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    OpenPayerNPI Medicare & MedicaidCristoforo Larzo
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    Cristoforo Larzo — Billing Profile & Reimbursement Data

    NPI 1205803285 · Kingsport, TN · Retina Specialist (Ophthalmology) Physician

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    Cristoforo Larzo is a retina specialist (ophthalmology) physician provider located in Kingsport, Tennessee. This profile covers 14 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
    OrganizationCristoforo Larzo
    Address2412 N John B Dennis Hwy
    CityKingsport
    StateTN
    ZIP37660
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 8, 2006

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    This provider is essentially a Medicare-focused retina specialist: Total Medicare revenue is $2.2M and there is no Medicaid billing on file (none below). The absence of Medicaid activity makes the practice effectively single-payer from a public-program perspective, concentrating revenue and reimbursement exposure in Medicare.

    Revenue is highly concentrated in intravitreal drug administration: the precomputed top‑3 Medicare codes account for 86.7% of this provider's total Medicare revenue, driven by J0178 (43.7%), J2777 (25.5%), and J2778 (17.4%). This concentration indicates the practice’s financial model is heavily dependent on anti‑VEGF/faricimab class drug administration rather than routine office visits or non‑drug procedures.

    Clinical/service-line mix aligns with a medical‑retina injection practice: the top codes are J0178, J2777, and J2778 (aflibercept, faricimab, and ranibizumab injections), supported by 67028 (1.3K claims, $115K revenue) for isolated intravitreal injection procedures. These claims counts and code choices point to frequent intravitreal therapy administration as the core service offering rather than primarily surgical retina work.

    Competitive standing on drug administration is modest to solid but not dominant nationally: J0178 ranks #921 of 3204 (71th percentile; typical, unremarkable volume), J2777 ranks #564 of 2039 (72th percentile; typical, unremarkable volume), and J2778 ranks #209 of 1208 (83th percentile; typical, unremarkable volume). In plain terms, the provider is a routine national participant for aflibercept and faricimab and a stronger-than-average participant for ranibizumab, but not a national leader.

    Diagnostic imaging use is an outlier relative to peers: 92134 has 1.9K claims and $53.1K revenue and ranks #1141 of 26868 (96th percentile; notably above typical national volume). This notably above‑typical OCT/retinal imaging volume suggests either a high internal imaging throughput or steady referral volume for retinal diagnostic workups supporting the injection practice.

    Office evaluation and management codes contribute only modestly to revenue, indicating a treatment‑focused workflow: 92014 (447 claims, $38.4K, 1.8% of Medicare revenue), 99214 (200 claims, $18.2K, 0.8%), and 99213 (244 claims, $14.2K, 0.7%) are present but represent small shares relative to drug revenue. The data imply patient encounters are frequently procedural (injection/imaging) rather than billable E/M visits driving revenue.

    Surgical retina activity is present but limited: codes such as 67108 (13 claims, $11.3K) and 67042 (13 claims, $10.2K) appear at low volumes and small revenue shares (each ~0.5% of Medicare revenue). These low counts imply occasional surgical procedures are performed but that surgical retina is not a major revenue stream compared with intravitreal drug administration.

    Long tenure supports an established practice footprint: the NPI was enumerated 2006-03-08 (~20 years ago), indicating the provider has been active for roughly two decades. Combined with the concentrated anti‑VEGF billing pattern and high OCT utilization, the tenure suggests a stable, treatment‑oriented retina practice with entrenched Medicare referral and treatment workflows.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,370$690$943.9K
    J2777Injection, faricimab‑svoa, 0.1 mg19,020$30$551.6K
    J2778Injection, ranibizumab, 0.1 mg2,090$180$375.8K
    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.1,320$90$115K
    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.1,900$30$53.1K
    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…450$90$38.4K
    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…200$90$18.2K
    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…240$60$14.2K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$870$11.3K
    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…10$780$10.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782880790$680$769.8K
    J2777195015,060$30$592.1K
    J277817401,340$180$370.2K
    6702834801,130$90$98.5K
    67042354020$1,020$34.5K
    67108233020$970$29.2K
    92014144810120$80$19.2K
    J90355070140$50$17.1K
    992144,03611,370120$80$16.6K
    921343760060$30$8.2K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James MillerTNRetina Specialist (Ophthalmology) Physician$3.9M$0
    Devon GhodasraTNRetina Specialist (Ophthalmology) Physician$3.6M$0
    Nicholas AndersonTNRetina Specialist (Ophthalmology) Physician$3M$0
    Rohan ShahTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Scott BarbTNOphthalmology Physician$2.8M$0
    Robert ShulerTNRetina Specialist (Ophthalmology) Physician$2.6M$0
    Tod McmillanTNRetina Specialist (Ophthalmology) Physician$2.5M$0
    Ailee LahamTNRetina Specialist (Ophthalmology) Physician$2.5M$0
    Stephen PerkinsTNRetina Specialist (Ophthalmology) Physician$2.3M$0
    Francis DecroosTNRetina Specialist (Ophthalmology) Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holston Medical Group PCTNFamily Medicine Physician$0$37M
    Wellmont Medical Associates IncTNPulmonary Disease Physician$0$27.8M
    Wellmont Health SystemTNGeneral Acute Care Hospital$0$17.6M
    Mountain States Health AllianceTNGeneral Acute Care Hospital$0$15.5M
    Watauga Dental Center, PLLCTNGeneral Practice Dentistry$0$8M
    LovinginhomecareincTNIn Home Supportive Care Agency$0$5.3M
    Harville Orthodontics PLLCTNOrthodontics and Dentofacial Orthopedics Dentistry$0$4.7M
    Sbh-kingsportTNPsychiatric Hospital$0$4M
    Thompson Delivery Services LLCTNNon-emergency Medical Transport (VAN)$0$3.2M
    Wellmont Cardiology ServicesTNCardiovascular Disease Physician$0$3.1M

    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. Tennessee Distribution
    Cristoforo Larzo — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee