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    OpenPayerNPI Medicare & MedicaidLeon Charkoudian
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    Leon Charkoudian — Billing Profile & Reimbursement Data

    NPI 1194874131 · Wilmington, NC · Ophthalmology Physician

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    Leon Charkoudian is a ophthalmology physician provider located in Wilmington, North Carolina. 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
    OrganizationLeon Charkoudian
    Address3562 Ansley Dr
    CityWilmington
    StateNC
    ZIP28412
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 9, 2007

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    The provider’s revenue profile is effectively single‑payer: lifetime Medicare revenue is $2.9M while Medicaid shows none on file, indicating this NPI operates without measurable Medicaid billing. Revenue is highly concentrated in a small set of services, with the top 3 Medicare codes accounting for 87.1% of total Medicare revenue.

    Revenue concentration is extreme around intravitreal therapies and a core procedure: J2777 accounts for $1.6M (54.4% of Medicare revenue), J0178 accounts for $757.9K (26.4%), and 67028 accounts for $179.8K (6.3%). These three codes together dominate billings and drive the vast majority of Medicare income for this practitioner.

    The code mix is consistent with a retina‑focused ophthalmology practice that is primarily delivering intravitreal pharmacologic treatments and diagnostic imaging rather than broad multispecialty ophthalmic care. High revenue and claim counts for J2777, J0178, J2778, J9035 and strong volumes in retinal imaging codes such as 92134 and 92235 indicate medical retina services (injections + multimodal imaging) are the practice’s principal service line, while lower‑share surgical codes (67036, 67042) suggest some concurrent surgical work but at a much smaller scale.

    J2777 performance is nationally prominent: the provider ranks #82 of 2039 (96th percentile) for this code and is described as "notably above typical national volume for this code," making them a major national user of faricimab relative to peers. That high J2777 share ($1.6M) is the single largest revenue driver and distinguishes the provider competitively in the faricimab treatment space.

    Diagnostic imaging is another standout: 92134 appears as an "extreme outlier, far above typical national volume for this code" with $94K in revenue and a rank of #314 of 26868 (99th percentile). This combination of very high retinal imaging and very high injection volume is consistent with a practice organized around frequent monitoring and treatment of retinal disease.

    Visit-level E/M patterns show above‑typical office throughput: 99213 yields $40.6K and ranks #14807 of 457151 (97th percentile) with the descriptor "notably above typical national volume for this code," indicating sustained follow‑up and chronic disease management capacity in the outpatient setting. Additionally, 99204 is an "extreme outlier, far above typical national volume for this code" suggesting more new patient encounters at higher complexity than is typical for peers.

    Surgical retinal procedures are present but represent a small portion of revenue: 67036 ($17K) and 67042 ($17.4K) together account for a fraction of Medicare income and their ranks are in mid‑range nationally (70th and 47th percentiles respectively), signaling occasional operative work rather than a surgery‑dominant practice. Ancillary procedures such as 67515 rank highly (#17 of 308, 95th percentile) but contribute minimal revenue, which may reflect selective use of specific injection techniques relative to peers.

    This NPI has longevity in the market, enumerated 2007-01-09 (~19 years ago), which supports a stable practice history; combined with the concentrated, high‑percentile utilization in retina injections and imaging, the profile is that of a long‑standing, medically retina‑oriented ophthalmology practice with national‑level prominence for certain injectable therapies.

    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
    J2777Injection, faricimab‑svoa, 0.1 mg55,680$30$1.6M
    J0178Injection, aflibercept, 1 mg1,110$680$757.9K
    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.2,070$90$179.8K
    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.3,240$30$94K
    J2778Injection, ranibizumab, 0.1 mg430$180$76.9K
    J9035Injection, bevacizumab, 10 mg830$50$44K
    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…690$60$40.6K
    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…380$90$34.5K
    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…220$110$25.4K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$870$17.4K

    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
    J017845100950$690$881K
    J277727012,990$30$503.7K
    J27783250620$180$202.2K
    6702810120780$90$80K
    67042113020$990$23.8K
    6703652020$840$16.7K
    992142,53818,060110$80$15.1K
    J9035590140$50$13.4K
    92235277060$100$8.7K
    67228172030$240$7.6K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Christopher SteltonFLRetina Specialist (Ophthalmology) Physician$4.2M$0
    Robin RayGAOphthalmology Physician$3.5M$0
    Gokul KumarFLOphthalmology Physician$3M$0
    Robert BrownlowNCOphthalmology Physician$2.7M$0
    Kevin BrayNCRetina Specialist (Ophthalmology) Physician$2.6M$0
    Chris BergstromGAOphthalmology Physician$2M$0
    Heather GladueNCRheumatology Physician$1.7M$0
    Mark ChastainGADermatology Physician$1.6M$0
    Ephraim ParentFLNuclear Medicine Physician$1.5M$0
    Robert WannNCOphthalmology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Horizons Center, IncNCCommunity/Behavioral Health Agency$0$44.6M
    Coastal Carolina Pathology, PANCClinical Medical Laboratory$1.2M$229.8K
    Fan XiNCPain Medicine (Physical Medicine & Rehabilitation) Physician$898.5K$0
    Jeffrey WarhaftigNCInternal Medicine Physician$694.2K$0
    Dean KarrasNCInternal Medicine Physician$566.6K$0
    Shawn HockerNCSports Medicine (Orthopaedic Surgery) Physician$485.4K$0
    Shona MartinNCInternal Medicine Physician$436.1K$0
    Jeremy HoffNCPhysical Medicine & Rehabilitation Physician$374.9K$0
    Benjamin WallNCPain Medicine (Physical Medicine & Rehabilitation) Physician$318.5K$0
    Daniel RoseNCOrthopaedic Surgery Physician$313.7K$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. North Carolina Distribution
    Leon Charkoudian — 6 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina