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    OpenPayerNPI Medicare & MedicaidGohar Salam
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    Gohar Salam — Billing Profile & Reimbursement Data

    NPI 1285635334 · Fort Wayne, IN · Ophthalmology Physician

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    Gohar Salam is a ophthalmology physician provider located in Fort Wayne, Indiana. This profile covers 16 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
    OrganizationGohar Salam
    Address11188 Diebold Rd
    CityFort Wayne
    StateIN
    ZIP46845
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    GOHAR SALAM is effectively a Medicare-only biller at the scale reported: lifetime Medicare revenue of $2.5M and no Medicaid billing on file, so payer exposure and growth are tied primarily to Medicare policies and beneficiary volume rather than to Medicaid reimbursement. This single-payer profile means changes to Medicare coverage or reimbursement for retinal injections and related services would have outsized impact on the practice’s revenue.

    Revenue is highly concentrated in a small set of injection-related codes: the precomputed top 3 codes account for 85.4% of this provider's total Medicare revenue, with J2777 at 53.1%, J0178 at 22.7%, and 67028 at 9.6%. That concentration signals the practice derives most of its Medicare income from a narrow set of intravitreal therapies and the procedure used to administer them.

    The code mix and unit economics point to a high-volume intravitreal injection and retinal imaging workflow: J2777 appears with 45.9K claims at $29 avg paid/claim for $1.3M revenue, while J0178 shows 826 claims at $690 avg paid/claim for $569.9K and 67028 shows 3.1K claims at $78 avg paid/claim for $240.2K. Alongside these, 92134 (3.1K claims, $28 avg paid/claim, $85.8K revenue) and 92012 (2.3K claims, $60 avg paid/claim, $135.3K revenue) indicate routine retinal imaging and intermediate established-patient exams supporting the injection service line.

    Competitive standing by code is mixed: J2777 (rank #131 of 2039, 94th percentile) and J0178 (rank #1477 of 3204, 54th percentile) are described as typical, unremarkable volume for those drugs nationally, suggesting the provider is not an outsized national leader for aflibercept or faricimab use. By contrast, several associated services show unusually high volume — 92012 ranks #51 of 17177 (100th percentile; extreme outlier, far above typical national volume) and 92134 ranks #374 of 26868 (99th percentile; extreme outlier, far above typical national volume) — indicating the practice delivers substantially more eye exams and retinal imaging than typical peers.

    Procedural injection volumes are notable: 67028 ranks #91 of 4255 (98th percentile; notably above typical national volume) and J9035 ranks #21 of 1852 (99th percentile; notably above typical national volume), which together with the high counts for 92134 imply the provider runs a clinic with sustained procedure throughput and high imaging capacity. These rank-based signals suggest a major local provider for injection and imaging services even if their national standing for specific high-cost biologics like J0178 is only middling.

    Operationally, the mix of a very large claim count at low average payment per claim (J2777: 45.9K claims at $29 avg paid/claim) versus smaller claim volumes at much higher per-claim payments (J0178: 826 claims at $690 avg paid/claim) indicates the practice balances high-frequency, lower-unit-reimbursement drugs with lower-frequency, higher-unit-reimbursement agents. That pattern affects inventory, administering workflows, and payer-contract exposure differently than a practice with a more even drug mix.

    Tenure and stability are evident in enrollment history: the NPI was enumerated on 2005-08-10 (~21 years ago), which indicates long-standing presence in the market and suggests an established referral base and operational continuity supporting the high procedural and imaging volumes reported.

    Because Medicare accounts for the entirety of reported public-payer revenue ($2.5M vs. none for Medicaid), strategic and competitive analysis should treat this provider as single-payer dependent; any payer-participation or network contracting analysis should prioritize Medicare reimbursement trends for intravitreal agents, 67028 injection procedures, and high-volume retinal imaging and intermediate exams that dominate revenue.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg45,900$30$1.3M
    J0178Injection, aflibercept, 1 mg830$690$569.9K
    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.3,080$80$240.2K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…2,260$60$135.3K
    J9035Injection, bevacizumab, 10 mg1,840$50$99.2K
    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.3,070$30$85.8K
    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…290$60$18K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…10$850$10.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$110$6K
    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…60$90$5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783160830$690$868.8K
    J27773406,750$30$395.6K
    67028480550$80$78.6K
    J35904950220$60$24.5K
    67041111020$1,000$22K
    J9035330200$50$19.2K
    992147,28710,540110$80$15.5K
    992131,32910,82080$50$7.6K
    92012115070$60$7.5K
    92134666060$30$6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Adeel KhanINOphthalmology Physician$6.6M$0
    Rick NordgrenUTRetina Specialist (Ophthalmology) Physician$888.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Parkview Hospital, Inc.INGeneral Acute Care Hospital$0$92.8M
    Parkview Health System IncINFamily Medicine Physician$0$88.7M
    Parkview Health System, Inc.INInternal Medicine Physician$0$22.5M
    Fort Wayne Radiology Associates LLCINDiagnostic Radiology Physician$0$8.8M
    Parkview Health System, Inc.INObstetrics & Gynecology Physician$0$7.3M
    Park Place Senior Living, LLCINAssisted Living Facility$0$4.4M
    Nephrology Associates Of Northern Indiana, IncINNephrology Physician$0$3.3M
    Parkview Health System, Inc.INCardiovascular Disease Physician$0$3M
    Allied Hospital Pathologists, P.C.INAnatomic Pathology & Clinical Pathology Physician$0$2.9M
    Parkview Ortho Center, LLCINAmbulatory Surgical Clinic/Center$627.7K$15.8K

    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
    Gohar Salam — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana