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    OpenPayerNPI Medicare & MedicaidMichael Colucciello
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    Michael Colucciello — Billing Profile & Reimbursement Data

    NPI 1215934146 · Moorestown, NJ · Ophthalmology Physician

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    Michael Colucciello is a ophthalmology physician provider located in Moorestown, New Jersey. This profile covers 13 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
    OrganizationMichael Colucciello
    Address509 S Lenola Rd Ste 11a
    CityMoorestown
    StateNJ
    ZIP08057
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 7, 2005

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $2.7M and there is no Medicaid billing on file. The NPI was enumerated on 2005-07-07 (~21 years ago), indicating long tenure in the market and an established billing history concentrated in Medicare.

    Revenue is highly concentrated in a small set of intravitreal drug codes: J0178 accounts for $1.2M (45.1% of Medicare revenue), J2777 accounts for $791.7K (29.2%), and J2778 accounts for $230.7K (8.5%); the precomputed top-3 share is 82.7% of total Medicare revenue. This concentration shows most Medicare payments are driven by a few high-volume/high-cost ophthalmic drugs rather than broad service-line diversity.

    The code mix and descriptions indicate an injection- and retina-focused ophthalmology practice: high counts for J0178 (1.8K claims), J2777 (27.3K claims), and J2778 (1.3K claims), together with a meaningful volume of 67028 (1.7K claims, $156.6K revenue) signal routine intravitreal pharmacologic therapy as the core service line. Complementary imaging codes such as 92134 (1.7K claims, $54.5K) support ongoing retina disease management and monitoring rather than a general primary ophthalmology clinic.

    Competitive standing on drug administration is broadly typical rather than dominant: J0178 ranks #657 of 3204 providers (79th percentile; typical, unremarkable volume), J2777 ranks #340 of 2039 providers (83th percentile; typical, unremarkable volume), and J2778 ranks #349 of 1208 providers (71th percentile; typical, unremarkable volume). These ranks suggest the provider is a solid, above-average regional participant in intravitreal drug administration but not a national outlier or market leader for these codes.

    Diagnostic imaging is a relative strength: 92134 ranks #1371 of 26868 providers (95th percentile; notably above typical national volume) with 1.7K claims and $54.5K in revenue, indicating this provider performs retinal imaging at a much higher rate than most peers and likely supports sustained follow-up and monitoring workflows. That elevated imaging footprint complements the high injectable drug volumes and points to integrated treatment-and-monitoring workflows for retinal disease.

    Ancillary and unclassified drug codes appear but do not drive the practice: J3490 generated $101.6K (57 claims, $1783 avg paid/claim; 49th percentile; typical, unremarkable volume) and J3590 generated $31.8K (15 claims, $2120 avg paid/claim; 1th percentile; typical, unremarkable volume). These entries indicate occasional use of unclassified or biologic drugs in addition to the main retinal agents, but they remain secondary revenue contributors relative to the primary anti-VEGF/faricimab portfolio.

    The provider’s office/ED evaluation-and-management billing is minimal relative to procedure revenue: 99214 shows 29 claims for $2.6K (0.1% of Medicare revenue) and 99215 shows 11 claims for $1.2K (0.0%). This pattern reinforces that the practice is procedure- and medication-driven (injections and imaging) rather than reliant on high-volume E/M office visits, which has implications for contracting and utilization review priorities for payers.

    For payer strategy and network management, the combination of concentrated revenue in high-cost intravitreal drugs (notably J0178 and J2777) and a strong imaging footprint (92134 at the 95th percentile) means utilization and drug-pricing negotiation efforts should focus on injectable therapies and associated imaging follow-up. Given the absence of Medicaid billing, payers should treat this entity as a Medicare-centric provider when assessing reimbursement impact and network value.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,770$690$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg27,300$30$791.7K
    J2778Injection, ranibizumab, 0.1 mg1,250$180$230.7K
    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.1,700$90$156.6K
    J3490Unclassified drugs60$1,780$101.6K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg480$120$57.6K
    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.1,650$30$54.5K
    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…520$100$52K
    J3590Unclassified biologics20$2,120$31.8K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…280$30$8.9K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781390880$690$693.6K
    J27774608,820$30$319K
    J277816401,140$180$240.8K
    J3590232050$2,180$156.6K
    6702817100810$100$91.1K
    J27811120570$120$88.8K
    920142601,130160$100$34.9K
    J34906312070$230$30.2K
    9921411,65413,640130$90$23.6K
    92012759800140$70$18.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0
    Eric SuanMDOphthalmology Physician$3.8M$0
    Matthew SpeicherMDOphthalmology Physician$3.7M$0
    Howard FineNJRetina Specialist (Ophthalmology) Physician$3.6M$0
    Timothy PolkMDOphthalmology Physician$3.5M$0
    Jonathan PrennerNJRetina Specialist (Ophthalmology) Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vantage Surgical Associates, LLCNJAmbulatory Surgical Clinic/Center$1.6M$14.1K
    South Jersey Eye Physicians, LLCNJAmbulatory Surgical Clinic/Center$992.4K$0
    Sander CohenNJOphthalmology Physician$598.5K$0
    Ralph RussoNJNuclear Cardiology Physician$458K$0
    Seth BerkNJHematology & Oncology Physician$336.3K$0
    Nishith GamiNJInternal Medicine Physician$111.4K$162.7K
    Kathryn StoedterNJFoot & Ankle Surgery Podiatrist$233K$0
    Patricia ZahnerNJUrogynecology and Reconstructive Pelvic Surgery (Urology) Physician$177.2K$0
    Qiujie JiangNJDermatology Physician$137K$19.7K
    James SanfilippoNJOrthopaedic Surgery of the Spine Physician$130.2K$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. New Jersey Distribution
    Michael Colucciello — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey