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    v1.0.28
    OpenPayerNPI Medicare & MedicaidRagui Sedeek
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    Ragui Sedeek — Billing Profile & Reimbursement Data

    NPI 1306993571 · Santa Maria, CA · Retina Specialist (Ophthalmology) Physician

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    Ragui Sedeek is a retina specialist (ophthalmology) physician provider located in Santa Maria, California. This profile covers 19 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
    OrganizationRagui Sedeek
    Address821 E Chapel St Ste 102
    CitySanta Maria
    StateCA
    ZIP93454
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJanuary 3, 2007

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg920$660$607.6K
    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…2,000$100$207.6K
    J2777Injection, faricimab‑svoa, 0.1 mg6,360$30$165.4K
    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.1,490$90$133.9K
    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.2,400$30$76.7K
    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…570$110$62.4K
    J7999Compounded drug, not otherwise classified830$70$59.8K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…240$220$51.9K
    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…190$130$24.9K
    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,…500$30$13.5K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178113310570$690$647.1K
    J277713020010,740$30$459.5K
    6702876470420$100$71.8K
    9224263080$230$36.3K
    J799913240130$140$34.9K
    920141,9892,890110$100$28.7K
    9921427037,970120$90$23.2K
    6682175195040$270$18.4K
    922351427060$110$17.1K
    9921310,64734,66080$70$13.2K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Joshua HedayaCAOphthalmology Physician$3.2M$38.9K
    Daniel AgarwalCAOphthalmology Physician$2.3M$0
    Michael DavisCARetina Specialist (Ophthalmology) Physician$2.1M$5.2K
    Tom ChangCARetina Specialist (Ophthalmology) Physician$2.1M$1.2K
    Joshua Morrison-reyesCARetina Specialist (Ophthalmology) Physician$2M$18.2K
    Pamela GolchetCARetina Specialist (Ophthalmology) Physician$1.1M$0
    Randall GoodmanCAOphthalmology Physician$598.2K$0
    Michael LimbergCAOphthalmology Physician$497.6K$0
    Abraham SuhrCAOphthalmology Physician$455K$0
    John HalliseyCAOphthalmology Physician$46.2K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$49.6M
    Lags Spine And Sportscare Medical Centers IncCAPain Medicine (Physical Medicine & Rehabilitation) Physician$0$33.4M
    General Dentistry For Children: Dental Group Of Kleinsasser Dental CorCAGeneral Practice Dentistry$0$28.8M
    Pediatric Medical Group Of Santa Maria IncCAPediatrics Physician$0$27.7M
    Community Health Centers Of The Central Coast IncCAFederally Qualified Health Center (FQHC)$0$23.3M
    The Endoscopy Center Of Santa Maria LLCCAAmbulatory Surgical Clinic/Center$2.3M$7.4M
    Cypress Ambulatory Surgery CenterCAAmbulatory Surgical Clinic/Center$1.3M$3.9M
    Pierre LabrecqueCASpecialist$226.8K$3.2M
    Premier Surgery Center Of Santa Maria LLCCAAmbulatory Surgical Clinic/Center$1.9M$476.7K
    Dignity HealthCAHome Infusion Therapy Pharmacy$1.5M$873K

    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. California Distribution
    Ragui Sedeek — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California