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    OpenPayerNPI Medicare & MedicaidChris Bergstrom
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    Chris Bergstrom — Billing Profile & Reimbursement Data

    NPI 1346273596 · Atlanta, GA · Ophthalmology Physician

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    Chris Bergstrom is a ophthalmology physician provider located in Atlanta, Georgia. This profile covers 17 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
    OrganizationChris Bergstrom
    Address1365 Clifton Rd Ne # B
    CityAtlanta
    StateGA
    ZIP30322
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 9, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare revenue is $2M with no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available data and derives its entire recorded public-payer activity from Medicare. The absence of Medicaid billing suggests limited participation in state Medicaid programs or billing under a different NPI/group not shown here, rather than a balanced Medicare/Medicaid payer mix.

    Revenue is highly concentrated in a small set of intravitreal pharmacotherapy codes: the top 3 Medicare codes account for 84.9% of this provider's total Medicare revenue, with J0178 alone representing 61.8% of Medicare revenue, J2777 17.8%, and 67028 5.3%. This concentration indicates the practice’s financial performance on Medicare is strongly dependent on anti-VEGF and related intravitreal therapy.

    The procedure mix is characteristic of a retina-focused ophthalmology practice: dominant use of J0178 (aflibercept) and J2777 (faricimab) paired with the intravitreal injection procedure 67028 and high-volume retinal imaging (92134). These codes and their descriptions point to a primarily clinic-based model centered on regular anti-VEGF treatment and OCT diagnostics rather than predominantly surgical workload.

    Competitive standing on the top revenue drug is modest to typical nationally: J0178 ranks #634 of 3204 providers (80th percentile) and is described as a typical, unremarkable volume for this code, indicating the provider treats a steady retinal injection panel but is not among the highest-volume national specialists. J2777 is similarly typical (rank #866 of 2039, 57th percentile), reinforcing that the practice’s injection volumes are within expected ranges for retinal specialists.

    Several non-pharmacologic services show above-typical national volume, suggesting a robust follow-up and diagnostic throughput: 92014 (comprehensive established eye exam) ranks in the 95th percentile (notably above typical national volume) and 92134 (retinal imaging) ranks in the 96th percentile (notably above typical national volume). These elevated percentiles imply the provider performs more diagnostic and follow-up office-based care per Medicare than most peers, consistent with managing chronic retinal disease that requires frequent monitoring.

    Evaluation-and-management billing for established office visits is an extreme outlier relative to national peers: 99213 ranks in the 98th percentile and is labeled an extreme outlier, far above typical national volume, which indicates unusually high volumes of lower-complexity office visits billed to Medicare. That pattern, combined with high imaging and injection codes, suggests frequent short-interval follow-up visits typical of active intravitreal therapy regimens.

    Surgical retinal procedures are present but represent a small share of revenue and volume, consistent with a clinic-centric practice: codes such as 67036 and 67041 appear with low claim counts and modest revenue shares, characterized in their rank descriptions as typical or unremarkable volumes. This distribution implies the provider does some surgical work but is not positioned primarily as a vitreoretinal surgeon in the Medicare data.

    The provider’s NPI has been enumerated since 2006-07-09 (~20 years ago), indicating long tenure in the Medicare program; combined with the current code mix, this suggests an established ophthalmology practice that has focused over time on outpatient retinal care and recurring intravitreal therapy delivery.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,800$690$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg12,240$30$355K
    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.1,170$90$106.7K
    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…930$80$74.5K
    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…930$60$59.8K
    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.2,040$30$57.2K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg220$160$35.4K
    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…150$110$16.6K
    67041In 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…10$860$9.5K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.10$650$8.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178870970$680$700.6K
    J2777254014,100$30$524.3K
    670282680720$90$71.9K
    J7312610220$160$37.6K
    6704171010$1,140$30.7K
    6703691020$1,120$23.6K
    9201438850130$80$19.7K
    992148,67513,640120$80$17.8K
    9201217838090$60$10.5K
    J90352970120$50$10.3K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emory Medical Care Foundation IncGAInternal Medicine Physician$0$41.4M
    The Emory Clinic IncGAAmbulatory Surgical Clinic/Center$1.4M$26.6M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Christopher SteltonFLRetina Specialist (Ophthalmology) Physician$4.2M$0
    Joseph RicottaFLVascular Surgery Physician$4M$0
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    Jorge FortunFLOphthalmology Physician$3.7M$0
    Robin RayGAOphthalmology Physician$3.5M$0
    John RenfroSCOphthalmology Physician$3.1M$0
    Vasileios AssikisGAHematology & Oncology Physician$3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Egleston Children's Hospital At Emory University, Inc.GAPediatric Emergency Medicine (Pediatrics) Physician$0$222.6M
    The Emory Clinic IncGAAmbulatory Surgical Clinic/Center$1.6M$0
    Ashesh JaniGARadiation Oncology Physician$563K$0
    George HubbardGAOphthalmology Physician$553K$0
    Karen GodetteGARadiation Oncology Physician$482.1K$0
    Blaine CribbsGAOphthalmology Physician$453.6K$0
    Sibo TianGARadiation Oncology Physician$417.5K$0
    Egleston Pediatric GroupGAPediatrics Physician$0$398.8K
    Samuel MiltonGAPhysical Medicine & Rehabilitation Physician$324.8K$0
    Justin McclainGABody Imaging Physician$255.6K$240

    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. Georgia Distribution
    Chris Bergstrom — 5 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia