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    OpenPayerNPI Medicare & MedicaidJaime Gaitan
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    Jaime Gaitan — Billing Profile & Reimbursement Data

    NPI 1275580573 · Phoenix, AZ · Retina Specialist (Ophthalmology) Physician

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    Jaime Gaitan is a retina specialist (ophthalmology) physician provider located in Phoenix, Arizona. This profile covers 18 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
    OrganizationJaime Gaitan
    Address1750 E Glendale Ave
    CityPhoenix
    StateAZ
    ZIP85020
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 30, 2006

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

    Payer SourceTotal Paid
    Medicare$1.3M
    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg780$690$534K
    J2777Injection, faricimab‑svoa, 0.1 mg6,360$30$184.5K
    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.1,330$90$119.4K
    J2778Injection, ranibizumab, 0.1 mg470$180$85.4K
    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.2,460$30$68.8K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg420$160$66.4K
    J7999Compounded drug, not otherwise classified910$70$64.3K
    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…760$80$61.4K
    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…40$830$29.8K
    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…210$110$23.5K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782650780$690$734.8K
    J277731509,000$30$525.8K
    J27781830550$180$198K
    6702829601,240$90$119K
    J7312420270$160$48.9K
    J79991350490$70$46.8K
    67042134030$1,160$46.5K
    6711372020$1,190$40.3K
    67036213030$1,030$37.9K
    9201460650140$80$21.5K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    District Medical Group, IncAZInternal Medicine Physician$0$130.6M
    Sujit IttyAZOphthalmology Physician$6.2M$11.3K
    Retinal Consultants Of Arizona LtdAZOphthalmology Physician$0$6.2M
    Associated Retina Consultants, Ltd.AZRetina Specialist (Ophthalmology) Physician$0$6.2M
    David GoldenbergAZRetina Specialist (Ophthalmology) Physician$4.7M$15.8K
    Neal PalejwalaAZOphthalmology Physician$4.4M$2.9K
    Sachin MehtaAZRetina Specialist (Ophthalmology) Physician$4.4M$11.8K
    Mahmood El-gasimAZUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician$3.7M$0
    Karim JamalAZOphthalmology Physician$3.1M$7.7K
    Mark BarakatAZOphthalmology Physician$3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    HonorhealthAZGeneral Acute Care Hospital$0$107.2M
    All Valley Home Health Care & Nursing IncAZHome Health Agency$0$55.7M
    Bowie Investment Group IncAZHome Health Agency$0$31.9M
    Gina PalaciosAZNurse Practitioner$27M$0
    Affiliated Hospitalists, PlcAZHospitalist Physician$0$21M
    Neighborhood Outreach Access To HealthAZFederally Qualified Health Center (FQHC)$0$19.6M
    Avista Senior Living Desert Springs, LLCAZAssisted Living Facility$0$17.6M
    Unomed LLCAZCritical Care Medicine (Internal Medicine) Physician$0$15.4M
    Bayada Home Health Care, Inc.AZHome Health Agency$0$10.7M
    Emcare - Pnx Emergency Physicians LLCAZEmergency Medicine Physician$0$9.6M

    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. Arizona Distribution
    Jaime Gaitan — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona