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 Massachusetts for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Andre Witkin (NPI 1285811216)

Field	Value
Entity Type	Individual
Organization	Andre Witkin
Address	800 Washington St
City	Boston
State	MA
ZIP	02111
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 22, 2008

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

This provider is effectively single-payer: Total Medicare revenue is $2.9M while there is no Medicaid billing on file, indicating the practice’s revenue and utilization patterns are concentrated entirely in the Medicare population. Analysts should treat Medicare as the sole public-payer data source when assessing payer mix and volume trends for this NPI.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes account for 87.1% of this provider's total Medicare revenue. That concentration is driven primarily by a single drug code and creates exposure to shifts in drug utilization, reimbursement, or clinical guidelines.

Clinical/service-line footprint is dominated by intravitreal anti-VEGF therapy: J0178 (aflibercept) accounts for 3.2K claims, $692 avg paid/claim, and $2.2M revenue (77.3% of Medicare revenue), and ranks #146 of 3204 providers nationally (95th percentile; notably above typical national volume for this code). This profile is consistent with an office-based retinal injection practice where repeated anti-VEGF dosing is the core service.

Support services and diagnostics closely align with a high-volume injection practice: 92134 has 3K claims, $31 avg paid/claim, and $92K revenue (3.2% of Medicare revenue) and ranks #422 of 26868 providers nationally (98th percentile; extreme outlier), while 92014 (974 claims, $90 avg, $87.7K, 3.1%) ranks in the 95th percentile (notably above typical). The combination of very high retinal imaging and above-typical comprehensive exam volume suggests robust pre- and post-injection monitoring workflows.

Other intravitreal agents show contrasting competitive standing: J2777 (faricimab) shows 4.1K claims, $29 avg paid/claim, $118.3K revenue (4.1% of Medicare revenue) but ranks #1665 of 2039 providers nationally (18th percentile; typical, unremarkable volume), while J9035 (bevacizumab) appears at much lower volume (152 claims, $57 avg, $8.7K, 0.3%). This indicates aflibercept dominates this provider’s pharmacologic mix despite availability of alternatives.

Office visit coding is unusually high for established-patient visits: 99213 appears with 1.6K claims, $67 avg paid/claim, $105.3K revenue (3.7% of Medicare revenue) and is labeled an extreme outlier (ranks #1852 of 457151 providers nationally, 100th percentile). This suggests a sustained, high-frequency follow-up pattern consistent with ongoing injection regimens and frequent monitoring of chronic retinal disease.

Surgical retinal and intraocular procedures represent a small share of activity and revenue: 67042 (13 claims, $804 avg, $10.5K, 0.4%) ranks at the 13th percentile and 66986 (12 claims, $743 avg, $8.9K, 0.3%) ranks at the 8th percentile, both described as typical or modest relative to peers. That distribution implies the practice focuses on medical retina and injections rather than operative vitreoretinal surgery.

The provider has long tenure in Medicare billing (NPI enumerated 2008-01-22, ~18 years ago), and the combination of sustained enrollment plus national high-percentile ranking on J0178 positions this clinician as a long-standing, high-volume retinal injection specialist. While total Medicare revenue is $2.9M (noted above), the practice’s national rank for its top drug suggests outsized procedure volume within its specialty niche rather than broad multiservice scale.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,210	$690	$2.2M
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.	1,720	$100	$163.4K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,080	$30	$118.3K
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…	1,570	$70	$105.3K
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.	2,970	$30	$92K
92014	An 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…	970	$90	$87.7K
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…	330	$100	$32.6K
67042	In 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	$800	$10.5K
66986	The provider removes a previously placed intraocular lens and places a new one.	10	$740	$8.9K
J9035	Injection, bevacizumab, 10 mg	150	$60	$8.7K

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

Claims Volume vs. Massachusetts Distribution

Andre Witkin — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	90	790	$690	$826.5K
J2777	38	50	7,080	$30	$343.1K
67028	15	120	570	$100	$80.7K
92014	90	1,070	160	$90	$30.1K
67042	17	30	20	$1,170	$25.7K
J9035	44	80	250	$50	$19.7K
67036	8	20	20	$960	$17.3K
99214	2,483	15,410	110	$80	$15.6K
92012	319	560	90	$70	$12.4K
66986	5	10	20	$640	$12.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The General Hospital Corporation	MA	General Acute Care Hospital	$0	$438M
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Tufts Medical Center, Inc.	MA	General Acute Care Hospital	$0	$164.6M
Massachusetts General Physicians Organization Inc	MA	Dermatology Physician	$0	$60.2M
Boston Emergency Physician Foundation, Inc.	MA	Emergency Medicine Physician	$0	$24.3M
Colorado Permanente Medical Group, P.C.	CO	Internal Medicine Physician	$0	$23.2M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Chirag Shah	MA	Retina Specialist (Ophthalmology) Physician	$5M	$0
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boston Senior Home Care	MA	Case Management Agency	$0	$118.8M
Boston Senior Home Care	MA	Case Management Agency	$0	$38.9M
South Cove Community Health Center, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$20.5M
Trustees Of Tufts College	MA	Dental Clinic/Center	$0	$18.2M
Pratt Pediatric Associates Inc	MA	Pediatrics Physician	$0	$7.7M
Boston Center For Independent Living, Inc.	MA	Personal Care Attendant	$0	$7.2M
Tufts Medical Center Ep LLC	MA	Emergency Medicine Physician	$0	$6.6M
Minping Liu	MA	Internal Medicine Physician	$14.7K	$6.6M
Michelle Liang	MA	Ophthalmology Physician	$2.1M	$0
Pet-ct Services By Tufts Medical Center And Shields LLC	MA	Mobile Radiology Clinic/Center	$779.1K	$1.2M

Andre Witkin — 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