Joseph Civantos — Billing Profile & Reimbursement Data
NPI 1336149053 · Harvey, IL · Retina Specialist (Ophthalmology) Physician
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Joseph Civantos is a retina specialist (ophthalmology) physician provider located in Harvey, Illinois. This profile covers 20 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Joseph Civantos |
| Address | 71 W 156th St |
| City | Harvey |
| State | IL |
| ZIP | 60426 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | July 22, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.7M |
| Medicaid | $537.4K |
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.
20 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,250 | $680 | $855.8K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 26,040 | $30 | $755.2K |
| J2778 | Injection, ranibizumab, 0.1 mg | 2,510 | $180 | $447.3K |
| 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. | 2,170 | $90 | $201.8K |
| 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… | 1,520 | $90 | $141.1K |
| 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. | 3,250 | $30 | $94.3K |
| 92012 | For 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… | 1,250 | $70 | $84.7K |
| Q5128 | Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg | 270 | $210 | $56.7K |
| J9035 | Injection, bevacizumab, 10 mg | 620 | $60 | $33.9K |
| 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… | 300 | $70 | $20.9K |
Showing 1–10 of 20
Medicare: Competitive Analysis & Benchmarks
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
20 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 42 | 140 | 700 | $690 | $688.4K |
| J2777 | 18 | 90 | 9,180 | $30 | $451K |
| J2778 | 3 | 20 | 540 | $180 | $214.9K |
| Q5128 | 3 | 10 | 270 | $210 | $141.7K |
| 67028 | 12 | 190 | 400 | $90 | $64.4K |
| 92014 | 39 | 1,420 | 130 | $80 | $24.7K |
| J9035 | 19 | 130 | 140 | $60 | $24.6K |
| 67042 | 33 | 50 | 20 | $870 | $21.8K |
| 99214 | 16,743 | 18,540 | 110 | $80 | $17.1K |
| 92012 | 6 | 670 | 100 | $60 | $12.4K |
Showing 1–10 of 20
Medicaid: Total Revenue Breakdown by CPT/HCPCS Code
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Medicaid: Complete Services Breakdown
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 1,950 | $150 | $296.7K |
| J0178 | Injection, aflibercept, 1 mg | 120 | $1,100 | $127.1K |
| 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. | 2,660 | $10 | $37.3K |
| 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… | 1,080 | $30 | $30.2K |
| J9035 | Injection, bevacizumab, 10 mg | 510 | $50 | $24.4K |
| 92012 | For 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… | 480 | $20 | $10K |
| 99214 | The 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… | 290 | $30 | $9.7K |
| 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. | 10 | $60 | $810 |
| 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… | 30 | $20 | $540 |
Medicaid: Competitive Analysis & Benchmarks
How this provider's Medicaid billing volume and revenue compare to other Illinois providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Illinois median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 28 | 50 | 200 | $1,100 | $391.2K |
| 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. | 26 | 120 | 540 | $160 | $166.3K |
| 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… | 396 | 1,230 | 450 | $40 | $54.1K |
| 99214 | The 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… | 7,478 | 14,680 | 300 | $50 | $48.7K |
| 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. | 1,047 | 1,110 | 310 | $50 | $45.3K |
| J9035 | Injection, bevacizumab, 10 mg | 32 | 80 | 290 | $60 | $43.4K |
| 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… | 12,074 | 14,190 | 280 | $20 | $38.9K |
| 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. | 42 | 250 | 510 | $20 | $20.1K |
| 92012 | For 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… | 220 | 670 | 230 | $30 | $16K |
Nearby Providers
Other providers in the same ZIP code as Joseph Civantos, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Family Christian Health Center | IL | Federally Qualified Health Center (FQHC) | $0 | $34.1M |
| New Choice Intervention, Inc. | IL | Mental Health Clinic/Center (Including Community Mental Health Center) | $0 | $15.2M |
| Mathew Maccumber | IL | Retina Specialist (Ophthalmology) Physician | $2.7M | $1.1M |
| Sohail Hasan | IL | Retina Specialist (Ophthalmology) Physician | $3.4M | $34.2K |
| Vivek Chaturvedi | IL | Retina Specialist (Ophthalmology) Physician | $2.3M | $918.3K |
| Kourous Rezaei | IL | Retina Specialist (Ophthalmology) Physician | $2.7M | $0 |
| Naryan Sabherwal | IL | Retina Specialist (Ophthalmology) Physician | $1.2M | $949.6K |
| Andy Lin | IL | Clinical Cardiac Electrophysiology Physician | $660K | $451.4K |
| Michael Romberg | IL | Surgery Physician | $431.3K | $621.7K |
| Ripple Doshi | IL | Cardiovascular Disease Physician | $509.9K | $455K |
Frequently Asked Questions
References
- 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
- 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.
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