Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Nevada for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Nevada only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Nevada (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Alec Amram (NPI 1275953846)

Field	Value
Entity Type	Individual
Organization	Alec Amram
Address	5556 S Fort Apache Rd
City	Las Vegas
State	NV
ZIP	89148
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 22, 2014

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s Medicare book is dominated by intravitreal anti-VEGF administration and retina-focused diagnostics: J0178 shows 1.4K claims with $673 avg paid/claim for $915.3K revenue, and J2777 contributes 4.6K claims for $127.7K revenue, while retina imaging (92134) and intravitreal injection as a procedure (67028) also appear among the top billers. The code mix — high-volume drug administration codes plus retinal imaging and procedure codes — is consistent with a retina-specialist clinical operation focused on frequent injection-based therapy and follow-up imaging.

Revenue concentration is very high: the precomputed top-3 Medicare codes account for 85.3% of this provider’s total Medicare revenue, led by J0178 at $915.3K (70.5%), then J2777 at $127.7K (9.8%), and 99215 at $64.9K (5.0%). This level of concentration indicates that changes in reimbursement or utilization for these specific codes — especially J0178 — would disproportionately affect the practice’s Medicare revenue.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file (none). With zero Medicaid activity recorded, the provider should be considered Medicare-dependent in this dataset for assessing scale and network exposure.

Competitive standing on the lead drug code is middling nationally: J0178 ranks #931 of 3204 providers nationally (71th percentile; typical, unremarkable volume for this code), indicating the provider is a routine-volume aflibercept administrator rather than a national outlier. By contrast, J2777 ranks #1591 of 2039 providers nationally (22th percentile; typical, unremarkable volume for this code), reflecting relatively lower faricimab volumes versus peers.

The provider is a statistical outlier on high-intensity evaluation-and-management codes: 99215 shows 515 claims and $64.9K revenue and ranks #1790 of 145531 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 99205 (157 claims, $22.1K) ranks #838 of 66257 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). These signals point to unusually frequent billing of high-complexity new and established patient visits relative to national peers, which may reflect practice pattern, case mix, or documentation/coding intensity.

Diagnostic imaging and procedural billing is above typical for some retina services: 92134 has 1.4K claims for $42.6K revenue and ranks #1615 of 26868 providers nationally (94th percentile; notably above typical national volume for this code), while 67028 has 670 claims for $62.3K and ranks #1851 of 4255 providers nationally (56th percentile; typical, unremarkable volume for this code). This suggests the practice pairs frequent advanced retinal imaging with therapeutic injections at a rate higher than most peers.

Use of bevacizumab is minimal: J9035 appears with 42 claims for $2.2K revenue and ranks #1542 of 1852 providers nationally (16th percentile; typical, unremarkable volume for this code), supporting an operational profile that relies far more on aflibercept and newer agents than on bevacizumab in Medicare billing. That pattern is consistent with the high share of revenue from J0178 and J2777 in the top codes.

The provider has an established NPI tenure — enumerated 2014-04-22 (~12 years ago) — indicating a stable practice history; combined with the concentrated revenue mix and Medicare-only billing in this dataset, the profile suggests an established retina practice whose financial and operational performance will be highly sensitive to utilization and reimbursement trends for a small set of injection and high-complexity E/M codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,360	$670	$915.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,560	$30	$127.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	520	$130	$64.9K
67028	The 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.	670	$90	$62.3K
99214	The 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…	550	$100	$52.3K
92134	The 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.	1,420	$30	$42.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	160	$140	$22.1K
99213	The 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…	140	$70	$9.4K
J9035	Injection, bevacizumab, 10 mg	40	$50	$2.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nevada Distribution

Alec Amram — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nevada

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	20	830	$690	$671.6K
J2777	9	10	7,020	$30	$616.8K
67028	14	30	670	$90	$72.3K
99214	378	3,610	110	$80	$19K
J9035	18	20	230	$50	$15.6K
99215	25	790	40	$120	$12.2K
99213	1,120	3,500	80	$60	$10K
92134	15	190	70	$30	$9.1K
99205	14	450	30	$150	$6.9K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meadows Healthcare LLC	NV	Retina Specialist (Ophthalmology) Physician	$0	$2.8M
Kori Elkins	VA	Retina Specialist (Ophthalmology) Physician	$1.7M	$670
John Gunn	NV	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Charles Calvo	NV	Retina Specialist (Ophthalmology) Physician	$1M	$0
Claudia Krispel	NV	Retina Specialist (Ophthalmology) Physician	$761.9K	$10.1K
Matthew Pezda	NV	Ophthalmology Physician	$599.1K	$4.6K
Zachary Bodnar	NV	Retina Specialist (Ophthalmology) Physician	$538.5K	$0
Mazeyar Saboori	NV	Glaucoma Specialist (Ophthalmology) Physician	$319.5K	$15.7K
Minhee Cho	NV	Ophthalmology Physician	$326.6K	$0
Devasis Reddy	NV	Ophthalmology Physician	$231.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Women's Health Associates Of Southern Nevada- Martin, PLLC	NV	Obstetrics & Gynecology Physician	$0	$22.7M
Southern Hills Medical Center, LLC	NV	General Acute Care Hospital	$0	$19.8M
Adashek And Wilkes LLP	NV	Maternal & Fetal Medicine Physician	$0	$16.7M
Eid Nevada Critical Care PLLC	NV	Critical Care Medicine (Internal Medicine) Physician	$0	$16.2M
Therapy Blocks L.L.C.	NV	Occupational Therapist	$0	$15.2M
Kevin Bernstein Md LLC	NV	Geriatric Psychiatry Physician	$0	$7.5M
Fremont Emergency Services Scherr Ltd	NV	Emergency Medicine Physician	$0	$4.8M
Innovative Care Physicians	NV	Internal Medicine Physician	$0	$4.5M
Dmytro Bond	NV	Pediatrics Physician	$0	$3.7M
The Speech House LLC	NV	Speech-Language Pathologist	$0	$3.7M

Alec Amram — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References