Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidKeye Wong
    Ask Trek AI about this page

    Keye Wong — Billing Profile & Reimbursement Data

    NPI 1164468211 · Sarasota, FL · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Keye Wong — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Keye Wong is a retina specialist (ophthalmology) physician provider located in Sarasota, Florida. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKeye Wong
    Address2601 Cattlemen Rd Ste 102
    CitySarasota
    StateFL
    ZIP34232
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$4.9M
    Medicaid$0

    Key Findings

    KEYE WONG is a retina specialist (ophthalmology) with a long Medicare billing history—NPI enumerated ~20 years ago—indicating sustained participation in Medicare over multiple practice years. The provider's lifetime Medicare revenue on file is $4.9M and there is no Medicaid billing on file, making this effectively a single-payer (Medicare-focused) billing profile.

    Revenue concentration is high: the three highest-revenue Medicare codes (J0178, J2777, J2778) together account for 79.7% of this provider's total Medicare revenue, indicating a practice centered on intravitreal biologic therapies rather than broad primary ophthalmology or multispecialty services. This concentration suggests the provider’s business model is heavily weighted toward anti-VEGF and related retinal injections.

    The dominant single code is J0178 (aflibercept) with $2M revenue, representing 41.1% of total Medicare revenue; combined with J2777 (faricimab) at $1.6M (32.8%), these two therapeutic injection codes drive the majority of reimbursement and imply procedural throughput focused on intravitreal injections for retinal diseases. High average paid per claim for J0178 ($695) and the large claim counts (2.9K claims for J0178, 56K claims for J2777) further support a high-volume retinal injection practice.

    Competitive standing on Medicare is strong for multiple procedural codes: the provider ranks in the top percentiles nationally for key retinal procedure and imaging codes—J0178 ranks in the 94th percentile (#194/3204), J2777 in the 96th percentile (#79/2039), 67028 in the 97th percentile (#111/4255), and 92134 and 92012 are extreme outliers at the 100th and 99th percentiles respectively. These rank/percentile positions indicate significantly higher than typical national volume for core retina services and diagnostic imaging.

    Several imaging and evaluation codes show unusually high volumes relative to peers, reinforcing a full-service retinal practice: 92134 (retinal imaging) is an extreme outlier with 4.1K claims and $120.1K revenue, and 92012/92014 (established comprehensive/intermediate exams) also appear notably above typical national volume (92012 at the 99th percentile; 92014 at the 97th percentile). This mix indicates the provider delivers both high-volume therapeutic injections and substantial diagnostic follow-up and office-based eye care.

    The provider shows limited diversification into non-injection drugs and ancillary procedures: codes like Q5128 (ranibizumab biosimilar) and J2778 (ranibizumab) contribute smaller but material shares ($232.2K and $286K respectively), while several unclassified drug codes (J3590, J3490, J7999) and less-frequent procedures appear at low revenue shares and modest national ranks. This suggests most revenue is concentrated in a few high-volume biologic injection products with smaller supplemental revenue streams.

    Absence of Medicaid billing on file means there is no in-state Medicaid footprint to assess against peers, so conclusions about state-level payer mix or Medicaid competitiveness cannot be made; the provider operates, at least in the claims captured here, as effectively Medicare-only. This may reflect panel composition, payer contracting, or data coverage rather than clinical scope.

    Operationally, the provider’s pattern—high volumes of intravitreal injections and related imaging/exam codes—implies a practice optimized for frequent, procedure-driven visits and serial therapeutic administration for retinal disease management (e.g., AMD, DME). Payers and analysts should interpret this as a high-throughput retina service line with clinical throughput concentrated in recurring injection encounters.

    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 mg2,930$700$2M
    J2777Injection, faricimab‑svoa, 0.1 mg55,980$30$1.6M
    J2778Injection, ranibizumab, 0.1 mg1,560$180$286K
    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.2,870$90$255.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg1,070$220$232.2K
    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.4,140$30$120.1K
    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…1,250$90$109K
    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…1,450$70$94.4K
    J3590Unclassified biologics50$1,070$54.7K
    J3490Unclassified drugs30$1,410$35.2K

    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
    J017820250800$690$817.6K
    J27771017012,810$30$549.2K
    J277823110660$180$234.1K
    Q51281840770$220$216.3K
    J27814550500$120$102K
    6702816300710$90$91.1K
    J349016218070$280$87.5K
    J359032030$1,360$50.3K
    920141202,180160$80$28.5K
    92012251,170110$60$16.7K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elia MavrofridesFLOphthalmology Physician$6.2M$240
    Paul RaskauskasFLRetina Specialist (Ophthalmology) Physician$5.2M$0
    Thomas WardFLRetina Specialist (Ophthalmology) Physician$4.7M$0
    Thomas BarnardFLOphthalmology Physician$4.5M$6.5K
    John NiffeneggerFLRetina Specialist (Ophthalmology) Physician$4.4M$0
    Samuel HoustonFLOphthalmology Physician$4.2M$39.3K
    Matthew CunninghamFLOphthalmology Physician$4M$1.8K
    Elizabeth RichterFLRetina Specialist (Ophthalmology) Physician$3.5M$0
    Jaya KumarFLOphthalmology Physician$3.4M$3K
    Abdallah JeroudiFLOphthalmology Physician$3.3M$2.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family First Homecare, LLCFLNursing Care Agency$0$52.5M
    Neurointernational Healthcare, LLCFLRehabilitation Hospital$0$34.9M
    Andrew MarpleFLHematology & Oncology Physician$3.2M$0
    Fadi KayaliFLMedical Oncology Physician$2.9M$0
    Joe KelleyFLRheumatology Physician$2.6M$0
    Surgery Center At University Park, LLCFLAmbulatory Surgical Clinic/Center$2.5M$0
    Hakim MorsliFLCardiovascular Disease Physician$2.1M$0
    Richard BuckFLMedical Oncology Physician$2.1M$0
    Aesculapian Surgery Center, LLCFLAmbulatory Surgical Clinic/Center$1.7M$0
    Edward StolarskiFLAdult Reconstructive Orthopaedic Surgery Physician$1.7M$0

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