Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lisa Faia (NPI 1407832884)

Field	Value
Entity Type	Individual
Organization	Lisa Faia
Address	3555 W 13 Mile Rd
City	Royal Oak
State	MI
ZIP	48073
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 19, 2005

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is operating as a retina-focused ophthalmologist with procedure and drug administration as the core service line: the top three Medicare revenue drivers are J0178, J2778, and J2777 (intravitreal injections/anti-VEGF or related biologics) and the practice also bills significant retinal procedures such as 67028 and imaging codes 92134, 92250, and 92235, indicating a mix of repeated injection therapy plus diagnostic retinal imaging and follow-up office care. The code mix points to an outpatient retina clinic model centered on ongoing anti-VEGF and related biologic therapy rather than broad primary ophthalmology or surgical subspecialty services.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top-3 Medicare codes account for 78.8% of this provider's total Medicare revenue, with J0178 reported as $576.1K revenue (33.4% of this provider's total Medicare revenue), J2778 at $570.7K revenue (33.1%), and J2777 at $210.5K revenue (12.2%). This concentration signals that the practice’s financial performance is driven primarily by injectable biologic treatments.

The provider’s payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.7M and there is no Medicaid billing on file, so the practice should be viewed operationally and commercially as heavily Medicare-dependent for patient volume and cash flow. Absence of Medicaid activity means limited exposure to state Medicaid policy but greater sensitivity to Medicare reimbursement and Part B drug policy changes.

Competitive standing varies by code: the provider is a national high-volume reporter for J2778 (ranks #99 of 1208 providers nationally, 92th percentile — described in the source as typical, unremarkable volume for this code despite the high percentile) but is around the middle for J0178 (ranks #1447 of 3204, 55th percentile; typical) and lower for J2777 (ranks #1250 of 2039, 38th percentile; typical). This pattern suggests the practice has relatively strong utilization of ranibizumab (J2778) compared with national peers, while aflibercept and faricimab volumes are more modest.

Office evaluation-and-management activity is large relative to typical national volumes: 99214 appears with 1.4K claims and $130K revenue (7.5% of total Medicare revenue) and is labeled an "extreme outlier" in national rank (ranks #4989 of 479517 providers nationally, 99th percentile). High E/M volume alongside frequent injections implies substantial ongoing follow-up and chronic-care management of retinal disease rather than mainly episodic surgical visits.

Certain diagnostic imaging codes are reported well above typical peer volumes: 92250 is $20.5K revenue (1.2% of Medicare revenue) and ranks #543 of 25087 providers nationally (98th percentile; notably above typical national volume), while 92134 is $30K revenue (1.7%) and ranks #2168 of 26868 providers nationally (92th percentile; typical). These elevated imaging ranks are consistent with a retina practice that relies on serial imaging to manage chronic retinal conditions.

Procedure mix includes separate intravitreal procedure coding beyond drug J-codes: 67028 is $106.4K revenue (6.2% of Medicare revenue) and ranks #1285 of 4255 providers nationally (70th percentile; typical). The presence of both standalone injection procedure codes and high-volume drug administration codes reinforces that injections are billed both as medication and as separately reportable ophthalmic procedures in this practice.

The provider has long tenure in the NPI registry (NPI enumerated 2005-12-19 (~21 years ago)), which supports interpreting these patterns as established practice behavior rather than a short-lived billing anomaly; the combination of long tenure, concentrated anti-VEGF revenue, and high E/M volume suggests a stable retina clinic focused on chronic intravitreal therapy and monitoring.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	860	$670	$576.1K
J2778	Injection, ranibizumab, 0.1 mg	3,190	$180	$570.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,260	$30	$210.5K
99214	The 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…	1,350	$100	$130K
67028	The 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.	1,090	$100	$106.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	220	$140	$30.3K
92134	The 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.	1,000	$30	$30K
92250	Code 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,…	730	$30	$20.5K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	160	$110	$17.6K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	80	$160	$13K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Lisa Faia — 5 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	46	110	680	$690	$630.2K
J2777	30	60	7,200	$30	$321K
J2778	4	50	730	$180	$240.5K
67028	32	160	440	$90	$57.6K
92014	674	1,080	100	$80	$14.8K
99214	54	15,470	80	$80	$11.4K
92235	14	100	40	$100	$7.8K
92134	68	820	60	$30	$7.1K
99215	132	4,420	30	$110	$6K
99205	61	1,680	20	$150	$4.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$84.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
St Joseph Mercy Hospital	MI	General Acute Care Hospital	$0	$65.2M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$61.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstreet Urgent Care Of Michigan	MI	Urgent Care Clinic/Center	$0	$37.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Judson Center, Inc.	MI	Community/Behavioral Health Agency	$0	$21.2M
Associated Retinal Consultants, PC	MI	Ophthalmology Physician	$0	$21.1M
Allergy & Asthma Associates Of Mi PC	MI	Allergy & Immunology Physician	$0	$15.9M
Community Homes, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Sandeep Randhawa	MI	Retina Specialist (Ophthalmology) Physician	$7M	$0
American Anesthesiology Of Michigan PC	MI	Anesthesiology Physician	$0	$5.7M
Joshua Robinson	MI	Ophthalmology Physician	$3.7M	$0
Jeremy Wolfe	MI	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Tamer Mahmoud	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
George Williams	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0

Lisa Faia — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References