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    OpenPayerNPI Medicare & MedicaidAnna Mackin
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    Anna Mackin — Billing Profile & Reimbursement Data

    NPI 1245619105 · Roanoke, VA · Retina Specialist (Ophthalmology) Physician

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    Anna Mackin is a retina specialist (ophthalmology) physician provider located in Roanoke, Virginia. This profile covers 20 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
    OrganizationAnna Mackin
    Address1819 Electric Rd Ste 1b
    CityRoanoke
    StateVA
    ZIP24018
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 26, 2015

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    ANNA MACKIN’s Medicare billing is concentrated in retina-focused, office-based injection and imaging services consistent with a retina specialist: the top revenue items are intravitreal drug injections and high-volume diagnostic imaging/exam codes (see J0178, J2777, 92014, 92134). The provider reports $3.1M in total Medicare revenue and no Medicaid billing on file, indicating an effectively single‑payer (Medicare) billing profile for the record shown.

    Revenue concentration is extreme: the precomputed top‑3 Medicare codes account for 84.6% of this provider’s total Medicare revenue, driven primarily by J0178 (aflibercept) and J2777 (faricimab) together with 92014 (established comprehensive eye exam). Specifically, J0178 is listed at $1.4M (44.9% of Medicare revenue) and J2777 at $1.1M (34.0%), with 92014 contributing $179.8K (5.8%).

    The practice appears therapeutically focused on anti‑VEGF and related intravitreal therapies: J0178 (2K claims, $691 avg paid/claim, $1.4M revenue) and J2777 (36.6K claims, $29 avg paid/claim, $1.1M revenue) together dominate revenue, while J2778 (ranibizumab) is a much smaller contributor ($104K, 3.3%). This mix suggests routine, high-volume injection management of retinal disease rather than primarily surgical retina work.

    Diagnostic and follow‑up imaging and exams are outsize relative to peers: 92014 (2K claims, $90 avg paid/claim, $179.8K revenue) ranks #244 of 35415 nationally (99th percentile; extreme outlier, far above typical national volume for this code) and 92134 (3.1K claims, $30 avg paid/claim, $94.1K revenue) ranks #346 of 26868 (99th percentile; extreme outlier, far above typical national volume for this code). These extreme outlier designations indicate unusually high throughput of established‑patient comprehensive exams and retinal OCT imaging, consistent with a clinic managing many ongoing injection patients.

    Competitive standing is mixed by code: for high‑cost drug billing J0178 ranks #524 of 3204 (84th percentile; described as typical, unremarkable volume for this code) and J2777 ranks #195 of 2039 (90th percentile; typical, unremarkable volume for this code), indicating solid but not market‑dominant placement nationally for anti‑VEGF/anti‑Ang‑2 injections. In contrast, the provider’s exam and imaging volumes (92014 and 92134 at the 99th percentile) place them among the highest‑volume national peers for follow‑up and diagnostic throughput, signifying a strong operational focus on longitudinal retinal care.

    Surgical retina procedures and other ancillary services contribute only a small share of Medicare revenue: 67028 yields $145K (4.6%), and a set of smaller codes (e.g., 67042, 67041) together comprise fractions of overall revenue. This pattern reinforces that the operation is predominantly outpatient injection and imaging management rather than surgery‑driven.

    The provider’s enrollment tenure is established but not long‑standing: NPI enumerated 2015-05-26 (~11 years ago), indicating roughly a decade of billing history under this NPI, which is consistent with the accumulated $3.1M Medicare lifetime revenue observed. Given the lack of Medicaid billing on file ("none below"), payer diversification appears minimal and reimbursement exposure is concentrated in Medicare.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,030$690$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg36,600$30$1.1M
    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…2,000$90$179.8K
    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.1,560$90$145K
    J2778Injection, ranibizumab, 0.1 mg560$190$104K
    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.3,140$30$94K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg240$160$37.8K
    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…20$900$16.2K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$900$13.5K
    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…130$100$12.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017829801,400$690$1.1M
    J277776013,200$30$517.1K
    J27781840560$180$171.5K
    6702830901,000$90$107.1K
    J73121120240$160$42.5K
    67042142020$1,130$33.8K
    9201422870170$80$32.8K
    6704182020$1,110$23.3K
    992146,62112,890140$80$21K
    67210121020$370$14.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ayman RawdaILPediatrics Physician$0$15M
    Vistar Eye Center, IncVASpecialist$0$11.4M
    Lake Hospital System IncOHFamily Medicine Physician$0$6.9M
    Michael BlairILRetina Specialist (Ophthalmology) Physician$3M$2.6M
    Michael McclintockVARetina Specialist (Ophthalmology) Physician$5.4M$0
    Mazen RachidILPediatrics Physician$0$5.1M
    Timothy ByrnesVARetina Specialist (Ophthalmology) Physician$4.7M$0
    Vishak JohnNCOphthalmology Physician$4.3M$0
    Sidney SchechetMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    National Counseling Group, IncVAMental Health Counselor$0$10.3M
    Kci Usa, Inc.VADurable Medical Equipment & Medical Supplies$0$7.7M
    Transformed Leadership, LLCVACommunity/Behavioral Health Agency$0$7.2M
    Phoenix LLCVACommunity/Behavioral Health Agency$0$6.6M
    Strategic Therapy AssociatesVACommunity/Behavioral Health Agency$0$6.4M
    Eugene EngVAOphthalmology Physician$1.2M$0
    Chheany UngVAPain Medicine (Anesthesiology) Physician$1.2M$0
    Jonathan TillVAOphthalmology Physician$881.2K$0
    Murray JoinerVAPhysical Medicine & Rehabilitation Physician$866.2K$3.7K
    William ThompsonVAOphthalmology Physician$805.2K$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. Virginia Distribution
    Anna Mackin — 2 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia