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    OpenPayerNPI Medicare & MedicaidZaaira Ahmad
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    Zaaira Ahmad — Billing Profile & Reimbursement Data

    NPI 1154591964 · Salisbury, MD · Ophthalmology Physician

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    Zaaira Ahmad is a ophthalmology physician provider located in Salisbury, Maryland. This profile covers 17 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
    OrganizationZaaira Ahmad
    Address6511 Deer Pointe Dr
    CitySalisbury
    StateMD
    ZIP21804
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 7, 2008

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer at present: total Medicare revenue is $3.3M and there is no Medicaid billing on file. The absence of any Medicaid claims indicates Medicare dominates this provider’s public-payer mix and any Medicaid exposure is currently nil.

    Revenue is highly concentrated in a small number of procedure codes: the precomputed top 3 Medicare codes by revenue account for 87.1% of total Medicare revenue, led by J0178 at $2M (60.2% of Medicare revenue), J2777 at $724.1K (22.2%), and 67028 at $154.9K (4.7%). This degree of concentration signals that a few high-volume/high-value interventions drive the practice’s Medicare economics.

    The code mix points to a retina-centric, procedure-driven ophthalmology practice: dominant codes include intravitreal injection pharmaceuticals and vitreous injections (J0178, J2777, J2778 and 67028), and high-volume retinal imaging (92134). Frequent use of J0178 (aflibercept) and J2777 (faricimab) indicates routine administration of anti-VEGF and related biologic therapies as a core revenue-generating service.

    Competitive standing varies by service line. For the top drug J0178 the provider ranks #211 of 3204 providers nationally (93th percentile; notably above typical national volume for this code), indicating a nationally significant presence for aflibercept injections; J2777 ranks #368 of 2039 (82th percentile; typical, unremarkable volume), and 67028 ranks #660 of 4255 (84th percentile; typical, unremarkable volume), showing strong but more modest positions for other high-revenue procedures.

    Several procedure codes are statistical outliers in national volume, suggesting operational scale in imaging and certain consult types: 92134 ranks #455 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), and 99204 ranks #2589 of 227068 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These outlier ranks point to unusually high throughput for retinal imaging and a notable level of high-complexity new-patient evaluations relative to peers.

    Clinical visit coding contributes a small share of dollars relative to injections: 99214 produced $66.9K (2.1% of Medicare revenue) across 712 claims and 99213 produced $30.7K (0.9%), while 92014 added $41.1K (1.3%). This mix—procedure and drug-dominant revenue with modest E/M income—suggests operations are optimized around procedures and treatment visits rather than office-based evaluation as the primary revenue driver.

    Operational and financial implications follow from heavy reliance on biologic injectables: J0178 shows $692 avg paid/claim and drives $2M in revenue, while J2777 shows $28 avg paid/claim and drives $724.1K. High dependence on these pharmaceuticals makes the practice’s revenue sensitive to drug utilization patterns, payer coverage decisions, and inventory/supply management for intravitreal agents.

    The provider has a longstanding enrollment history, with NPI enumerated 2008-03-07 (~18 years ago), indicating an established presence in Salisbury, MD. Tenure combined with the high-volume drug and imaging patterns supports the interpretation of an experienced, procedure-focused ophthalmology practice with a sustained Medicare patient base.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,840$690$2M
    J2777Injection, faricimab‑svoa, 0.1 mg25,860$30$724.1K
    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.1,630$100$154.8K
    J2778Injection, ranibizumab, 0.1 mg570$180$103.9K
    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.2,880$30$92.3K
    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…710$90$66.9K
    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…470$90$41.1K
    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…470$70$30.7K
    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…250$120$29.6K
    92235The 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…210$110$22.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017815100950$690$887.3K
    J277716708,520$30$487.3K
    J27782950650$180$207.8K
    6702829120700$100$101.5K
    92014187620210$90$44K
    67042163020$1,060$25.4K
    992141,03510,270150$90$24.1K
    92235219070$110$19.5K
    9213429490110$30$17.3K
    992131,0739,280100$60$12.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    John ButlerMDOphthalmology Physician$4.3M$0
    Travis PeckMDOphthalmology Physician$2.5M$0
    Jeffrey BennerMDOphthalmology Physician$1.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wraparound Maryland, IncMDCase Management Agency$0$18.4M
    Go-getters, Inc.MDCommunity/Behavioral Health Agency$0$14.7M
    Board Of Education Of Wicomico CountyMDLocal Education Agency (LEA)$0$14.6M
    HealthportMDCommunity/Behavioral Health Agency$0$10.9M
    Chesapeake Pediatric & Adolescent Associates, PAMDPediatric Adolescent Medicine Physician$0$6.6M
    HealthportMDMental Health Clinic/Center (Including Community Mental Health Center)$0$5.5M
    Coastal Hospice IncMDCommunity Based Hospice Care Agency$0$5.3M
    Children's Medical Group Of Salisbury, PAMDPediatrics Physician$0$5M
    Konlian,o'neill & Associates, P.A.MDRehabilitation Practitioner$0$5M
    James RialMDOphthalmology Physician$4.7M$510

    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
    Zaaira Ahmad — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland