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    OpenPayerNPI Medicare & MedicaidHaroon Chaudhry
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    Haroon Chaudhry — Billing Profile & Reimbursement Data

    NPI 1245432392 · Cincinnati, OH · Ophthalmology Physician

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    Haroon Chaudhry is a ophthalmology physician provider located in Cincinnati, Ohio. This profile covers 18 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
    OrganizationHaroon Chaudhry
    Address5535 Fair Ln
    CityCincinnati
    StateOH
    ZIP45227
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 1, 2007

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer at scale: Total Medicare revenue is $2.4M and there is no Medicaid billing on file, so Medicare dominates the clinical revenue mix and any payer‑mix risk is concentrated in Medicare reimbursement patterns. The NPI was enumerated on 2007-06-01 (~19 years ago), indicating a long-tenured practice that has operated through multiple Medicare payment cycles.

    Revenue is highly concentrated in a small number of drug and injection codes: the precomputed top‑3 Medicare codes account for 82.6% of the provider's total Medicare revenue, driven overwhelmingly by J0178 (68.6%), with 67028 (8.0%) and J2777 (6.0%) completing the top trio. This concentration signals dependency on intravitreal biologic therapy billing for the bulk of receipts.

    Clinical/service‑line mix aligns with a retina‑focused ophthalmology practice: J0178 (J0178 – Injection, aflibercept, 1 mg) shows 2.4K claims and $1.7M revenue (68.6% of Medicare revenue), J2777 shows 5K claims and $146.2K revenue (6.0%), and 67028 shows 2.2K claims and $194.9K revenue (8.0%), indicating high throughput of intravitreal injections paired with drug administration. The presence of high volumes for both drug codes and the injection procedure suggests the clinic operates a high-volume injection suite rather than a primarily office‑visit model.

    Competitive standing is mixed across codes: for the principal drug J0178 the provider ranks #348 of 3204 (89th percentile; typical, unremarkable volume for this code), while the injection procedure 67028 ranks #313 of 4255 (93th percentile; notably above typical national volume for this code), indicating above‑average procedural throughput even if the J0178 rank is not an extreme outlier. In contrast, J2777 ranks #1525 of 2039 (25th percentile; typical, unremarkable volume for this code), so the provider is not uniformly dominant across all anti‑VEGF/faricimab products.

    There are pronounced statistical outliers in related diagnostics and unclassified biologics: 92134 (computerized retinal imaging) is an extreme outlier with 3.5K claims and $97.9K revenue (4.0% of Medicare revenue) and ranks #228 of 26868 (99th percentile; extreme outlier), and J3590 (unclassified biologics) shows 1.3K claims and $97.5K revenue (4.0% of Medicare revenue) and ranks #7 of 631 (99th percentile; extreme outlier). These two codes being extreme outliers suggests a practice workflow that combines very high imaging throughput with substantial use of non‑standard biologic billing pathways.

    Office E/M and standard ophthalmology visit codes are present but represent a modest slice of revenue: 92014 reports 738 claims and $60.5K revenue (2.5% of Medicare revenue) and ranks #3010 of 35415 (91th percentile; typical, unremarkable volume), while 99214 and 99213 together account for smaller shares ($43.1K and $40.7K respectively). This pattern indicates established‑patient visits support the procedural volumes but are not the primary revenue driver compared with injection/drug billing.

    Surgical retinal procedures are performed but contribute relatively small revenue shares compared with injections: 67042 (45 claims, $39K, 1.6% of Medicare revenue) ranks #121 of 1087 (88th percentile; typical, unremarkable volume) and 67108 (22 claims, $18.9K, 0.8% of Medicare revenue) ranks #190 of 706 (71th percentile; typical, unremarkable volume). The presence of these surgical CPTs confirms capability for operative retina work, but their smaller revenue share underscores the practice's emphasis on outpatient biologic injection services.

    The combination of long tenure (NPI enumerated 2007-06-01 (~19 years ago)), extremely high imaging and unclassified biologic billing (92134 and J3590 extreme outliers), and a heavy revenue concentration in three codes (82.6% of Medicare revenue) suggests an established, procedure‑centric retinal practice with operational dependence on Medicare reimbursement for intravitreal drug administration and related diagnostics. Absent any Medicaid billing on file, payers and network analysts should view this provider as a Medicare‑centric retina service line with operational sensitivities tied to drug and imaging reimbursement policies.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,420$690$1.7M
    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.2,170$90$194.8K
    J2777Injection, faricimab‑svoa, 0.1 mg5,040$30$146.2K
    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.3,500$30$97.9K
    J3590Unclassified biologics1,320$70$97.5K
    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…740$80$60.5K
    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…500$90$43.1K
    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…660$60$40.7K
    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…50$870$39K
    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…20$860$18.9K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017810100840$680$729K
    J277749709,480$30$353.3K
    670286150470$90$64K
    J35902100200$100$30K
    6704285020$960$29.7K
    67108103020$1,020$26.5K
    67036225020$870$21K
    92014421,390100$70$12.9K
    992141,13820,010100$70$11.7K
    9921336720,00070$50$6.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M
    James OsherOHOphthalmology Physician$3.7M$0
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0
    Hang PhamOHOphthalmology Physician$2.6M$0
    Ahmed AlkalibyFLOphthalmology Physician$2.6M$0
    Cei Physicians Psc LLCOHAmbulatory Surgical Clinic/Center$1.9M$680.3K
    Philip NelsenOHRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Home Of Cincinnati Ohio, IncOHAdolescent and Children Mental Health Clinic/Center$0$57.7M
    Transitions Behavioral HealthOHCommunity/Behavioral Health Agency$0$8.7M
    In Home Health LLCOHCommunity Based Hospice Care Agency$0$8.2M
    Slobodan StanisicOHHematology & Oncology Physician$1.4M$0
    Hisham ArarOHOphthalmology Physician$476.8K$0
    Robert CodyOHHematology & Oncology Physician$427.3K$0
    Brian MannionOHHematology & Oncology Physician$341.1K$0
    Susannah BeckerOHEndocrinology, Diabetes & Metabolism Physician$281.6K$0
    Patrick KirkOHOrthopaedic Surgery Physician$257K$0
    Edward LimOHOrthopaedic Surgery Physician$240.4K$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. Ohio Distribution
    Haroon Chaudhry — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio