Medicare revenue. Tenure of roughly eight years combined with the mix of recurring injection codes and high E/M volume suggests a stable outpatient ophthalmology practice serving Medicare beneficiaries over multiple years.

    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 mg610$690$423K
    J2777Injection, faricimab‑svoa, 0.1 mg8,400$30$243.6K
    99213The 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…940$80$77.9K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…150$490$73.3K
    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.630$110$67.7K
    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.1,220$40$45.3K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$310$24.7K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…390$50$18.6K
    66982The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…30$700$17.5K
    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…110$130$13.8K

    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
    J0178310680$690$686.5K
    J27772108,400$30$320.4K
    66984116040$640$86.7K
    67028210390$110$65.8K
    66982101040$820$34.5K
    992145811,21090$100$16.2K
    6682163030$280$13.9K
    J7999210110$80$8.7K
    9921381,29070$70$8.5K
    92136720120$30$6.6K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sight PartnersWAAmbulatory Surgical Clinic/Center$4.9M$342.1K
    Matthew GuessOHOphthalmology Physician$2.8M$0
    Paul GriggsWAOphthalmology Physician$2.2M$0
    Anil Rama RaoAZAnatomic Pathology & Clinical Pathology Physician$1.3M$0
    Kristi BaileyWAOphthalmology Physician$937.7K$0
    Noemi BrunnerWIDiagnostic Radiology Physician$35.1K$739.2K
    Nevein IbrahimILDiagnostic Radiology Physician$668.4K$0
    Gordon CrabtreeWIOphthalmology Physician$618.1K$2.2K
    Justin GottliebWIOphthalmology Physician$506K$0
    Ali PirastehWIDiagnostic Radiology Physician$498.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Alaska Inc.AKPersonal Care Attendant$0$25.7M
    Narcotic Drug Treatment Center, Inc.AKMethadone Clinic$151.2K$21.7M
    Southcentral FoundationAKCommunity/Behavioral Health Agency$0$20.3M
    Municipality Of AnchorageAKLand Ambulance$3.7M$14M
    Southcentral FoundationAKRehabilitation Clinic/Center$0$17M
    Division Of Alaskan Pioneer HomesAKAssisted Living Facility$0$16.3M
    Northbridge, LLCAKCommunity/Behavioral Health Agency$0$14.3M
    Mckinley Care LLCAKAssisted Living Facility$0$8.6M
    Mary HeimanAKCase Manager/Care Coordinator$0$5.2M
    Southcentral FoundationAKMulti-Specialty Clinic/Center$0$3.8M

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