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    OpenPayerNPI Medicare & MedicaidRishabh Date
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    Rishabh Date — Billing Profile & Reimbursement Data

    NPI 1295154938 · Bellaire, TX · Ophthalmology Physician

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    Rishabh Date is a ophthalmology physician provider located in Bellaire, Texas. 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
    OrganizationRishabh Date
    Address4460 Bissonnet St Ste 200
    CityBellaire
    StateTX
    ZIP77401
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 9, 2014

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider is effectively Medicare-centered: reported Total Medicare revenue is $2.9M while there is no Medicaid billing on file, and the NPI has been enumerated since 2014-04-09 (~12 years ago). The absence of Medicaid activity indicates a single-payer revenue profile concentrated in the Medicare population, which shapes both patient mix and payer risk exposure.

    Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicare codes by revenue account for 68.8% of this provider's total Medicare revenue, driven primarily by J0178 at 47.8%, J2778 at 12.4%, and 92014 at 8.7%. This concentration means a large share of income depends on anti-VEGF drug administration and established comprehensive ophthalmology visits.

    The code mix indicates a retina-focused ophthalmology operation: high-volume drug codes J0178 (aflibercept) and J2778 (ranibizumab), together with intravitreal injection procedure 67028, point to routine in-office anti-VEGF therapy. Complementary imaging and examination codes such as 92134 (retinal imaging) and 92202/92201 (extended ophthalmoscopy) further support a practice organized around medical retina diagnostics and frequent follow-up of chronic retinal disease.

    Despite the dominance of anti-VEGF revenue, the provider’s injection volumes are typical rather than dominant nationally: J0178 ranks #512 of 3204 providers nationally (84th percentile; typical, unremarkable volume for this code), J2778 ranks #215 of 1208 providers nationally (82th percentile; typical, unremarkable volume for this code), and J2777 ranks #1186 of 2039 providers nationally (42th percentile; typical, unremarkable volume for this code). These percentiles suggest the practice delivers substantial injection therapy but is not a national outlier for biologic injection volumes.

    In contrast, the provider is an extreme outlier on several exam and imaging metrics, signaling unusually high clinical throughput: 92014 ranks #135 of 35415 providers nationally (100th percentile; extreme outlier, far above typical national volume), 92134 ranks #635 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume), and 92202 ranks #44 of 2327 providers nationally (98th percentile; extreme outlier, far above typical national volume). Those rankings indicate this provider sees far more established comprehensive exams and retinal imaging than most peers, consistent with a high-volume outpatient clinic managing many follow-ups.

    Procedure-level coding aligns with the injection and clinic workflow: 67028 (intravitreal injection) shows 1.8K claims and $184.1K revenue (6.3% of Medicare revenue) and ranks #519 of 4255 providers nationally (88th percentile; typical, unremarkable volume for this code), reinforcing that in-office injection procedures are a major operational activity. Smaller but present categories such as J3590 and J3490 (unclassified biologics/drugs) contribute meaningful single-code revenue ($108.1K and $88.5K respectively) but do not dominate the overall profile.

    The provider’s payer mix and revenue concentration create business implications: with $2.9M concentrated in Medicare and no Medicaid billing on file, reimbursement exposure and growth depend heavily on Medicare policy and anti-VEGF drug reimbursement dynamics. Strategic decisions about drug selection, buy-and-bill practice, and capacity for imaging and injection throughput will materially affect revenue stability given that the top three codes represent 68.8% of Medicare revenue.

    An additional operational signal comes from high new-patient E/M reporting: 99204 has 240 claims and $31.9K revenue (1.1% of Medicare revenue) and ranks #2768 of 227068 providers nationally (99th percentile; extreme outlier, far above typical national volume). This suggests the practice also handles a notable volume of complex new patient evaluations, which may reflect referral intake for retinal or complex ophthalmic disease alongside high follow-up volumes.

    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 mg2,060$680$1.4M
    J2778Injection, ranibizumab, 0.1 mg2,010$180$361.8K
    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…2,460$100$255.3K
    J2777Injection, faricimab‑svoa, 0.1 mg7,860$30$220.1K
    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.1,810$100$184.1K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg650$210$138.4K
    J3590Unclassified biologics50$2,250$108.1K
    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.2,560$40$89.5K
    J3490Unclassified drugs50$1,840$88.5K
    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…240$130$31.9K

    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
    J017813210610$690$694.9K
    J2777381407,470$30$479.2K
    J27781880630$180$345.3K
    Q51281450770$220$263.7K
    J359064070$1,640$162.7K
    6702820290510$90$73K
    J34904135060$480$54.4K
    922353916060$100$21.3K
    9201412,700100$80$21K
    J7999314090$80$14.4K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants LLCDEOphthalmology Physician$0$25.2M
    Charles WykoffTXOphthalmology Physician$6.2M$0
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Matthew BenzTXOphthalmology Physician$5.7M$0
    David BrownTXOphthalmology Physician$5.7M$0
    Richard LaneTXRetina Specialist (Ophthalmology) Physician$4.8M$0
    Tien WongTXOphthalmology Physician$4.5M$0
    Vinod VoletiNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Sumit ShahNJRetina Specialist (Ophthalmology) Physician$4.1M$0
    Newman SundMDOphthalmology Physician$4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kingsley Home Care IncTXHome Health Agency$0$22.7M
    Adaku IwuTXFamily Nurse Practitioner$3.3M$0
    Emmanuel ChangTXRetina Specialist (Ophthalmology) Physician$2.2M$0
    Arash Kimyai-asadiTXMOHS-Micrographic Surgery Physician$2.2M$0
    Leonard GoldbergTXMOHS-Micrographic Surgery Physician$2.1M$0
    Paul StewartTXRetina Specialist (Ophthalmology) Physician$2.1M$0
    Effie RahmanTXOphthalmology Physician$2M$0
    Kenneth FanTXOphthalmology Physician$2M$0
    Linsey IttyipeTXFamily Nurse Practitioner$1.2M$0
    Courtney FullerTXFamily Nurse Practitioner$1.1M$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. Texas Distribution
    Rishabh Date — 4 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas