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    OpenPayerNPI Medicare & MedicaidSalil Shukla
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    Salil Shukla — Billing Profile & Reimbursement Data

    NPI 1154595171 · Golden, CO · Retina Specialist (Ophthalmology) Physician

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    Salil Shukla is a retina specialist (ophthalmology) physician provider located in Golden, Colorado. This profile covers 22 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
    OrganizationSalil Shukla
    Address400 Indiana St Ste 310
    CityGolden
    StateCO
    ZIP80401
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 22, 2008

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer: Total Medicare revenue is $2.7M and there is no Medicaid billing on file. The absence of Medicaid activity indicates the provider’s public-payer exposure is concentrated in Medicare rather than split across both programs.

    Revenue is highly concentrated in a small set of intravitreal drug and injection codes: the precomputed top 3 Medicare codes account for 80.8% of total Medicare revenue, with J0178 representing $1.4M (52.9%) and J2777 representing $589.9K (22.2%). That concentration signals that a majority of Medicare dollars flow from a narrow set of pharmaceutical/injection services rather than a broad mix of E/M or surgical procedures.

    The CPT/HCPCS mix is consistent with an injection‑centric retina practice: J0178 (aflibercept) and J2777 (faricimab) are the dominant revenue drivers and 67028 (intravitreal injection as an isolated procedure) appears in the top three. Combined with meaningful billing for retinal imaging (92134) and specialized ophthalmic drugs (J2781, Q5128), the pattern points to a clinic workflow built around frequent intravitreal therapies supported by diagnostic imaging.

    On competitive standing for the top drug codes, this provider is a solid but not dominant national participant: J0178 ranks #527 of 3204 providers (84th percentile) and J2777 ranks #514 of 2039 providers (75th percentile), both described as "typical, unremarkable volume" in national context. These ranks indicate above‑median usage but not a market leadership position for these agents at the national level.

    Diagnostic imaging is a notable strength: 92134 shows 2.1K claims and $66.2K revenue (2.5% of Medicare revenue) and ranks #911 of 26868 providers (97th percentile), described as "notably above typical national volume." This elevated OCT/retinal imaging volume aligns with high-frequency injection therapy and suggests investment in imaging capacity and interpretation workflows.

    The provider bills other high-cost or non‑standard drug lines: J3490 (unclassified drugs) contributes $141.5K (5.3%) and J2781 (pegcetacoplan) contributes $120.6K (4.5%). Presence of substantial J3490 and newer agents indicates use of less conventional or specialty intravitreal treatments and some reliance on bundled/unclassified drug billing.

    Surgical retina procedures are present but minor: 67041 and 67042 each only account for $11.1K (0.4% each) with low national percentiles, implying limited vitrectomy or membrane‑peel surgical volume relative to peers. The practice appears focused more on office‑based therapeutic injections and imaging than on high volumes of surgical interventions.

    The NPI tenure and lifetime revenue profile support an established, mid‑sized Medicare practice: the NPI was enumerated on 2008-04-22 (~18 years ago), and lifetime Medicare revenue is $2.7M. This combination suggests operational stability and a sustained focus on retina services within the Medicare population rather than recent entry or rapid expansion.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,030$690$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg20,340$30$589.9K
    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.1,500$100$149.8K
    J3490Unclassified drugs80$1,790$141.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,010$120$120.6K
    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…720$90$67K
    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.2,140$30$66.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg170$210$35.3K
    J7999Compounded drug, not otherwise classified250$80$18.9K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…10$930$11.1K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178460740$690$618.3K
    J277710408,910$30$456.1K
    J2781410470$120$79.4K
    Q5128910220$220$76.1K
    670281180670$100$73.3K
    67042293020$1,140$29.6K
    J3490146050$290$23.1K
    J79992050230$70$21.5K
    6704151010$1,260$21.4K
    9201436670100$80$15.2K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert CourtneyCORetina Specialist (Ophthalmology) Physician$2.9M$0
    Murtaza AdamCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Mimi LiuCORetina Specialist (Ophthalmology) Physician$2.2M$0
    Miriah TeeterCORetina Specialist (Ophthalmology) Physician$1.9M$0
    Nancy ChristmasCORetina Specialist (Ophthalmology) Physician$1.8M$0
    Peter HovlandCOOphthalmology Physician$1.8M$0
    Curtis HagedornCOOphthalmology Physician$1.5M$0
    David JohnsonCOSpecialist$1.5M$0
    Ashleigh LevisonCORetina Specialist (Ophthalmology) Physician$1.4M$0
    Brian JoondephCORetina Specialist (Ophthalmology) Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parker Personal Care Homes, Inc.COChild Intellectual and/or Developmental Disabilities Respite Care$0$98.2M
    Anton Home Health CareCOIn Home Supportive Care Agency$0$45.5M
    Intermountain Front Range, Inc.COGeneral Acute Care Hospital$0$19M
    Diversified Radiology Of Colorado, IncCODiagnostic Radiology Physician$0$11.4M
    Hygeia Medical Supplies And Services, Inc.CODurable Medical Equipment & Medical Supplies$0$4.4M
    Cher, LLCCODiagnostic Radiology Physician$260K$841.3K
    Denver West Endoscopy Center, LLCCOAmbulatory Surgical Clinic/Center$297.1K$622.7K
    Golden Ridge Asc, LLCCOAmbulatory Surgical Clinic/Center$756.7K$47.1K
    Denver Eye Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$596.4K$35.5K
    Scltdi Jv, LLCCOPhysiological Laboratory$536.7K$12.2K

    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. Colorado Distribution
    Salil Shukla — 1 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado