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    OpenPayerNPI Medicare & MedicaidMohammedyusuf Hajee
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    Mohammedyusuf Hajee — Billing Profile & Reimbursement Data

    NPI 1316085566 · Toms River, NJ · Retina Specialist (Ophthalmology) Physician

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    Mohammedyusuf Hajee is a retina specialist (ophthalmology) physician provider located in Toms River, New Jersey. This profile covers 16 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
    OrganizationMohammedyusuf Hajee
    Address780 Rte 37 W
    CityToms River
    StateNJ
    ZIP08755
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedFebruary 1, 2007

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    This provider bills Medicare at scale with Total Medicare revenue: $2.6M and has no Medicaid billing on file, making their portfolio effectively single‑payer (Medicare) in scope. The absence of Medicaid activity suggests the provider’s patient mix and contracting are focused on the Medicare population rather than dual‑eligible or Medicaid-managed care panels.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 71.2% of this provider's total Medicare revenue. Those top codes are J0178 ($1.2M, 45.8% of Medicare revenue), 92014 ($422.6K, 16.5%), and 67028 ($228.3K, 8.9%), indicating most dollars come from a small set of drug and procedure codes.

    The code mix is characteristic of a retina specialty practice that combines high volumes of intravitreal drug therapy with procedure support: J0178 (aflibercept), J2777 (faricimab), J9035 (bevacizumab), J2778 (ranibizumab) and the intravitreal injection code 67028 appear throughout the top code list. This pattern shows the operation is centered on repeated anti-VEGF treatment visits and associated injection procedures rather than episodic general ophthalmology care.

    High utilization of diagnostic and imaging services supports active disease management: 92134 (OCT retinal imaging) generated $148.8K and ranks #79 of 26868 providers nationally (100th percentile; extreme outlier), while angiography codes such as 92242 ($118.4K, rank #14 of 206, 94th percentile; notably above typical) and 92235 ($89.3K, rank #42 of 2192, 98th percentile; notably above typical) are also prominent. Combined with the very large volume of established comprehensive visits under 92014 (4.3K claims, $422.6K, rank #14 of 35415, 100th percentile; extreme outlier), this indicates a workflow emphasizing frequent monitoring and imaging alongside treatment.

    Competitive standing is mixed by service line: the provider is an extreme national outlier for comprehensive established visits (92014) and for OCT (92134), signaling regional or niche dominance in patient follow-up and retinal imaging. By contrast J0178 (aflibercept) ranks #687 of 3204 (79th percentile; typical, unremarkable volume), so while drug revenue is large in dollar terms, the provider is not uniformly dominant among injectable drug prescribers at the national level.

    Tenure is long enough to indicate an established practice: NPI enumerated 2007-02-01 (~19 years ago). Coupled with 4.3K claims for 92014, the evidence points to a sizable, stable established‑patient panel requiring ongoing retina care and surveillance.

    The financial profile shows dependence on high-cost drug administration and supportive procedures: J0178 drives $1.2M of the Medicare revenue with an avg paid/claim of $691, and 67028 accounts for $228.3K. This drug+procedure revenue mix implies that changes in drug utilization patterns, payer reimbursement for injections, or access to specific therapies could materially affect overall Medicare revenue concentration.

    Absence of Medicaid activity is notable for network and access considerations: because there is no Medicaid billing on file, the provider’s referral network, payer mix, and growth strategies are likely concentrated around Medicare beneficiaries and commercial referrals rather than Medicaid populations. For payer/provider analysts, this single‑payer skew should be considered when evaluating competitive positioning and potential gaps in coverage for lower‑income patients.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,700$690$1.2M
    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…4,270$100$422.6K
    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.2,480$90$228.3K
    J2777Injection, faricimab‑svoa, 0.1 mg6,600$30$191.4K
    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.4,510$30$148.8K
    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…520$230$118.4K
    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…770$120$89.3K
    J9035Injection, bevacizumab, 10 mg1,370$60$76.9K
    J2778Injection, ranibizumab, 0.1 mg270$170$46.1K
    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…230$130$30.1K

    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

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781490880$690$693.6K
    J277738608,820$30$319K
    J277840401,140$180$240.8K
    670284100810$100$91.1K
    92242210440$230$81.3K
    9201411,130160$100$34.9K
    92012421800140$70$18.5K
    9223517060$120$17.3K
    J903536080$50$14.2K
    9228722090$130$14.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Haris AminNJRetina Specialist (Ophthalmology) Physician$2.1M$0
    Ravi PatelNJRetina Specialist (Ophthalmology) Physician$1.7M$84.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Medical Center IncNJGeneral Acute Care Hospital$0$88.3M
    Preferred Behavioral Health Of NjNJCommunity/Behavioral Health Agency$0$18.3M
    Community Surgical Supply Of Toms River LLCNJOxygen Equipment & Supplies (DME)$0$17M
    Spring Oak Of Toms River Alp LLCNJAssisted Living Facility$0$10.1M
    Magnolia Gardens South LPNJAssisted Living Facility$0$8.1M
    Jersey Innovative Services LLCNJCommunity/Behavioral Health Agency$0$7.9M
    The Residence At Lakeridge LLCNJAssisted Living Facility$0$7.6M
    Ocean County Eye Associates LLCNJAmbulatory Surgical Clinic/Center$3.4M$0
    David DickersonNJOrthopaedic Surgery Physician$171.5K$1.7M
    Vipul LakhaniNJOphthalmology Physician$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. New Jersey Distribution
    Mohammedyusuf Hajee — 6 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Jersey