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    OpenPayerNPI Medicare & MedicaidAlexandra Pappas
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    Alexandra Pappas — Billing Profile & Reimbursement Data

    NPI 1295854925 · Lake Katrine, NY · Ophthalmology Physician

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    Alexandra Pappas is a ophthalmology physician provider located in Lake Katrine, New York. This profile covers 17 Medicare and 5 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAlexandra Pappas
    Address1561 Route 9w
    CityLake Katrine
    StateNY
    ZIP12449
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 27, 2007

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$14.4K

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,590$690$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg8,340$30$241.9K
    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.1,650$90$148.7K
    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…1,110$100$106.9K
    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.2,060$30$65.9K
    J9035Injection, bevacizumab, 10 mg660$60$36.4K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…630$30$19K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…160$120$18.8K
    67228In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…50$290$14.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.120$110$12.8K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017851230560$690$693K
    J2777551207,740$30$364.9K
    6702829300400$100$65.9K
    920141102,220160$100$29.3K
    920129471,640100$70$17.4K
    6682143552030$270$14.3K
    922353119060$120$14.1K
    67228125030$300$11.5K
    92134651,58090$30$11.2K
    J90356190120$50$10K

    Showing 1–10 of 17

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    5 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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.180$30$5.4K
    J0178Injection, aflibercept, 1 mg10$310$3.7K
    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…200$10$2.9K
    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.350$10$2.1K
    J9035Injection, bevacizumab, 10 mg10$10$170

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. New York median

    5 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg100100280$650$369.9K
    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…1,4242,440330$70$92.6K
    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.175260420$70$65.6K
    J9035Injection, bevacizumab, 10 mg143150170$80$36.7K
    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.374730370$20$30K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Optum Medical Care, P.C.NYCardiovascular Disease Physician$0$105.1M
    Crystal Run Healthcare Physicians LLPNYGeneral Practice Physician$0$34.1M
    Long Island Digestive Endoscopy Center, LLCNYAmbulatory Surgical Clinic/Center$1.6M$1.4M
    Matthew PomykalaNYOphthalmology Physician$1.7M$1M
    Howard CharlesNYOphthalmology Physician$2.7M$13.9K
    Changping JiaNYNuclear Imaging & Therapy Physician$2.2M$58.7K
    Eric FitzNYOphthalmology Physician$2.2M$1.3K
    Jeffrey HalaasNYHematology & Oncology Physician$1.6M$0
    Shaya AnsariNYDiagnostic Radiology Physician$1.5M$1K
    Saad YousufNYHematology & Oncology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Kenneth KircherNYDermatology Physician$325.6K$0
    Oren AmbaluNYPain Medicine (Anesthesiology) Physician$277.6K$0
    Lia BassoNYPhysician Assistant$121.8K$0
    Amanda O'connellNYPhysician Assistant$82K$0
    Alexis ParkhurstNYOccupational Therapist$27.1K$0
    Kinneret SussmanNYPhysician Assistant$11.1K$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. New York Distribution
    Alexandra Pappas — 3 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Alexandra Pappas — 0 of 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York