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    v1.0.28
    OpenPayerNPI Medicare & MedicaidElena Raducu
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    Elena Raducu — Billing Profile & Reimbursement Data

    NPI 1194936492 · Bismarck, ND · Ophthalmology Physician

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    Elena Raducu is a ophthalmology physician provider located in Bismarck, North Dakota. 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
    OrganizationElena Raducu
    Address200 S 5th St
    CityBismarck
    StateND
    ZIP58504
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 25, 2007

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    Key Findings

    This provider generates $1.1M in total Medicare revenue and has no Medicaid billing on file, making their public payer activity effectively single-payer and concentrated in Medicare-covered services. The absence of any Medicaid billing indicates limited exposure to state-plan volume and reimbursement variability from that payer segment.

    Revenue is highly concentrated in a very small set of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 78.2% of this provider's total Medicare revenue, led by J0178 at $704.1K (62.4% of Medicare revenue), followed by 66984 at $94.4K (8.4%) and J2777 at $83.5K (7.4%). This concentration implies that a few high-revenue services—particularly one dominant code—drive the bulk of the practice’s Medicare receipts.

    The code mix indicates a specialty ophthalmology practice with a strong clinical emphasis on intravitreal anti-VEGF and related retinal procedures combined with cataract surgery. J0178 (Injection, aflibercept) and J2777 (Injection, faricimab) represent the top revenue-generating medications, while 66984 signals routine cataract extraction with IOL implantation and 92134/92136 reflect substantial retinal imaging activity.

    Competitive standing across specific codes is mixed: J0178 ranks #1270 of 3204 (60th percentile; typical, unremarkable volume), 66984 ranks #4648 of 15965 (71th percentile; typical, unremarkable volume), and J2777 ranks #1857 of 2039 (9th percentile; typical, unremarkable volume). Taken together, these ranks suggest the provider is a modest but established participant nationally for major ophthalmology procedures rather than a dominant national outlier.

    One notable utilization signal is comprehensive established exams (92014): 856 claims producing $71.9K (6.4% of Medicare revenue) and ranking #2285 of 35415 (94th percentile; notably above typical national volume). This elevated percentile for 92014 is consistent with a relatively high clinic visit throughput and ongoing chronic disease management workload in the office setting.

    Operational and revenue characteristics reflect different unit economics across injection codes: J0178 shows 1K claims with a high average paid/claim of $693 producing $704.1K, whereas J2777 shows 2.9K claims but a low average paid/claim of $29 producing $83.5K. The disparity between claim volume and revenue for these medication codes suggests the practice administers many low-reimbursement units alongside fewer higher-reimbursement units, affecting revenue per encounter and inventory/billing workflows.

    The provider’s reliance on one medication code is particularly pronounced: J0178 alone accounts for $704.1K and 62.4% of Medicare revenue. This concentration creates business sensitivity to utilization or reimbursement changes affecting aflibercept-related services.

    NPI tenure indicates an established practice presence: NPI enumerated 2007-05-25 (~19 years ago). Longitudinal presence combined with the described procedure mix suggests consistent ophthalmology services in the local market rather than a newly established or transient billing pattern.

    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 mg1,020$690$704.1K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…250$380$94.4K
    J2777Injection, faricimab‑svoa, 0.1 mg2,880$30$83.5K
    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…860$80$71.9K
    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.480$90$44.5K
    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.1,060$30$29.8K
    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…300$60$16.7K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.50$300$14.1K
    65820The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.20$610$12.8K
    68761The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.120$90$10.5K

    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
    J0178320440$680$445.3K
    J27778107,410$30$412.9K
    669841810050$350$61.2K
    67028830290$80$40.6K
    6582031020$1,020$30.7K
    66821203080$230$27.3K
    920143170160$70$15.6K
    992146581,47090$60$10.4K
    921361130240$30$8.3K
    992131331,49080$50$5.8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Braden BurckhardCARetina Specialist (Ophthalmology) Physician$1.8M$0
    Dakota Surgery & Laser Center LLCNDAmbulatory Surgical Clinic/Center$1.7M$28.4K
    Dakota Eye Institute PCNDOphthalmology Physician$0$1.2M
    Paul SelidNDOphthalmology Physician$860.8K$0
    Reid MollmanNDOphthalmology Physician$757K$0
    Aaron FortneyNDOphthalmology Physician$561.1K$0
    Andrew RodenburgNDOphthalmology Physician$373.3K$0
    Jennifer HoggarthNDCertified Registered Nurse Anesthetist$97.8K$0
    Cynthia RolesNDOptometrist$46.7K$0
    Paul BallietNDOptometrist$39.4K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pride Inc.NDDevelopmentally Disabled Services Day Training Agency$0$71.1M
    Sanford BismarckNDMulti-Specialty Clinic/Center$0$43.9M
    Support Systems, Inc.NDCommunity/Behavioral Health Agency$0$37.7M
    Bridging The Dental Gap IncNDDental Clinic/Center$0$6.8M
    Pride IncNDCommunity/Behavioral Health Agency$0$6.6M
    Pride Inc.NDCommunity/Behavioral Health Agency$0$5.7M
    Pride IncNDCommunity/Behavioral Health Agency$0$4.9M
    The Kid's Therapy Center LLCNDCommunity/Behavioral Health Agency$0$1.5M
    City Of BismarckNDState or Local Public Health Clinic/Center$111.3K$1.3M
    Derik Hoerner, Dds, PCNDDentist$0$1.1M

    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 Dakota Distribution
    Elena Raducu — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Dakota