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    OpenPayerNPI Medicare & MedicaidAlexander Izad
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    Alexander Izad — Billing Profile & Reimbursement Data

    NPI 1265591630 · Terre Haute, IN · Retina Specialist (Ophthalmology) Physician

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    Alexander Izad is a retina specialist (ophthalmology) physician provider located in Terre Haute, Indiana. This profile covers 29 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
    OrganizationAlexander Izad
    Address4621 E Margaret Dr
    CityTerre Haute
    StateIN
    ZIP47803
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedDecember 8, 2006

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

    Payer SourceTotal Paid
    Medicare$3.4M
    Medicaid$0

    Key Findings

    Revenue concentration is highly concentrated in three Medicare codes: the precomputed top 3 codes account for 80.8% of this provider's total Medicare revenue. The single largest contributor is J2777 (59.9K claims, $1.7M revenue, 50.6%), followed by J0178 (1.2K claims, $852.8K revenue, 24.8%) and 92014 (2.2K claims, $186.7K revenue, 5.4%).

    Clinical/service-line implication: the code mix points to a retina-focused practice organized around high-volume intravitreal biologic injections and retinal diagnostics. The dominance of J2777 and J0178 plus heavy use of retinal imaging codes such as 92134 (3.5K claims, $96.6K revenue) and angiography codes (e.g., 92235/92242) suggests an operational model with an injection clinic and substantial diagnostic imaging throughput.

    Reimbursement profile shows a volume-driven revenue pattern: J2777 generates $1.7M from 59.9K claims at an average paid amount of $29 per claim, while J0178 yields $852.8K from 1.2K claims at $690 average paid/claim. This contrast indicates that overall Medicare revenue is driven by very high volumes of faricimab-related billing combined with fewer, higher-paid aflibercept administrations.

    Competitive standing is mixed across codes: the provider ranks highly for several retina-specific services — J2777 ranks #66 of 2039 providers (97th percentile) and is described as notably above typical national volume, while 92014 ranks #189 of 35415 (99th percentile) and 92134 ranks #234 of 26868 (99th percentile), both labeled extreme outliers. By contrast, J0178 ranks #1057 of 3204 (67th percentile) and is characterized as typical/unremarkable, indicating strong national prominence in faricimab administration and retinal diagnostics but more middle-tier standing for aflibercept.

    Procedure mix includes significant procedural/therapeutic work beyond injections: retina laser and repair codes such as 67228 (155 claims, $45.3K revenue) rank #5 of 648 providers (99th percentile) and are labeled extreme outliers, and 67145 (72 claims, $12.5K revenue) ranks #13 of 861 (98th percentile). These high-percentile surgical/laser volumes suggest the provider not only delivers injections and imaging but also treats advanced retinopathy and performs interventional retinal procedures.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.4M and there is no Medicaid billing on file. This absence of Medicaid billing implies a patient panel skewed toward Medicare beneficiaries or non-participation in Medicaid programs, which has implications for network contracting and access analyses.

    Operational scale and capacity appear substantial given the absolute volumes reported: a single code (J2777) shows 59.9K claims and retinal imaging 92134 shows 3.5K claims, consistent with a high-throughput injection and imaging operation rather than a low-volume clinic. Those volumes, together with multiple codes in very high national percentiles, point to established processes and staffing to support frequent injections and diagnostic workflows.

    Tenure and market presence are long-standing: the NPI was enumerated on 2006-12-08 (~20 years ago), indicating sustained practice presence in TERRE HAUTE, IN. Combined with concentrated Medicare revenue and repeated high-percentile rankings across retina procedures, the data suggest a long-term, specialized retina practice with entrenched referral and service patterns.

    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.

    29 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg59,940$30$1.7M
    J0178Injection, aflibercept, 1 mg1,240$690$852.8K
    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…2,200$90$186.7K
    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.2,150$80$180.7K
    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.3,450$30$96.6K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…410$190$76.5K
    J3590Unclassified biologics700$70$47.4K
    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…160$290$45.3K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg360$120$43.2K
    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…410$100$39.4K

    Showing 1–10 of 29

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 29 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    29 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782360830$690$868.8K
    J27772406,750$30$395.6K
    67028980550$80$78.6K
    J2781410320$120$41.9K
    92242110220$190$41.2K
    J35901250220$60$24.5K
    J90353330200$50$19.2K
    9223544090$100$15.8K
    992142,40510,540110$80$15.5K
    920142740100$70$12.9K

    Showing 1–10 of 29

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Melih UstaogluINRetina Specialist (Ophthalmology) Physician$96.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Familia Dental Terre Haute LLCINDental Clinic/Center$0$2.7M
    June KunapareddyINDermatology Physician$148.8K$0
    David PoorINFamily Medicine Physician$34.5K$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. Indiana Distribution
    Alexander Izad — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana