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    v1.0.28
    OpenPayerNPI Medicare & MedicaidHarsha Sen
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    Harsha Sen — Billing Profile & Reimbursement Data

    NPI 1255692414 · Dothan, AL · Ophthalmology Physician

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    Harsha Sen is a ophthalmology physician provider located in Dothan, Alabama. This profile covers 24 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
    OrganizationHarsha Sen
    Address2800 Ross Clark Cir
    CityDothan
    StateAL
    ZIP36301
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 5, 2012

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

    Payer SourceTotal Paid
    Medicare$818.1K
    Medicaid$0

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg540$690$373.1K
    J2777Injection, faricimab‑svoa, 0.1 mg6,720$30$194.9K
    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…670$80$53.8K
    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.530$80$42.2K
    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…360$80$30.2K
    J2778Injection, ranibizumab, 0.1 mg160$180$29.3K
    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.940$30$25.3K
    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,…520$30$12.9K
    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…10$830$10K
    67228In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…40$230$9.8K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782540920$690$706.2K
    J277714207,140$30$267.9K
    670283140990$90$82.5K
    J2778810290$180$69.9K
    6721041020$450$49.6K
    67042212020$940$24.6K
    J90353240410$50$24.5K
    992141,3797,330120$80$16.8K
    9201422430100$80$13.3K
    6722831030$240$10K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    Eye Partners, PCALOptometrist$0$2.4M
    Angelia ThompsonKYOphthalmology Physician$1.8M$381.3K
    Jean FortinALOphthalmology Physician$1M$0
    Eye Partners PCALOphthalmology Physician$0$932.5K
    Sebastian HeersinkALOphthalmology Physician$923.6K$0
    Anthony LeoncavalloFLOphthalmology Physician$487.2K$0
    Richard BryantALOphthalmology Physician$335.2K$0
    Stephen OwensALOphthalmology Physician$322.1K$0
    Richard MauerFLOphthalmology Physician$195.4K$10K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Houston County Healthcare AuthorityALInternal Medicine Physician$0$9.6M
    State Of Alabama Department Of Public HealthALHome Health Agency$0$6.9M
    Wiregrass Hospice, LLCALCommunity Based Hospice Care Agency$0$5.8M
    Dothan Ambulance ServiceALLand Ambulance$1.7M$3.9M
    Southeast Alabama Maternity Care ProgramALExclusive Provider Organization$0$5.1M
    Houston County Healthcare AuthorityALGeneral Acute Care Hospital$0$4.9M
    Houston County Health Dept Fp ClinicALPublic Health or Welfare Agency$0$4.4M
    Southern Alabama Surgery Center LLCALAmbulatory Surgical Clinic/Center$3.8M$94.3K
    Edmund LacourALRheumatology Physician$3.7M$0
    Houston County Healthcare AuthorityALClinical Medical Laboratory$591.7K$2.1M

    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. Alabama Distribution
    Harsha Sen — 2 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama