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    v1.0.28
    OpenPayerNPI Medicare & MedicaidIvan Castillo-salazar
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    Ivan Castillo-salazar — Billing Profile & Reimbursement Data

    NPI 1316155443 · Waco, TX · Ophthalmology Physician

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    Ivan Castillo-salazar is a ophthalmology physician provider located in Waco, Texas. This profile covers 30 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
    OrganizationIvan Castillo-salazar
    Address7030 New Sanger Rd Ste 102
    CityWaco
    StateTX
    ZIP76712
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$4.7M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the sole payer presence on file: total Medicare revenue is $4.7M and there is no Medicaid billing on file, indicating an effectively single‑payer (Medicare) revenue base for the claims observed. That payer concentration means patient mix and revenue depend heavily on Medicare beneficiaries rather than state Medicaid volumes.

    Revenue is highly concentrated in a small number of high‑value codes: the precomputed top‑three Medicare codes account for 80.2% of the provider’s Medicare revenue, driven overwhelmingly by J0178 (4.6K claims, $3.2M revenue, 67.1% of total Medicare revenue). J2777 (14.9K claims, $416.6K revenue, 8.8%) and 67028 (2.1K claims, $207.4K revenue, 4.4%) complete that top trio, so a few procedural/drug lines account for the bulk of dollars.

    The code mix and descriptions identify a retina‑focused ophthalmology practice centered on intravitreal drug delivery and retinal diagnostics: high volumes for J0178 (aflibercept injections) and J2777 (faricimab) alongside substantial utilization of retinal imaging 92134 (3.6K claims, $104K) and injection procedure 67028 (2.1K claims, $207.4K) indicate routine in‑office anti‑VEGF and related intravitreal therapies. This pattern is consistent with a clinic operating an injection suite and performing frequent retinal imaging to guide treatment.

    On competitive standing, the provider is an outlier nationally for several key procedures. J0178 ranks #39 of 3204 providers nationally (99th percentile; extreme outlier) and 92134 ranks #207 of 26868 (99th percentile; extreme outlier), while 92014 (established comprehensive exam) ranks #237 of 35415 (99th percentile; extreme outlier), indicating much higher than typical volumes nationally for these services and a dominant position on those specific codes.

    Not all drug codes show the same dominance: while J0178 is an extreme outlier, other biologic and drug codes have more typical volumes versus peers. For example, J2777 (14.9K claims, $416.6K) ranks #720 of 2039 providers (65th percentile; typical) and Q5128 (694 claims, $151.3K) ranks #182 of 373 providers (51th percentile; typical), suggesting concentrated leadership on aflibercept specifically but more ordinary participation in other biologic agents.

    The practice also generates substantial evaluation and management and diagnostic activity, supporting a sustained patient panel and follow‑up flow: 92014 (2K claims, $187.1K) and 92012 (1.5K claims, $77.5K) both appear at the 99th percentile nationally, and 99204 (253 claims, $28.1K) similarly ranks in the 99th percentile, consistent with high throughput of both established and new patient office encounters in addition to procedure volume.

    The high dollar amount per claim for certain unclassified drug codes contributes materially to revenue but does not show outsized national ranking: J3490 (52 claims, $94.4K revenue, $1816 avg paid/claim) ranks #1560 of 2838 providers (44th percentile), indicating that a small number of expensive miscellaneous drug claims add to revenue without the same peer dominance seen with J0178.

    Operational and strategic sensitivity is suggested by the heavy reliance on a small set of drug and injection codes: with J0178 representing $3.2M (67.1% of Medicare revenue) and the top three codes accounting for 80.2% of Medicare revenue, changes in reimbursement, drug availability, or clinical guidelines affecting these products or procedures could materially impact revenue. The provider’s long tenure (NPI enumerated 2007-05-21, ~19 years ago) implies established referral and clinical workflows that have supported this focused service mix over time.

    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.

    30 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg4,600$690$3.2M
    J2777Injection, faricimab‑svoa, 0.1 mg14,880$30$416.6K
    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.2,120$100$207.4K
    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…2,010$90$187.1K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg690$220$151.3K
    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.3,590$30$104K
    J3490Unclassified drugs50$1,820$94.4K
    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…1,460$50$77.5K
    J2778Injection, ranibizumab, 0.1 mg390$190$71.6K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg360$120$43.2K

    Showing 1–10 of 30

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    30 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783210610$690$694.9K
    J2777351407,470$30$479.2K
    J27785980630$180$345.3K
    Q51283250770$220$263.7K
    J3590364070$1,640$162.7K
    J27813750720$120$131.9K
    6702828290510$90$73K
    J349018435060$480$54.4K
    J3299310980$40$43.3K
    67042779020$1,150$41.3K

    Showing 1–10 of 30

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Ivan Castillo-salazar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Institute Of California Medical Group, A California Medical ParCAOphthalmology Physician$0$64.4M
    Ashkan AbbeyTXOphthalmology Physician$6.4M$0
    Lori CoorsTXOphthalmology Physician$5.2M$0
    Andrew McclellanTXOphthalmology Physician$4.5M$0
    Andrew StrandINOphthalmology Physician$4.3M$72.1K
    Wayne SolleyTXOphthalmology Physician$4M$0
    Christopher FullerTXOphthalmology Physician$3.6M$0
    Timothy FullerTXOphthalmology Physician$3.5M$0
    Robert WangTXOphthalmology Physician$3.5M$0
    Patrick WilliamsTXOphthalmology Physician$2.8M$0

    Nearby Providers

    Other providers in the same ZIP code as Ivan Castillo-salazar, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    American Medical Response Ambulance Service IncTXAmbulance$5M$11.8M
    Hillcrest Baptist Medical CenterTXGeneral Acute Care Hospital$0$14.3M
    Waco Ambulatory Surgery Center, LPTXAmbulatory Surgical Clinic/Center$2.3M$0
    James MyattTXCardiovascular Disease Physician$770K$0
    Waco Gastroenterology Endoscopy Center LLCTXAmbulatory Surgical Clinic/Center$757.9K$0
    Rodney BrownTXCardiovascular Disease Physician$612.8K$0
    Pramila DaftaryTXSpecialist$181.1K$411.9K
    Shawn SkeenTXCardiovascular Disease Physician$435.3K$0
    Lisa KirkTXFamily Medicine Physician$364K$0
    Randy GardellTXNeurology Physician$349.1K$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. Texas Distribution
    Ivan Castillo-salazar — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas