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    OpenPayerNPI Medicare & MedicaidJeffrey Zheutlin
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    Jeffrey Zheutlin — Billing Profile & Reimbursement Data

    NPI 1255371647 · Grand Rapids, MI · Ophthalmology Physician

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    Jeffrey Zheutlin is a ophthalmology physician provider located in Grand Rapids, Michigan. This profile covers 10 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
    OrganizationJeffrey Zheutlin
    Address2505 E Paris Ave Se
    CityGrand Rapids
    StateMI
    ZIP49546
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 7, 2006

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider's billing is effectively single‑payer: reported lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file (none below). The absence of Medicaid billing means analyses of payer mix and Medicaid network participation are limited to noting that Medicare dominates this provider's publicly reported volume and revenue.

    Revenue is highly concentrated in a small number of drug-injection codes: the precomputed top 3 Medicare codes by revenue account for 86.1% of the provider's total Medicare revenue. Those top codes are J0178 ($735.5K; 47.5% of Medicare revenue), J2778 ($466.2K; 30.1%), and J2777 ($132.2K; 8.5%), indicating most revenue is captured by a few high-volume injectable therapies.

    The code mix and descriptions indicate a retina-focused ophthalmology practice that performs frequent intravitreal injections and retinal diagnostic imaging. High-revenue injectable codes J0178 (aflibercept), J2778 (ranibizumab), and J2777 (faricimab) together with procedural code 67028 (injection into the vitreous chamber; $101K, 6.5%) and imaging code 92134 (computerized retinal imaging; $50.7K, 3.3%) point to a service line organized around anti‑VEGF/anti‑angiogenic treatment and associated retinal follow-up.

    Competitive standing varies by service: J2778 ranks at the 88th percentile nationally (rank #140 of 1208), indicating above‑typical national volume for ranibizumab injections, while J0178 ranks at the 62th percentile (rank #1212 of 3204), a typical volume level. J2777 is at the 22th percentile (rank #1591 of 2039), showing relatively low national volume for faricimab, and 92134 is at the 95th percentile (rank #1275 of 26868) and is explicitly labeled as notably above typical national volume—together these ranks suggest the provider is a strong regional performer for certain retinal imaging and injection services but not a dominant national leader across all anti‑VEGF agents.

    Routine office evaluation-and-management codes show consistent ambulatory follow-up activity: 99214 appears 375 times for $33K (2.1% of Medicare revenue) and 99213 appears 258 times for $16K (1.0% of Medicare revenue), with both codes at the 84th percentile nationally. This pattern supports a workflow of recurring patient follow-ups and management visits that accompany ongoing intravitreal therapy.

    Smaller-volume codes provide nuance about therapeutic choices: J9035 (bevacizumab) accounts for 121 claims and $6.2K (0.4% of Medicare revenue) and ranks at the 49th percentile, while diagnostic fluorescein angiography 92235 accounts for 40 claims and $4.1K (0.3% of Medicare revenue) at the 43th percentile. The relative magnitudes—large revenue shares for branded agents J0178 and J2778 versus a small share for J9035—indicate billed activity dominated by aflibercept and ranibizumab rather than bevacizumab in Medicare claims.

    The provider has an established Medicare billing history, with the NPI enumerated 2006-06-07 (~20 years ago), which combined with cumulative Medicare revenue of $1.5M suggests sustained, long‑term engagement in fee‑for‑service Medicare ophthalmology care. This tenure supports interpretation of the observed code mix as a stable operational pattern rather than a transient reporting anomaly.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,080$680$735.5K
    J2778Injection, ranibizumab, 0.1 mg2,590$180$466.2K
    J2777Injection, faricimab‑svoa, 0.1 mg4,560$30$132.2K
    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.1,280$80$101K
    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.1,750$30$50.7K
    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…380$90$33K
    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…260$60$16K
    J9035Injection, bevacizumab, 10 mg120$50$6.2K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…40$100$4.1K
    99204The provider sees a new 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 provider…40$110$4K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017830110680$690$630.2K
    J277739607,200$30$321K
    J2778650730$180$240.5K
    6702825160440$90$57.6K
    992141,38315,47080$80$11.4K
    J9035153070$50$9.5K
    922354510040$100$7.8K
    921342882060$30$7.1K
    992131,60414,81060$60$6.6K
    992042,2926,28030$110$4.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ebsc, LLCMIAmbulatory Surgical Clinic/Center$1.2M$953.3K
    Kathleen DehornMIOphthalmology Physician$1.7M$0
    Parin GohelMIOphthalmology Physician$1.6M$0
    Yosef GindzinMIOphthalmology Physician$897.2K$0
    Louis GlazerMIOphthalmology Physician$896.2K$0
    Christopher ChapmanMIOphthalmology Physician$297.2K$0
    Michael BoyleMIOphthalmic Plastic and Reconstructive Surgery Physician$53.1K$0
    Leslie NorrisMIOphthalmology Physician$17.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliance Community Care PartnersMICase Management Agency$0$145.4M
    Dental Group Associates PCMIPediatric Dentistry$0$16.1M
    Pediatric Dental Specialists Of West MichiganMIPediatric Dentistry$0$11M
    Michigan Pain Consultants PCMIPain Medicine (Anesthesiology) Physician$0$9.9M
    Mitten Kids Dentistry Cascade PlcMIPediatric Dentistry$0$7.2M
    Carepoint Dental Anesthesia Group Of Michigan, PLLCMIDental Anesthesiology$0$6.4M
    Retina Specialists Of Michigan PCMIRetina Specialist (Ophthalmology) Physician$0$5.5M
    Nathan PezdaMIRetina Specialist (Ophthalmology) Physician$1.1M$0
    East Paris Surgical Center, LLCMIAmbulatory Surgical Clinic/Center$968.8K$30.6K
    Liliya SutherlandMIRetina Specialist (Ophthalmology) Physician$880.7K$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. Michigan Distribution
    Jeffrey Zheutlin — 1 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan