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    OpenPayerNPI Medicare & MedicaidAjay Singh
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    Ajay Singh — Billing Profile & Reimbursement Data

    NPI 1184807786 · Independence, MO · Ophthalmology Physician

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    Ajay Singh is a ophthalmology physician provider located in Independence, Missouri. This profile covers 19 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
    OrganizationAjay Singh
    Address4741 S Cochise Dr
    CityIndependence
    StateMO
    ZIP64055
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 6, 2007

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the dataset: lifetime Medicare revenue is $2.4M and there is no Medicaid billing on file. The absence of Medicaid activity means payer mix is heavily weighted to Medicare reimbursement and the practice’s revenue exposure is concentrated within that program.

    Revenue concentration is high: the precomputed top three Medicare codes (J0178, J2777, J2778) account for 81.8% of this provider’s total Medicare revenue. That concentration is driven primarily by intravitreal biologic injections, indicating the practice relies heavily on a small set of high‑revenue drug codes.

    The procedure mix and code descriptions indicate a retina‑focused ophthalmology practice that delivers repeated intravitreal injections and high volumes of retinal imaging and follow‑up visits. Top codes J0178 (aflibercept), J2777 (faricimab‑svoa), and J2778 (ranibizumab) are all injectable biologics, and the presence of high volumes in 92014 and 92134 (comprehensive established exams and retinal imaging) supports an outpatient injection/monitoring workflow.

    J0178 is by far the largest single driver of Medicare revenue (51.7% of total Medicare revenue; 1.8K claims, $684 avg paid/claim, ranks #625 of 3204 providers nationally), and the dataset labels its volume as "typical, unremarkable volume" despite the large dollar share. This implies a solid national footprint for aflibercept use but not a dominant or outlier market position among peers.

    J2777 shows an unusual billing profile: 19.7K claims generating $572.5K (23.8% of Medicare revenue) at a $29 avg paid/claim, and it ranks #541 of 2039 providers nationally (73th percentile) with a characterization of "typical, unremarkable volume." The very high claim count paired with a low average payment per claim is consistent with intensive, frequent billing of this specific HCPCS unit (J2777) rather than a small number of high‑value administrations.

    Clinical throughput is high for routine and diagnostic services: 92014 (1.2K claims, $100.1K; ranks #1211 of 35415 nationally, 97th percentile) and 92134 (1.8K claims, $52.8K; ranks #1198 of 26868 nationally, 96th percentile) are both labeled "notably above typical national volume." These ranks indicate the provider sees established patients frequently and performs retinal imaging at volumes well above most national peers, supporting a stable follow‑up and monitoring business line.

    The provider has maintained an NPI enumeration since 2007-12-06 (~19 years ago), indicating long tenure and an established local practice presence. Longevity combined with concentrated Medicare revenue from injections and high screening/imaging throughput suggests an experienced retina service line with steady patient panel dynamics.

    From an operational and payer‑risk perspective, the practice’s heavy reliance on a small set of intravitreal biologic codes (top three = 81.8% of Medicare revenue) and the lack of Medicaid billing increases sensitivity to changes in drug pricing, utilization management, or Medicare policy for injectable biologics. Diversification across payers or service types would materially change revenue risk given the current concentration.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,820$680$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg19,740$30$572.5K
    J2778Injection, ranibizumab, 0.1 mg830$180$150.2K
    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.1,640$90$145.5K
    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…1,150$90$100.1K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg370$160$58.6K
    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.1,820$30$52.8K
    J3590Unclassified biologics360$50$17.9K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…80$200$16.1K
    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$890$10.6K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781060820$690$683.3K
    J277795011,730$30$388.9K
    J2778820540$180$203.8K
    67028980600$90$69.7K
    J7312110170$160$33.8K
    9224231070$190$27.9K
    J90353240170$60$21.8K
    J359023080$160$19K
    9201411730120$80$18K
    6704161010$1,080$17.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mack SavageMOOphthalmology Physician$4M$0
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Javed SayedKSRetina Specialist (Ophthalmology) Physician$1.6M$0
    Douglas DehningMOOphthalmology Physician$821K$0
    Christopher PoleKSOphthalmology Physician$480.6K$0
    Kevin SkelseyMOOphthalmology Physician$479.1K$0
    Miranda BisharaKSOphthalmology Physician$413.6K$0
    Christopher BanningKSOphthalmology Physician$380.1K$0
    William WhiteMOOphthalmology Physician$262.4K$0
    Jonathan ToveyMOOphthalmology Physician$236.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Alliance Personal Care. Inc.MOChore Provider$0$45.8M
    The Arc Of The OzarksMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$45.4M
    Care By Cassie, IncMOIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$35.5M
    Life At Its Best, Inc.MOIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$10.4M
    Caudell Specialized CareMODevelopmentally Disabled Services Day Training Agency$0$7.3M
    Affinity Care Of Missouri LLCMOCommunity Based Hospice Care Agency$0$6M
    Musketeer Home Care LLCMOIn Home Supportive Care Agency$0$4.8M
    Independence Pediatrics, P.C. Inc.MOSpecialist$0$4.3M
    Better At Home Services IncMOIn Home Supportive Care Agency$0$4.2M
    Discover Eye Surgery Center, LLCMOAmbulatory Surgical Clinic/Center$1M$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. Missouri Distribution
    Ajay Singh — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri