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    v1.0.28
    OpenPayerNPI Medicare & MedicaidEvan Berger
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    Evan Berger — Billing Profile & Reimbursement Data

    NPI 1356769731 · Norfolk, VA · Retina Specialist (Ophthalmology) Physician

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    Evan Berger is a retina specialist (ophthalmology) physician provider located in Norfolk, Virginia. This profile covers 19 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
    OrganizationEvan Berger
    Address6160 Kempsville Cir Ste 120b
    CityNorfolk
    StateVA
    ZIP23502
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 2, 2014

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,520$690$1M
    J2777Injection, faricimab‑svoa, 0.1 mg9,720$30$281.9K
    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…2,680$90$246.6K
    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.1,860$100$184.4K
    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.2,920$30$90.5K
    J9035Injection, bevacizumab, 10 mg1,370$60$78.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.250$100$25.8K
    J0179Injection, brolucizumab-dbll, 1 mg80$250$19.4K
    67108The 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$850$16.1K
    67121In this procedure, the provider removes a previously implanted intraocular lens that has subluxed or slipped into the posterior segment of the eye.20$690$13.2K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017837801,400$690$1.1M
    J2777376013,200$30$517.1K
    6702823901,000$90$107.1K
    J0179410230$240$54.7K
    920149870170$80$32.8K
    6710852020$1,180$23.5K
    J9035360170$50$19.9K
    9201227543080$60$11.9K
    6712111020$660$9.9K
    921342368070$30$9.7K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Virginia Eye Consultants IncVAOphthalmology Physician$0$8.3M
    Retina & Vitreous Center PCVASpecialist$0$5.6M
    John O'keefeVAOphthalmology Physician$4.8M$0
    Juan AstrucVAOphthalmology Physician$4.7M$0
    Rohit AdyanthayaVAOphthalmology Physician$4.1M$0
    Alan WagnerVAOphthalmology Physician$3.8M$24.1K
    Bryan SchwentVAOphthalmology Physician$3.7M$0
    Kapil KapoorVAOphthalmology Physician$3.6M$420
    Thomas JenkinsVAOphthalmology Physician$2.8M$0
    David SalibVAOphthalmology Physician$2.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sentara HospitalsVAGeneral Acute Care Hospital$0$79.7M
    Tremont Road Dental Super, P.C.VAGeneral Practice Dentistry$0$63.5M
    Sentara Medical GroupVAFamily Medicine Physician$0$48.7M
    Emergency Physicians Of TidewaterVAEmergency Medicine Physician$0$47.9M
    Community Alternative IncVACommunity/Behavioral Health Agency$0$44.3M
    Life's JourneyVAAdult Mental Health Clinic/Center$0$24.4M
    Keys To Success Family & Developmental ServicesVACommunity/Behavioral Health Agency$0$16.1M
    Advantage Home Care, LLCVAHome Health Agency$0$15.7M
    National Counseling Group, IncVAMental Health Counselor$0$14.5M
    Childrens Medical Group IncVAPediatrics Physician$0$9.1M

    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. Virginia Distribution
    Evan Berger — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia