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    OpenPayerNPI Medicare & MedicaidJason Szelog
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    Jason Szelog — Billing Profile & Reimbursement Data

    NPI 1366936882 · Portsmouth, NH · Ophthalmology Physician

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    Jason Szelog is a ophthalmology physician provider located in Portsmouth, New Hampshire. This profile covers 16 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
    OrganizationJason Szelog
    Address155 Borthwick Ave Ste 200e
    CityPortsmouth
    StateNH
    ZIP03801
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 18, 2018

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

    Payer SourceTotal Paid
    Medicare$541.5K
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the practical revenue base for the practice: total Medicare revenue is $541.5K and there is no Medicaid billing on file, making this effectively a single‑payer (Medicare) billing profile. The NPI was enumerated 2018-06-18 (~8 years ago), indicating roughly eight years of Medicare billing history to assess trends against.

    Revenue is highly concentrated in a small number of ophthalmic biologic/injection codes: the precomputed top 3 Medicare codes account for 76.7% of total Medicare revenue, driven by J0178 (56.7%), J3590 (12.9%), and J2777 (7.1%). This concentration signals that a few therapeutics and related services dominate the provider’s Medicare receipts.

    Clinical mix and service line point to an injection‑heavy retina practice: J0178 (Injection, aflibercept) shows 450 claims generating $306.9K revenue, J2777 (faricimab) shows 1.3K claims for $38.3K revenue, and J3590 (unclassified biologics) contributes $70K from 33 claims. Supporting services such as intravitreal injection procedure 67028 (275 claims, $26.4K) and retinal imaging 92134 (602 claims, $18.7K) indicate ongoing procedural throughput and diagnostic imaging consistent with medical retina management.

    Operational and revenue implications arise from high unit‑cost variability across the top drugs: J0178 is paid at $682 avg paid/claim while J3590 is paid at $2120 avg paid/claim and J2777 at $29 avg paid/claim. That mix of a high‑cost biologic, an unclassified high‑paid biologic, and a low‑paid biologic suggests the practice must manage drug procurement, prior‑authorization workflows, and reimbursement variability to protect margins.

    Competitive standing on the nation stage for the revenue drivers is modest rather than dominant: J0178 ranks #2018 of 3204 providers nationally (37th percentile), J3590 ranks #492 of 631 providers nationally (22th percentile), and J2777 ranks #2021 of 2039 providers nationally (1th percentile). Those ranks indicate the provider is not a national leader for these injection codes and generally sits at or below typical peer volumes for the highest‑revenue services.

    Several non‑drug codes show relatively strong engagement with established patient care and imaging: 92014 (450 claims, $37.8K) ranks #6173 of 35415 (83th percentile) and 92134 (602 claims, $18.7K) ranks #3060 of 26868 (89th percentile). The elevated percentiles and claim counts for these E/M and imaging codes suggest steady follow‑up workflows and diagnostic intensity consistent with longitudinal retinal care.

    Concentration and payer mix create vulnerability to policy or reimbursement shifts: with 76.7% of Medicare revenue coming from the top 3 codes and Medicare accounting for all reported public‑payer revenue ($541.5K versus no Medicaid), changes in Medicare drug reimbursement, coverage of specific biologics, or utilization management practices could materially affect revenue. The lack of Medicaid billing limits diversification of public‑payer exposure and may reduce cushion against Medicare policy changes.

    Provider tenure and overall scale position this clinician as an established, mid‑scale ophthalmology biller: enumerated ~8 years ago and producing $541.5K in Medicare revenue with a service mix of injections, imaging, and routine E/M visits, the profile is consistent with a practice focused on medical retina procedures and routine ophthalmic care rather than a high‑volume national injection center.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg450$680$306.9K
    J3590Unclassified biologics30$2,120$70K
    J2777Injection, faricimab‑svoa, 0.1 mg1,320$30$38.3K
    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…450$80$37.8K
    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.280$100$26.4K
    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.600$30$18.7K
    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…210$70$13.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$110$10.7K
    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…90$90$8K
    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…40$120$4.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2777101013,440$30$563.5K
    J0178810590$680$549.1K
    J3590210100$2,040$202.3K
    670281120600$90$67K
    9201440210170$80$21.2K
    992141,6843,150110$80$13.2K
    J9035910150$50$10.6K
    992134702,90070$50$6.9K
    921364450200$30$6K
    921341017060$30$5.2K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Androscoggin Valley Hospital, Inc.NHCritical Access Hospital$0$8.3M
    Kinley BeckNHRetina Specialist (Ophthalmology) Physician$4.2M$0
    Andre WitkinMARetina Specialist (Ophthalmology) Physician$2.9M$0
    Eliot FoleyNHRetina Specialist (Ophthalmology) Physician$935.8K$0
    Eyesight Ophthalmic Services PLLCNHOphthalmology Physician$0$762.4K
    Dana GraichenMEOphthalmology Physician$649.6K$0
    Timothy SullivanNHOphthalmology Physician$471.2K$0
    Julius TabeMAFamily Medicine Physician$449.6K$2.5K
    Warren GoldblattNHOphthalmology Physician$434K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Region Viii, One Sky Community Services Inc.NHCase Management Agency$0$192.2M
    Novocure Inc.NHDurable Medical Equipment & Medical Supplies$0$113.1M
    Seacoast Mental Health Center, Inc.NHMental Health Clinic/Center (Including Community Mental Health Center)$0$74.2M
    Hca Health Services Of New Hampshire IncNHGeneral Acute Care Hospital$0$18.8M
    Pmc Medical Group, LLCNHGeneral Practice Physician$392K$11.2M
    Greater Seacoast Community HealthNHFederally Qualified Health Center (FQHC)$0$6.6M
    Portsmouth School DepartmentNHLocal Education Agency (LEA)$0$2.6M
    Preferred Home Health Care And Nursing ServicesNHDurable Medical Equipment & Medical Supplies$0$2.3M
    Watterworth Orthodontics, PANHOrthodontics and Dentofacial Orthopedics Dentistry$0$2.3M
    Granite PathwaysNHCommunity/Behavioral Health Agency$0$2.1M

    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. New Hampshire Distribution
    Jason Szelog — 0 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Hampshire