Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Mexico for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Mexico only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Mexico (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Betty Klein (NPI 1215992490)

Field	Value
Entity Type	Individual
Organization	Betty Klein
Address	2947 Rodeo Park Dr E
City	Santa Fe
State	NM
ZIP	87505
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

BETTY KLEIN is enumerated as an Ophthalmology Physician in SANTA FE, NM with an NPI registered on 2006-04-19 (~20 years ago) and a lifetime Medicare revenue footprint of $2.4M; there is no Medicaid billing on file, so the provider’s public payer exposure is effectively single-payer Medicare. This tenure and single-payer concentration should be considered when evaluating referral patterns and reimbursement sensitivity in the local market.

Revenue is highly concentrated: the precomputed top 3 Medicare codes account for 86.9% of this provider's total Medicare revenue, led by J0178 (51.4%), J2777 (29.6%), and 67028 (5.9%). That concentration indicates the practice derives the overwhelming majority of revenue from a small set of intravitreal drug and injection procedure codes.

The code mix indicates a procedural, retina-focused ophthalmology practice: J0178 (J0178 – Injection, aflibercept) and J2777 (J2777 – Injection, faricimab-svoa) are the two largest revenue drivers, and 67028 (67028 – intravitreal injection as an isolated procedure) is the main procedural complement. Together these codes imply an operational model built around frequent in-office intravitreal injections and related retina care rather than predominantly optometric comprehensive exams.

Competitive standing for the top revenue codes is solid but not dominant nationally: J0178 ranks #645 of 3204 providers (80th percentile; typical, unremarkable volume), J2777 ranks #409 of 2039 providers (80th percentile; typical, unremarkable volume), and 67028 ranks #651 of 4255 providers (85th percentile; typical, unremarkable volume). These percentiles signal a meaningful regional presence for anti-VEGF/faricimab services but do not indicate market leadership at a national scale.

Operational mix shows both procedure and evaluation activity: the practice reports 1.8K claims for J0178 with $689 avg paid/claim and $1.2M revenue, while J2777 shows 24.3K claims with $29 avg paid/claim and $704.7K revenue; this reflects a combination of lower-unit-price, very high-volume administrations and higher-unit-price biologic billing. In addition, E/M and imaging codes appear regularly—99214 (595 claims, $87 avg paid/claim, $51.8K revenue) and 92134 (1.1K claims, $27 avg paid/claim, $28.8K revenue)—supporting a clinic workflow that pairs visits and retinal imaging with injections.

There are notable relative outliers within the code mix: J3590 (J3590 – Unclassified biologics) appears at $40.3K revenue but ranks #585 of 631 providers (6th percentile; typical, unremarkable volume), indicating unusually low relative use of unclassified biologics compared with national peers. Conversely, codes such as 92134 and 99214 sit at the 92nd percentile (typical, unremarkable volume) for their respective national cohorts, showing higher-than-average use of retinal imaging and moderate-complexity established-patient visits in conjunction with the injection practice.

From a payer-mix and risk perspective, the absence of any Medicaid billing on file combined with $2.4M in Medicare revenue makes the practice financially dependent on Medicare reimbursement and drug administration payments; the top-3 concentration at 86.9% further magnifies exposure to formulary, reimbursement, or utilization shifts affecting J0178 and J2777. Any payer policy changes or shifts in anti-VEGF utilization could materially affect revenue given this concentration and the lack of Medicaid diversification.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,780	$690	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	24,300	$30	$704.7K
67028	The 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.	1,640	$90	$139.2K
J2778	Injection, ranibizumab, 0.1 mg	550	$180	$97.5K
99214	The 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…	600	$90	$51.8K
J3590	Unclassified biologics	20	$2,120	$40.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	240	$150	$35.7K
92134	The 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.	1,070	$30	$28.8K
J7999	Compounded drug, not otherwise classified	440	$60	$27.6K
99213	The 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…	320	$50	$17.1K

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

Claims Volume vs. New Mexico Distribution

Betty Klein — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	5	20	1,100	$690	$816.1K
J2777	7	20	17,340	$30	$653.4K
J2778	8	10	720	$180	$247.3K
J3590	6	10	30	$1,420	$97.9K
67028	7	30	390	$90	$71.6K
J7312	5	10	310	$150	$50.2K
J7999	3	10	320	$60	$18.6K
92014	170	180	130	$70	$18.5K
99214	135	2,700	90	$70	$12.9K
99213	252	2,440	60	$50	$7.3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Associates Of New Mexico Ltd	NM	Ophthalmology Physician	$0	$46.9M
John Pitcher	NM	Ophthalmology Physician	$5.1M	$0
Mark Chiu	NM	Ophthalmology Physician	$3.8M	$0
Christopher Roybal	NM	Ophthalmology Physician	$3.8M	$0
Ashok Reddy	NM	Ophthalmology Physician	$3.2M	$0
Kamalesh Ramaiya	NM	Ophthalmology Physician	$2.9M	$0
Rizwan Shaikh	LA	Ophthalmology Physician	$2.2M	$0
Iuri Golubev	NM	Ophthalmology Physician	$1.7M	$0
Eye Associates Of New Mexico, Ltd.	NM	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Ian Thompson	NM	Ophthalmology Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Vincent Hospital	NM	General Acute Care Hospital	$0	$46.5M
New Mexico Treatment Services LLC	NM	Community/Behavioral Health Agency	$291.6K	$35.3M
Professional Home Health Care De Santa Fe Y Los Alamos	NM	Home Health Agency	$0	$32.5M
State Of New Mexico	NM	Public Health or Welfare Agency	$0	$15.9M
Whole Child Dental, LLC	NM	Pediatric Dentistry	$0	$13.6M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$13.3M
Santa Fe Indian Hospital	NM	Federal Public Health Clinic/Center	$0	$12.5M
Noesis Integrative Health Inc	NM	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$12.3M
Healthfront PC	NM	Emergency Medicine Physician	$0	$8.9M
Hero Dental Of Santa Fe PC	NM	General Practice Dentistry	$0	$8.3M

Betty Klein — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References