Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidAnthony Correnti
    Ask Trek AI about this page

    Anthony Correnti — Billing Profile & Reimbursement Data

    NPI 1336261577 · Manchester, NH · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Anthony Correnti — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Anthony Correnti is a ophthalmology physician provider located in Manchester, New Hampshire. This profile covers 13 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAnthony Correnti
    Address764 2nd St # Sy
    CityManchester
    StateNH
    ZIP03102
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 6, 2007

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    ANTHONY CORRENTI’s Medicare billing is concentrated in intravitreal biologic injections and ophthalmic diagnostic/office visits: the top three Medicare revenue codes (J2777, J0178, and 92014) together account for 86.1% of his total Medicare revenue, indicating a practice focused on medical retina care and routine ophthalmic follow-up rather than broad multispecialty procedures. J2777 (faricimab) alone generates $720.4K (47.3% of Medicare revenue) and J0178 (aflibercept) contributes $508K (33.4%), showing the business is highly dependent on anti-VEGF/faricimab therapies for revenue. The presence of substantial claims for 92014 (913 claims, $82.2K, 5.4%) and other evaluation/management codes (92012, 92235, 92250) supports a typical ophthalmology practice model where injection visits are paired with diagnostic imaging and established-patient exams.

    Revenue concentration is pronounced: the precomputed top-3 share of 86.1% signals that a small set of drug-injection codes drive nearly all Medicare dollars for this provider. This concentration creates operational sensitivity to changes in reimbursement, drug mix, or utilization of intravitreal therapies, since J2777 and J0178 together constitute more than 80% of the Medicare revenue base. Ancillary services and office visits make up a small residual slice of revenue, underscoring the clinical/economic centrality of biologic injections in this practice.

    Payer mix is effectively single-payer at present: lifetime Medicare revenue totals $1.5M while there is no Medicaid billing on file, so the provider appears to rely exclusively on Medicare for public-payer volume. This absence of Medicaid activity implies limited exposure to Medicaid rate pressures or rules and suggests the practice’s patient panel or billing arrangements skew toward Medicare beneficiaries. Analysts should treat this profile as Medicare-dominant when modeling reimbursement risk or contracting value.

    Competitive standing for injection codes is mixed. For J2777 the provider ranks #394 of 2039 (81st percentile), which indicates typical, unremarkable national volume for faricimab relative to peers rather than a dominant market position. For J0178 the provider ranks #1585 of 3204 (50th percentile), placing him squarely in the middle of national peers for aflibercept volume, again consistent with a modest but established injector rather than a high-volume regional center.

    Some diagnostic and E/M codes are used at notably above-typical national rates, signaling a robust follow-up and imaging workload: 92014 ranks #2011 of 35415 (94th percentile) and 92134 ranks #1087 of 26868 (96th percentile), both described as notably above typical national volume. These higher percentiles mean that while injection drug revenue dominates dollars, the provider also maintains above-average activity in comprehensive established-patient exams and retinal OCT imaging compared with national ophthalmologists, which supports a full-spectrum retina practice pattern.

    Other billed services show typical or lower relative activity. Codes such as 67028 (intravitreal injection procedure) rank in the mid-range (#1501 of 4255, 65th percentile) and several imaging/photography codes (92250, 76512) sit around typical national volume. Low-ranking items like 92235 (2nd percentile) and minimal claims for J9035 (bevacizumab) indicate selective use of certain diagnostics and limited use of cheaper off-label injectables in Medicare billing. This mix suggests clinical preference or payer-driven selection toward specific FDA-approved biologics.

    Tenure is long-standing: the NPI was enumerated on 2007-04-06 (approximately 19 years ago), indicating a stable, established practice presence in Manchester, NH. This duration supports interpretation of the billing profile as reflective of an experienced ophthalmologist with an entrenched referral and follow-up pattern rather than a transient or newly established clinician.

    From an operational and payer-relations perspective, the clinic’s financial performance will be highly sensitive to changes in reimbursement for J2777 and J0178, given their outsized revenue shares. Contract negotiations, formulary placement, or shifts in clinical guidelines affecting use of faricimab or aflibercept could materially alter the provider’s Medicare revenue stream, so payers and network managers should treat these drug codes as the primary levers for financial impact.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg24,840$30$720.4K
    J0178Injection, aflibercept, 1 mg730$690$508K
    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…910$90$82.2K
    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.910$90$80.1K
    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.1,950$30$58.5K
    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…720$70$48.4K
    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…150$90$13.9K
    99213The 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…50$70$3.4K
    J9035Injection, bevacizumab, 10 mg50$50$2.4K
    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,…80$30$2.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277741013,440$30$563.5K
    J0178310590$680$549.1K
    67028620600$90$67K
    9201411210170$80$21.2K
    992141,2513,150110$80$13.2K
    J9035810150$50$10.6K
    9201217060$60$8.2K
    992131,8422,90070$50$6.9K
    92134217060$30$5.2K
    922508417080$30$3.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Elliot Professional ServicesNHInternal Medicine Physician$0$12.8M
    Kinley BeckNHRetina Specialist (Ophthalmology) Physician$4.2M$0
    Maxwell EliaNHOphthalmology Physician$2.3M$0
    Ahad FazelatNHOphthalmology Physician$2.1M$0
    Paul DegregorioNHRetina Specialist (Ophthalmology) Physician$1.9M$0
    Gina DivenutiNHHematology & Oncology Physician$1M$0
    Frederick BriccettiNHHematology & Oncology Physician$861.3K$0
    Nancy Efferson-bonacheaNHOphthalmology Physician$790.7K$0
    Nh Eye Associates PLLCNHOphthalmology Physician$0$739K
    Yu Cheng ZhaoMIOphthalmology Physician$618.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Moore Center Services, Inc.NHEarly Intervention Provider Agency$0$373.9M
    Catholic Medical CenterNHGeneral Acute Care Hospital$0$19.8M
    Manchester School DistrictNHLocal Education Agency (LEA)$0$4M
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$3.1M
    Metro Treatment Of New Hampshire LPNHMethadone Clinic$148.8K$1.6M
    Home For Butterflies, LLCNHIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$1.4M
    Catholic Medical CenterNHCardiovascular Disease Physician$0$489.4K
    Amoskeag HealthNHFederally Qualified Health Center (FQHC)$0$480.4K
    Catholic Medical CenterNHGeneral Acute Care Hospital$0$472.3K
    Cpte - Manchester, Inc.NHPhysical Therapist$0$426.1K

    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 Hampshire Distribution
    Anthony Correnti — 3 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire