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    v1.0.28
    OpenPayerNPI Medicare & MedicaidVinod Voleti
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    Vinod Voleti — Billing Profile & Reimbursement Data

    NPI 1245452804 · Morristown, NJ · Retina Specialist (Ophthalmology) Physician

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    Vinod Voleti is a retina specialist (ophthalmology) physician provider located in Morristown, New Jersey. This profile covers 21 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
    OrganizationVinod Voleti
    Address182 South St Ste 5
    CityMorristown
    StateNJ
    ZIP07960
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 3, 2007

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    This provider’s revenue profile is effectively single‑payer: Total Medicare revenue is $4.1M while Total Medicaid revenue is none (no Medicaid billing on file), indicating the provider’s activity and growth are driven almost entirely by Medicare fee‑for‑service volume. Payer concentration should inform network and risk strategies because there is no Medicaid contribution on record to diversify outpatient revenue streams.

    Revenue concentration is high within a small set of ophthalmology drug codes: the precomputed top 3 Medicare codes by revenue account for 56.1% of this provider's total Medicare revenue, with J0178 alone representing 37.8% of Medicare dollars. That degree of concentration around intravitreal biologic therapy makes the practice’s topline sensitive to changes in drug utilization, reimbursement, or formulary decisions for these agents.

    Clinical mix and service line: the code mix is consistent with a retina‑focused ophthalmology practice that performs high volumes of intravitreal injections and retinal diagnostics. High‑revenue drug codes such as J0178 (injection, aflibercept), J2778 (injection, ranibizumab), and biosimilar Q5128 appear alongside frequent retina imaging codes (92134) and ophthalmic office exams (92014), indicating integrated injection services plus high diagnostic throughput.

    J0178 (2.3K claims, $693 avg paid/claim, $1.6M revenue; 37.8% of Medicare revenue) is the single largest revenue driver and ranks #414 of 3204 providers nationally (87th percentile), which the dataset labels as typical, unremarkable volume for this code. While the rank shows meaningful national participation in aflibercept administration, it does not position the provider as an outlier at the national level for that specific drug.

    Several non‑drug, evaluation and diagnostic codes are extreme outliers nationally, signaling very high clinic throughput: 92014 has 2.9K claims, $106 avg paid/claim, $311.1K revenue and ranks #65 of 35415 providers (100th percentile, labeled extreme outlier), and 92134 has 2.9K claims, $36 avg paid/claim, $104K revenue and ranks #452 of 26868 providers (98th percentile, labeled extreme outlier). These extreme outlier labels for core exam and retinal imaging codes indicate the practice sees a far higher-than‑typical volume of established ophthalmology visits and posterior retina imaging relative to peers.

    The practice shows notable participation in unclassified and compounded drug billing: J3590 (167 claims, $2310 avg paid/claim, $385.8K revenue) and J3490 (163 claims, $2007 avg paid/claim, $327.1K revenue) together represent a meaningful share of revenue beyond branded intravitreal agents. This suggests use of miscellaneous biologic or specialty drug supplies billed under unclassified codes, which may reflect mixed sourcing of injectables or ancillary biologic therapies.

    Volume versus payment patterns vary by drug: J2777 (faricimab) appears with an unusually large claim count (11.2K claims) but a low average payment ($29 avg paid/claim) producing $325.4K revenue, which ranks #926 of 2039 providers (54th percentile). That pattern — very high claim count with modest per‑claim payment — implies many low‑reimbursement units billed under that code relative to other intravitreal drugs and may reflect coding mix, billing for small unit doses, or reporting of supply items rather than high‑value drug administrations.

    Competitive standing is mixed across services: for major intravitreal drugs the provider is a solid but not dominant national participant (e.g., J2778 ranks #223 of 1208 providers, 82th percentile; J3590 ranks #205 of 631, 68th percentile), while for office exams and retina imaging the provider is an extreme high‑volume outlier (92014, 92134, 92202). Combined with a long tenure (NPI enumerated (registered): 2007-05-03 (~19 years ago)), this suggests an established retina practice with above‑average diagnostic and follow‑up visit throughput and concentrated dependence on Medicare drug and office visit revenue.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,250$690$1.6M
    J3590Unclassified biologics170$2,310$385.8K
    J2778Injection, ranibizumab, 0.1 mg1,970$190$372.3K
    J3490Unclassified drugs160$2,010$327.1K
    J2777Injection, faricimab‑svoa, 0.1 mg11,220$30$325.4K
    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…2,940$110$311.1K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg1,150$220$247.3K
    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.2,190$110$232.2K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,530$120$183.7K
    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.2,890$40$104K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178690880$690$693.6K
    J277721608,820$30$319K
    J277811401,140$180$240.8K
    J359022050$2,180$156.6K
    Q5128320650$210$139K
    670289100810$100$91.1K
    J2781220570$120$88.8K
    9201451,130160$100$34.9K
    J34902912070$230$30.2K
    92012699800140$70$18.5K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vinod Voleti, 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
    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
    David KimNJRetina Specialist (Ophthalmology) Physician$3.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ahs Hospital Corp.NJGeneral Acute Care Hospital$0$155.9M
    Practice Associates Medical GroupNJInternal Medicine Physician$0$49.3M
    Spring Hills At MorristownNJAssisted Living Facility$0$11.7M
    Bader PedemonteNJHematology (Pathology) Physician$4.2M$1.5K
    Constance GoreNJAcute Care Nurse Practitioner$1.1M$0
    Tatyana MarxNJNeurology Physician$1M$0
    Janet BartovNJRheumatology Physician$787.4K$0
    David TaylorNJUrology Physician$775.3K$0
    Thomas LeeNJVascular Surgery Physician$684.3K$0
    Sean LalinNJOphthalmology Physician$617.8K$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
    Vinod Voleti — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey