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    OpenPayerNPI Medicare & MedicaidSteven Cohen
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    Steven Cohen — Billing Profile & Reimbursement Data

    NPI 1366775405 · Lenexa, KS · Ophthalmology Physician

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    Steven Cohen is a ophthalmology physician provider located in Lenexa, Kansas. 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
    OrganizationSteven Cohen
    Address8600 Quivira Rd Ste 100
    CityLenexa
    StateKS
    ZIP66215
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 8, 2009

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is overwhelmingly driven by intravitreal biologic injections: J0178 (aflibercept) accounts for $1.5M and 62.1% of Medicare revenue, J2777 (faricimab) contributes $412.4K (17.4%), and J2778 (ranibizumab) adds $137.2K (5.8%); the precomputed top-3 share is 85.2% of this provider’s total Medicare revenue, indicating a clinic model focused on recurring retina injections. The code mix and dollar concentration point to a service line built around anti-VEGF/anti‑VEGF‑adjacent drug delivery rather than general ophthalmology or high-volume surgery.

    Revenue concentration is high: the three drug codes alone make up 85.2% of Medicare revenue, while total Medicare revenue is $2.4M and there is no Medicaid billing on file. This effectively makes the provider a single‑payer (Medicare) operation in public programs, exposing overall revenue to utilization and pricing shifts in these few high-value biologic codes.

    Competitive standing on the top drug code is moderate rather than dominant: J0178 ranks #468 of 3204 (85th percentile; typical, unremarkable volume for this code), J2777 ranks #743 of 2039 (63th percentile; typical, unremarkable volume for this code), and J2778 ranks #540 of 1208 (55th percentile; typical, unremarkable volume for this code). In short, the provider bills large absolute dollars for J0178 but sits within expected national utilization patterns rather than as an extreme outlier.

    Diagnostic and office-service volume is elevated relative to peers: 92134 (retinal imaging) shows 2.1K claims and $56.8K revenue and ranks #947 of 26868 providers (96th percentile; notably above typical national volume), and 92014 (comprehensive established exam) has 864 claims and $71.7K revenue and ranks #2238 of 35415 providers (94th percentile; notably above typical national volume). These high percentiles suggest strong throughput of imaging and follow-up visits that support ongoing injection therapy.

    Surgical and procedural volumes are small compared with injection activity: vitrectomy 67042 (20 claims, $16.6K) and retinal detachment repair 67108 (14 claims, $12.3K) together represent a minor share of Medicare revenue. The pattern—high injection and imaging counts with low surgical counts—is consistent with an outpatient retina/injection clinic rather than a surgery‑heavy retina subspecialty practice.

    Payer mix is effectively single‑payer public: the provider reports $2.4M in total Medicare revenue and no Medicaid billing on file (none below). Analysts should treat this entity as Medicare‑dependent for public program volume and reimbursement exposure, with no Medicaid contribution reported to diversify public-payer risk.

    Tenure in public programs is longstanding: the NPI was enumerated on 2009-09-08 (~17 years ago), indicating over a decade of Medicare participation that supports the observed build‑out of an injection-focused outpatient workflow. Long enrollment combined with concentrated drug billing suggests an established practice pattern rather than a new or transient billing profile.

    Several codes show contrasting statistical signals: while the big revenue driver J0178 produces large absolute revenue, its descriptor is "typical, unremarkable volume for this code," whereas ancillary services 92014 and 92134 are both described as "notably above typical national volume." This mix indicates average national positioning for high-cost drug administration but above‑typical intensity in diagnostic follow-up and monitoring that likely sustains repeat injections.

    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 mg2,150$690$1.5M
    J2777Injection, faricimab‑svoa, 0.1 mg14,220$30$412.4K
    J2778Injection, ranibizumab, 0.1 mg760$180$137.2K
    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.1,310$90$118.2K
    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…860$80$71.7K
    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.2,100$30$56.8K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg150$160$24.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$830$16.6K
    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…10$880$12.3K
    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…110$110$11.8K

    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
    J01788301,770$690$1.3M
    J2777103012,060$30$575.7K
    J27781420860$180$297.6K
    6702816401,170$90$111.4K
    J73121010260$160$43.6K
    67042122020$1,140$31.9K
    67108142020$1,130$24.8K
    J35901620200$100$24.1K
    9201419530180$70$18.5K
    992142,4004,310120$70$16.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethesda Lutheran CommunitiesKSMental Illness Intermediate Care Facility$0$17.6M
    Cherub Medical Supply, LLCKSDurable Medical Equipment & Medical Supplies$0$6.3M
    Mawd Pathology Group IncKSAnatomic Pathology & Clinical Pathology Physician$660$5.9M
    Gregory FoxKSOphthalmology Physician$4M$0
    Ravi SinghKSOphthalmology Physician$3.9M$0
    Cpf Senior Living - Lenexa LLCKSAssisted Living Facility$0$3.8M
    Beatty SuiterKSOphthalmology Physician$3.5M$0
    Ryan ChristensenKSOphthalmology Physician$3.3M$0
    180 Medical, Inc.KSDurable Medical Equipment & Medical Supplies$0$2.7M
    Midwest Division-oprmc LLCKSGeneral Acute Care Hospital$0$2.6M

    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. Kansas Distribution
    Steven Cohen — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas