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    OpenPayerNPI Medicare & MedicaidRita Tablante
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    Rita Tablante — Billing Profile & Reimbursement Data

    NPI 1245340827 · Topeka, KS · Ophthalmology Physician

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    Rita Tablante is a ophthalmology physician provider located in Topeka, Kansas. This profile covers 16 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
    OrganizationRita Tablante
    Address619 Sw Corporate View
    CityTopeka
    StateKS
    ZIP66615
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 30, 2006

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

    Payer SourceTotal Paid
    Medicare$1.2M
    Medicaid$0

    Key Findings

    This provider’s billed activity is concentrated in Medicare with total Medicare revenue of $1.2M and Medicaid revenue of none; the practice is effectively single-payer Medicare in the available data. The NPI was enumerated 2006-08-30 (~20 years ago), indicating long tenure that aligns with a stable, clinic-based practice rather than a recent entrant.

    Revenue concentration is extremely high in anti-VEGF and similar intravitreal drug codes: the precomputed top-3 Medicare codes account for 76.1% of the provider’s Medicare revenue, led by J0178 ($403.2K, 32.7%), J2778 ($352.9K, 28.6%), and J2777 ($182.7K, 14.8%). This concentration means the practice’s financial performance is tightly linked to drug administration and drug-specific reimbursement levels rather than a broad mix of office visits or surgeries.

    The code mix (high revenue from J0178, J2778, J2777 combined with substantial volumes of 92014, 92012, and retinal imaging codes) describes an ophthalmology practice organized around intravitreal injection services and longitudinal retina care. High-volume visit and imaging codes such as 92014 ($97.2K) and 92134 ($44.9K) support an ongoing, visit-driven model where injections are paired with diagnostic imaging and established-patient management.

    Competitive standing on drug administration is mixed: J2778 ranks #219 of 1208 providers nationally (82th percentile; typical, unremarkable volume for this code), indicating relatively strong national placement for ranibizumab usage, while J0178 ranks #1788 of 3204 (44th percentile; typical, unremarkable volume for this code) and J2777 ranks #1358 of 2039 (33th percentile; typical, unremarkable volume for this code), reflecting more modest or average participation on those agents. In short, the provider shows above-average national placement for one branded biologic but otherwise typical volumes for other injectables.

    Several non-drug clinical services are statistical outliers on the high side, signaling a high-throughput clinic platform: 92014 ranks #979 of 35415 providers nationally (97th percentile; notably above typical national volume for this code), 92134 ranks #1364 of 26868 (95th percentile; notably above typical national volume for this code), 92012 ranks #880 of 17177 (95th percentile; notably above typical national volume for this code), and 92083 ranks #864 of 25484 (97th percentile; notably above typical national volume for this code). These elevated ranks for established-patient exams and advanced retinal imaging are consistent with routine follow-up and monitoring associated with chronic retinal disease management.

    Procedural billing beyond drug administration is present but not dominant: 67028 (intravitreal injection procedure) shows 825 claims, $76 avg paid/claim, $62.7K revenue and ranks #1623 of 4255 providers nationally (62th percentile; typical, unremarkable volume for this code), indicating the practice performs many injections but that the procedural component is not unusually concentrated compared with peers. Ancillary diagnostics like 92133 and 92250 appear at lower revenue levels, reinforcing that high-cost drug codes drive the financial profile.

    The absence of any Medicaid billing on file (none below) means the provider’s commercial/payer negotiation leverage, patient mix, and referral patterns should be interpreted through a Medicare-centric lens; any risk, access, or revenue diversification tied to Medicaid participation is not evident in the claims data. For payers or networks evaluating capacity for Medicaid populations, this record suggests limited or no historical Medicaid engagement to use as a basis for contracting assumptions.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg590$680$403.2K
    J2778Injection, ranibizumab, 0.1 mg1,990$180$352.9K
    J2777Injection, faricimab‑svoa, 0.1 mg6,300$30$182.7K
    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…1,250$80$97.2K
    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.830$80$62.7K
    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.1,660$30$44.9K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…750$60$41.7K
    92083The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…450$40$18.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$90$8.2K
    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,…240$20$5.6K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017825301,770$690$1.3M
    J2777223012,060$30$575.7K
    J2778520860$180$297.6K
    6702821401,170$90$111.4K
    668219111060$210$24.8K
    920141530180$70$18.5K
    92235153060$90$12.3K
    92012724070$60$8.6K
    8386162060$20$6.5K
    921342241050$30$6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Washburn Surgery Center, LLCKSAmbulatory Surgical Clinic/Center$1.1M$0
    Apria Healthcare LLCKSDurable Medical Equipment & Medical Supplies$0$711.1K
    Trent Vande GardeKSOphthalmology Physician$606.4K$0
    Craig VosburghKSOrthopaedic Surgery Physician$260.1K$0
    Tallgrass Surgical Center, LLCKSAmbulatory Surgical Clinic/Center$251.9K$0
    Timothy WillinghamKSOrthopedic Physical Therapist$177.2K$0
    Betsy JohnsKSFamily Medicine Physician$154.5K$0
    Gary McknightKSAudiologist$148.3K$0
    Thomas DoyleKSCardiovascular Disease Physician$103.2K$0
    Benedict FiguerresKSOrthopaedic Surgery Physician$103.2K$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. Kansas Distribution
    Rita Tablante — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas