Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Louisiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Louisiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Louisiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Rizwan Shaikh (NPI 1154736791)

Field	Value
Entity Type	Individual
Organization	Rizwan Shaikh
Address	1514 Jefferson Hwy
City	New Orleans
State	LA
ZIP	70121
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 23, 2014

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

RIZWAN SHAIKH is an ophthalmology physician in NEW ORLEANS, LA with an NPI enumerated on 2014-06-23 (~12 years ago). His lifetime Medicare revenue on file is $2.2M and there is no Medicaid billing on file, indicating an effectively single-payer Medicare practice footprint at the claims level.

Revenue is highly concentrated in a small set of intravitreal and injection-related codes: the precomputed top 3 Medicare codes by revenue account for 81.4% of this provider's total Medicare revenue, driven by J0178 ($1.2M; 55.5%), J2777 ($429.8K; 19.9%), and 67028 ($129.4K; 6.0%). This concentration signals that anti-VEGF and related intravitreal injection services are the primary revenue drivers for the practice.

The code mix is consistent with a retina-focused ambulatory practice that performs high-volume intravitreal pharmacotherapy and associated injection procedures: J0178 (aflibercept) and J2777 (faricimab) together dominate revenue and 67028 is listed as an isolated intravitreal injection procedure. Complementary services such as retinal imaging (92134) and office E/M visits (99214) support ongoing medical management of retinal disease rather than primarily surgical retina care.

Competitive standing on the top injection codes is modest-to-strong but not dominant: J0178 ranks #663 of 3204 nationally (79th percentile; typical, unremarkable volume for this code), J2777 ranks #723 of 2039 (64th percentile; typical, unremarkable volume for this code), and 67028 ranks #825 of 4255 (81th percentile; typical, unremarkable volume for this code). In plain terms, the provider bills these injection codes at volumes above median peers but within the expected range for retina-focused clinicians nationally.

Operational and billing pattern nuance: J2777 shows 14.8K claims at an average paid/claim of $29 and $429.8K total revenue for this provider (19.9% of Medicare revenue), which is labeled here as typical, unremarkable volume for this code. The combination of a very large claim count with a low per-claim average suggests unit-based dosing or frequent small-unit billing for faricimab administrations rather than a small number of high-dollar single claims.

Clinic-based management activity is notable: 99214 appears with 762 claims and $64K revenue (3.0% of Medicare revenue) and ranks #21863 of 479517 nationally (95th percentile; notably above typical national volume). This "notably above typical" standing for moderate-complexity established-patient visits implies a steady throughput of returning patients and ongoing disease management consistent with chronic retinal therapies.

Retinal imaging is a visible support service: 92134 has 1.2K claims and $33.5K revenue and ranks #1825 of 26868 (93th percentile; typical, unremarkable volume for this code), indicating frequent use of OCT diagnostics to guide intravitreal therapy decisions. High-percentile imaging alongside concentrated injection revenue fits a treatment pathway focused on medical retina rather than high-volume complex surgical cases.

Low surgical retina volume is evident: 67113 shows only 12 claims and $11.8K revenue and ranks #267 of 297 (5th percentile; typical, unremarkable volume for this code), which suggests the provider rarely performs complex retinal reattachment surgeries and is primarily delivering office-based retina care. This split—dominant injection and imaging activity with minimal complex surgery—should inform network/service-line planning and specialty referral expectations.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,750	$690	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	14,820	$30	$429.8K
67028	The 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.	1,470	$90	$129.4K
J2778	Injection, ranibizumab, 0.1 mg	540	$180	$96.3K
J3590	Unclassified biologics	30	$2,180	$74.2K
99214	The 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…	760	$80	$64K
92134	The 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.	1,240	$30	$33.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	200	$160	$32.3K
J7999	Compounded drug, not otherwise classified	480	$60	$30.4K
99213	The 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…	360	$60	$21.3K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Louisiana Distribution

Rizwan Shaikh — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	50	300	$680	$371.5K
J2777	6	30	6,660	$30	$309.4K
J2778	7	10	770	$180	$208.9K
J3590	4	10	70	$490	$92K
67028	5	70	410	$80	$44.3K
J7312	4	10	200	$150	$39.1K
92014	405	470	170	$80	$23.9K
67113	5	10	20	$1,180	$18.8K
J7999	4	20	140	$40	$16.6K
66821	138	170	40	$220	$16.5K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
John Pitcher	NM	Ophthalmology Physician	$5.1M	$0
Mark Chiu	NM	Ophthalmology Physician	$3.8M	$0
Christopher Roybal	NM	Ophthalmology Physician	$3.8M	$0
Ashok Reddy	NM	Ophthalmology Physician	$3.2M	$0
Kamalesh Ramaiya	NM	Ophthalmology Physician	$2.9M	$0
Betty Klein	NM	Ophthalmology Physician	$2.4M	$0
Iuri Golubev	NM	Ophthalmology Physician	$1.7M	$0
Eye Associates Of New Mexico, Ltd.	NM	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Ian Thompson	NM	Ophthalmology Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ochsner Clinic Foundation	LA	General Acute Care Hospital	$0	$166.7M
Ochsner Clinic LLC	LA	General Practice Physician	$0	$152.6M
Ochsner Home Medical Equipment, LLC	LA	Oxygen Equipment & Supplies (DME)	$0	$16.9M
James Lamar	LA	Optometrist	$62.2K	$1.1M
Genevieve Maronge	LA	Internal Medicine Physician	$590.6K	$0
Adam Harless	LA	Interventional Cardiology Physician	$553.3K	$0
Zachary Dowdy	LA	Cardiovascular Disease Physician	$232K	$0
Dean Yamaguchi	LA	Vascular Surgery Physician	$197.9K	$0
Suneeta Walia	LA	MOHS-Micrographic Surgery Physician	$176.5K	$0
Pulin Shah	LA	Cornea and External Diseases Specialist Physician	$174.2K	$0

Rizwan Shaikh — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References