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    OpenPayerNPI Medicare & MedicaidBryan Hong
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    Bryan Hong — Billing Profile & Reimbursement Data

    NPI 1306166756 · Worcester, MA · Retina Specialist (Ophthalmology) Physician

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    Bryan Hong is a retina specialist (ophthalmology) physician provider located in Worcester, Massachusetts. This profile covers 12 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
    OrganizationBryan Hong
    Address67 Belmont St
    CityWorcester
    StateMA
    ZIP01605
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 8, 2010

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider reports $2.5M in lifetime Medicare revenue and has no Medicaid billing on file, making the practice effectively single-payer (Medicare) in scale rather than dual‑payer; absence of Medicaid activity means limited exposure to or participation in state Medicaid programs.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 87.5% of this provider's Medicare revenue, led by J0178 (aflibercept) at 55.3%, J2777 (faricimab) at 24.6%, and 67028 (intravitreal injection) at 7.6%, indicating a narrow set of high-value services drive the business.

    The procedural code mix and top revenue drivers identify a medically focused retina practice: large volumes and dollars for injections (J0178: 2K claims, $692 avg paid/claim, $1.4M revenue; J2777: 21.2K claims, $29 avg paid/claim, $616K revenue) plus the injection procedure 67028 (1.9K claims, $98 avg paid/claim, $189.2K) point to routine anti‑VEGF/intravitreal therapy for retinal disease as the core service line.

    Diagnostic monitoring is substantial: 92134 (retinal imaging with interpretation) appears as a major utilization outlier (2.8K claims, $31 avg paid/claim, $85.6K revenue) and is labeled an "extreme outlier, far above typical national volume" (98th percentile), suggesting sustained follow‑up and imaging workflows that accompany frequent injection therapy.

    Competitive standing on drug codes is mixed: J0178 ranks #539 of 3204 providers (83th percentile) and J2777 ranks #488 of 2039 providers (76th percentile), both characterized as "typical, unremarkable volume" relative to national peers, which positions this clinician as a solid but not dominant national participant for these anti‑VEGF products.

    Other drug and procedure ranks show pockets of relative strength and weakness: J9035 (bevacizumab) ranks #122 of 1852 (93th percentile), indicating comparatively high bevacizumab volume for peers, while J2778 (ranibizumab) at the 37th percentile and several lower‑revenue ophthalmology evaluation codes reflect a narrower therapeutic mix concentrated on specific biologics and procedures.

    Office evaluation coding contributes only modestly to revenue (92014: 455 claims, $41K revenue, 1.6%; 92012: 604 claims, $39.3K revenue, 1.6%), reinforcing that the practice’s revenue model is procedure‑ and injection‑driven rather than visit/evaluation driven.

    The provider has been enumerated since 2010-06-08 (~16 years ago), indicating a long-established NPI and likely sustained local presence; combined with the concentrated Medicare revenue base, this tenure suggests the practice has specialized over time around retina injection services and associated imaging.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,000$690$1.4M
    J2777Injection, faricimab‑svoa, 0.1 mg21,240$30$616K
    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.1,930$100$189.2K
    J2778Injection, ranibizumab, 0.1 mg480$180$87.2K
    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.2,760$30$85.6K
    J9035Injection, bevacizumab, 10 mg790$60$43.5K
    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…460$90$41K
    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…600$70$39.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.90$120$10.5K
    67145The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…20$200$3.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781490790$690$826.5K
    J27778507,080$30$343.1K
    J27781930560$180$200.7K
    6702813120570$100$80.7K
    920142521,070160$90$30.1K
    J9035880250$50$19.7K
    920123856090$70$12.4K
    921341867070$30$10.6K
    9200418689040$100$6.3K
    67145182020$170$4.3K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reliant Medical Group, IncMAFamily Medicine Physician$0$101.8M
    Brad BakerMARetina Specialist (Ophthalmology) Physician$2.5M$0
    Marianeli RodriguezMAOphthalmology Physician$2.4M$0
    Mark DaceyMAOphthalmology Physician$2.1M$0
    Kameran LashkariMAOphthalmology Physician$2M$0
    Mehdi NajafiMAOphthalmology Physician$1.8M$0
    Frank MccabeMARetina Specialist (Ophthalmology) Physician$1.5M$0
    Milford-franklin Eye Center, LLCMAAmbulatory Surgical Clinic/Center$1.2M$71.9K
    Nicole SiegelMAOphthalmology Physician$1.1M$0
    Roger KaldawyMAOphthalmology Physician$940.4K$2.8K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Spectrum Health Systems, IncMAAddiction (Substance Use Disorder) Counselor$6M$187.4M
    Edward M. Kennedy Community Health Center, IncMAFederally Qualified Health Center (FQHC)$0$55.2M
    Prestige Adult Foster Care LLC.MAIn Home Supportive Care Agency$0$54.1M
    Autism Therapuetic Services LLCMAEarly Intervention Provider Agency$0$23M
    Catholic Charities Of The Diocese Of WorcesterMADevelopmentally Disabled Services Day Training Agency$0$17.2M
    City Home Care, LLCMAHome Health Agency$0$15.9M
    Autism Intervention SpecialistsMABehavior Analyst$0$13.4M
    Pinnacle Home Healthcare Services, IncMAHome Health Agency$0$13.3M
    Adcare Hospital Of Worcester, Inc.MAGeneral Acute Care Hospital$0$13.2M
    The Bridge Of Central Massachusetts, Inc.MACommunity/Behavioral Health Agency$0$5.5M

    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. Massachusetts Distribution
    Bryan Hong — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts