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    OpenPayerNPI Medicare & MedicaidSurendar Purohit
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    Surendar Purohit — Billing Profile & Reimbursement Data

    NPI 1205824547 · Jackson, MI · Retina Specialist (Ophthalmology) Physician

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    Surendar Purohit is a retina specialist (ophthalmology) physician provider located in Jackson, Michigan. This profile covers 17 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
    OrganizationSurendar Purohit
    Address850 W North St Ste 100
    CityJackson
    StateMI
    ZIP49202
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedOctober 11, 2005

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider’s Medicare business is highly concentrated in intravitreal biologic injections: J0178 (aflibercept) accounts for 57.3% of Medicare revenue and J2777 (faricimab) 24.3%, and the precomputed summary shows the top 3 Medicare codes by revenue account for 88.5% of this provider's total Medicare revenue. That concentration indicates the practice’s primary service line is retina-focused drug therapy delivered via office-based injections, with a smaller but material share from evaluation and management visits (99214 at 7.0%).

    Across national benchmarks the provider’s injection volumes look typical rather than dominant: J0178 ranks #341 of 3204 providers nationally (89th percentile; typical, unremarkable volume for this code) and J2777 ranks #407 of 2039 (80th percentile; typical, unremarkable volume for this code). In contrast, procedure- and encounter-based activity shows unusually high relative intensity: 99214 ranks #792 of 479517 (100th percentile; extreme outlier, far above typical national volume) and 92134 ranks #603 of 26868 (98th percentile; extreme outlier, far above typical national volume), suggesting heavier-than-typical office follow-up and retinal imaging per Medicare enrollee.

    Operational profile implied by the code mix: frequent intravitreal injections of anti-VEGF or related biologics (J0178, J2777, 67028) combined with very high-volume E&M (99214) and retinal imaging (92134) point to a retina specialty practice structured around recurring treatment visits and diagnostic imaging. Codes such as 67028 (vitreous injection) and 92134 (computerized retinal imaging) reinforce that the workflow likely centers on repeat visits for chronic retinal disease management rather than episodic surgical volume.

    Payer mix is effectively single-payer Medicare: total Medicare revenue is $2.9M while Medicaid revenue is none (no Medicaid billing on file). This concentration means the provider’s public-payer exposure is almost entirely to Medicare reimbursement dynamics and program changes, with little-to-no direct Medicaid billing to diversify public-payer revenue.

    Competitive standing nuance: while the provider is not a national outlier for primary drug codes (J0178 and J2777 are in the 80th–89th percentiles and labeled "typical, unremarkable volume"), the extreme outlier status for 99214 (100th percentile) and very high percentile for 92134 (98th percentile) indicate an unusually large throughput of established-office encounters and retinal imaging compared with peers. Put differently, this clinician is a modest-to-typical volume injector nationally but a major outlier for follow-up visits and imaging intensity within Medicare.

    Tenure and continuity: the NPI was enumerated on 2005-10-11 (~21 years ago), indicating long-standing Medicare enrollment and likely an established local patient base and referral footprint in JACKSON, MI. That longevity combined with the high share of repeat-treatment codes is consistent with a stable retina practice built around chronic disease management.

    Service mix risk and operational implications: with 88.5% of Medicare revenue coming from the top three codes, the practice’s financials are sensitive to changes in drug utilization, reimbursement rates, or formulary shifts affecting J0178 and J2777. From a payer perspective, any policy changes or prior-authorization adjustments targeting these biologics could materially affect billed Medicare revenue, so monitoring drug-specific utilization trends is warranted.

    Coding and utilization outliers to monitor: the dataset flags 99214 and 92134 as "extreme outlier" usages versus national peers, which should prompt payers and analysts to review visit cadence, medical necessity documentation, and imaging frequency in the context of chronic retinal disease management rather than assume standard case-mix. At the same time, the provider’s injection codes are described as "typical, unremarkable volume," suggesting injection counts align with many retina specialists while encounter and imaging intensity are the distinguishing features.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,440$680$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg24,370$30$706.7K
    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…2,290$90$203.5K
    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.1,930$90$169.4K
    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.2,610$30$73.1K
    J3590Unclassified biologics420$70$29.7K
    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…30$840$21.9K
    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…110$110$12.3K
    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…50$190$9.4K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…70$100$7.1K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01787110680$690$630.2K
    J27777607,200$30$321K
    670288160440$90$57.6K
    J35901480140$80$19.6K
    6704243020$1,030$18.6K
    920141,0311,080100$80$14.8K
    99214415,47080$80$11.4K
    9224221040$200$9.6K
    922353010040$100$7.8K
    92134882060$30$7.1K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tarek HassanMIRetina Specialist (Ophthalmology) Physician$2.1M$0
    William RhoadesMIRetina Specialist (Ophthalmology) Physician$1.9M$0
    Carmelina GordonMIRetina Specialist (Ophthalmology) Physician$1.4M$0
    Jonathan BernsteinOHRetina Specialist (Ophthalmology) Physician$1.2M$0
    Joseph CrapottaNYRetina Specialist (Ophthalmology) Physician$605.9K$6.7K
    Mahmoud El-yassirMIOphthalmology Physician$359.4K$0
    Neal TolchinOHOphthalmology Physician$358.7K$0
    Paul ErnestMIOphthalmology Physician$284.6K$0
    Rashawn VenerableMIOphthalmology Physician$274.4K$0
    Anthony SensoliMIOphthalmology Physician$256.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jackson-hillsdale Community Mental Health BoardMIMental Health Clinic/Center (Including Community Mental Health Center)$0$57.8M
    Christ Centered Homes, Inc.MIIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$47.4M
    Recovery Technology,llcMIMental Health Clinic/Center (Including Community Mental Health Center)$0$33.2M
    Pdhcrc, Inc.MIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$27.9M
    Integro LLCMIMental Health Counselor$0$14.2M
    Victory Clinical Services Iii LLCMIMulti-Specialty Clinic/Center$179.3K$14M
    HighfieldsMICommunity/Behavioral Health Agency$0$13.1M
    Comprehensive Speech And Therapy Center, IncMIRehabilitation Clinic/Center$0$12.8M
    D2 Dental Of MichiganMIGeneral Practice Dentistry$0$7.2M
    A.r.e. Inc., Of JacksonMIDevelopmentally Disabled Services Day Training Agency$0$5.2M

    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. Michigan Distribution
    Surendar Purohit — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan