Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Indiana for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Indiana only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Indiana (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Shivani Reddy (NPI 1326304890)

Field	Value
Entity Type	Individual
Organization	Shivani Reddy
Address	6149 E Columbia St
City	Evansville
State	IN
ZIP	47715
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 9, 2012

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider’s Medicare billing profile is dominated by intravitreal biologic injections and retina-focused diagnostics: J0178 shows 2.7K claims and $1.9M revenue (77.3% of Medicare revenue), J2777 shows 6.7K claims and $193.1K revenue (8.0%), and 67028 shows 1.4K claims and $118.2K revenue (4.9%). High-volume retina imaging is also present with 92134 at 1.9K claims and $55.9K revenue (2.3%), indicating routine use of OCT to monitor disease and guide repeat injections.

Revenue is highly concentrated: total Medicare revenue is $2.4M and the top 3 Medicare codes by revenue account for 90.2% of this provider's total Medicare revenue. This concentration indicates the practice derives the vast majority of its Medicare income from a small set of retina/injection services rather than a broad mix of ophthalmic procedures.

Payer mix is effectively single-payer Medicare: reported Medicare revenue is $2.4M and there is no Medicaid billing on file. The absence of Medicaid activity means this provider’s public-payer exposure is overwhelmingly to Medicare beneficiaries and reimbursement changes to Medicare-covered retinal injections would materially affect revenues.

J0178 is a national high-volume outlier for aflibercept injections: the provider’s J0178 volume places them at ranks #237 of 3204 providers nationally (93th percentile; notably above typical national volume for this code) with 2.7K claims and $1.9M revenue. That ranking positions the provider as a comparatively major national participant for aflibercept administration among Medicare-reporting ophthalmologists.

Retina imaging volume is also unusually high: 92134 appears at 1.9K claims and $55.9K revenue and ranks #1165 of 26868 providers nationally (96th percentile; notably above typical national volume for this code). This level of OCT utilization aligns with frequent follow-up and monitoring workflows typical of high-volume anti-VEGF/faricimab injection practices.

There is evidence of surgical retina capability but at much lower scale than injections: codes such as 67041 (26 claims, $21.8K; ranks #104 of 461, 75th percentile) and 67039 (17 claims, $11.6K; ranks #64 of 121, 43th percentile) are present, indicating capacity for vitrectomy and related procedures while representing a small share of total Medicare revenue. Surgical procedures appear to be ancillary to a primary injection-and-imaging business model rather than the main revenue driver.

Office evaluation and management plus comprehensive eye exams report notable relative volume for certain codes, supporting steady clinic throughput: 99213 shows 372 claims and $23.4K revenue (ranks #43664 of 457151, 90th percentile), 99204 shows 201 claims and $21.5K revenue (ranks #4728 of 227068, 98th percentile), and 92004 shows 230 claims and $21.9K revenue (ranks #825 of 26467, 97th percentile). These high percentiles for both new- and established-patient visits are consistent with an active referral and follow-up practice managing chronic retinal disease.

The provider has an established NPI tenure (NPI enumerated 2012-04-09, ~14 years ago), which combined with the concentrated injection-centered revenue mix suggests a stable, mature practice focused on chronic retina disease management in the Medicare population. Given the dependence on a small number of high-revenue codes (top 3 = 90.2%), this profile implies operational strength in delivering frequent, repeat treatments but also sensitivity to changes in reimbursement or utilization patterns for those specific biologic and injection codes.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,720	$690	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	6,660	$30	$193.1K
67028	The 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.	1,360	$90	$118.2K
92134	The 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.	1,860	$30	$55.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	370	$60	$23.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	230	$100	$21.9K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	30	$840	$21.8K
99204	The 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…	200	$110	$21.5K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	20	$840	$16K
92014	An 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…	140	$90	$12.2K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Shivani Reddy — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	60	830	$690	$868.8K
J2777	22	40	6,750	$30	$395.6K
67028	12	80	550	$80	$78.6K
67042	12	20	20	$1,310	$47K
67039	1	10	20	$1,280	$34.5K
67108	6	20	20	$1,150	$32.2K
J3590	35	50	220	$60	$24.5K
67041	3	10	20	$1,000	$22K
J9035	2	30	200	$50	$19.2K
92235	13	40	90	$100	$15.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kentucky Medical Services Foundation, Inc	KY	Internal Medicine Physician	$0	$110.4M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Riverside Radiology And Interventional Associates Inc	OH	Diagnostic Radiology Physician	$0	$30.3M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Retina And Vitreous Associates Of Kentucky PLLC	KY	Retina Specialist (Ophthalmology) Physician	$0	$13.3M
Kentucky Medical Services Foundation	KY	Nurse Practitioner	$0	$12.5M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Pain Relief Centers	KY	Interventional Pain Medicine Physician	$0	$8.7M
Eye Centers Of Louisville,psc	KY	Ophthalmology Physician	$0	$7.5M
Norton Clark Physician Practices, LLC	IN	Internal Medicine Physician	$0	$7.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indiana Exceptional Medical Care	IN	Internal Medicine Physician	$0	$20.5M
Familia Dental Evansville LLC	IN	Dental Clinic/Center	$0	$9.8M
Affordable Dentures & Implants - Evansville, P.C.	IN	Dentist	$0	$7.3M
Drew Sommerville	IN	Ophthalmology Physician	$6.6M	$10.6K
Ginger Whitler, Inc.	IN	Pediatric Occupational Therapist	$0	$6.4M
Talley Medical-surgical Eye Care Associates PC	IN	Ophthalmology Physician	$0	$5.6M
Andrew Strand	IN	Ophthalmology Physician	$4.3M	$72.1K
Physician Management Services Of Western Indiana, LLC	IN	Family Medicine Physician	$0	$3.8M
Deaconess Hospital, Inc	IN	Psychiatry Physician	$0	$3.3M
Tri-state Orthopaedic Surgeons, Inc.	IN	Orthopaedic Surgery Physician	$0	$2.7M

Shivani Reddy — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References