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    OpenPayerNPI Medicare & MedicaidDavid Baranano
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    David Baranano — Billing Profile & Reimbursement Data

    NPI 1407992050 · Baltimore, MD · Ophthalmology Physician

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    David Baranano is a ophthalmology physician provider located in Baltimore, Maryland. 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
    OrganizationDavid Baranano
    Address6569 N Charles St Ste 605
    CityBaltimore
    StateMD
    ZIP21204
    TaxonomyOphthalmology Physician
    NPI EnumeratedJanuary 30, 2007

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

    Payer SourceTotal Paid
    Medicare$4.2M
    Medicaid$0

    Key Findings

    DAVID BARANANO (Ophthalmology Physician) is a long‑tenured NPI registrant (2007-01-30; ~19 years ago) with Total Medicare revenue: $4.2M and no Medicaid billing on file. The absence of any Medicaid billing makes this effectively a single‑payer (Medicare) Medicare-funded practice at the dataset level, which concentrates revenue and contracting exposure on Medicare reimbursement patterns rather than a mixed Medicaid/Medicare payer strategy.

    Revenue is highly concentrated in a small number of Medicare codes: the precomputed top 3 Medicare codes by revenue account for 85.2% of this provider's total Medicare revenue. Those top three — J0178 ($2.4M, 56.2%), J2777 ($1M, 23.8%), and 67028 ($218K, 5.2%) — dominate the income profile and indicate a narrow revenue base centered on intravitreal drug therapy and the separate intravitreal injection procedure.

    The code mix and volumes point to a retina‑focused, injection‑centric practice model. High revenue and claim counts for J0178 and J2777 plus a substantial count for J2778 and small use of J9035 indicate routine administration of anti‑VEGF and related intravitreal biologics, while heavy use of 67028 reflects many isolated intravitreal injection encounters.

    Competitive standing for retinal injections is above typical national activity in multiple measures: J0178 ranks #117 of 3204 providers nationally (96th percentile; notably above typical national volume for this code) and 67028 ranks #304 of 4255 (93th percentile; notably above typical national volume for this code), signaling that this provider is a high‑volume national performer for aflibercept and intravitreal injections. By contrast, J2777 ranks #227 of 2039 (89th percentile; typical, unremarkable volume for this code), indicating strong but less exceptional faricimab activity relative to peers.

    Ambulatory imaging and follow‑up visit codes are disproportionately frequent relative to national peers, supporting a high‑throughput injection workflow. 92134 (3.7K claims, $117.2K revenue, 2.8%) ranks #190 of 26868 providers nationally (99th percentile; extreme outlier) and 92014 (1.5K claims, $139.4K revenue, 3.3%) ranks #620 of 35415 providers nationally (98th percentile; extreme outlier), which together imply routine, repeated OCT monitoring and frequent established patient visits consistent with ongoing anti‑VEGF treatment paradigms.

    There is measurable surgical retinal activity alongside the procedural/injection practice. Codes such as 67042 ($21.7K revenue, 23 claims) rank #434 of 1087 providers (57th percentile; typical) and 67108 ($16.8K revenue, 17 claims) ranks #309 of 706 providers (52th percentile; typical), indicating the provider performs some vitreoretinal surgeries but at mid‑range volumes relative to surgical retina specialists.

    Evaluation/management coding shows above‑typical outpatient visit volumes for an ophthalmology specialty practice. Codes like 99213 (969 claims, $69.8K revenue) rank #6929 of 457151 providers nationally (98th percentile; extreme outlier) and 99204 (337 claims, $42.8K revenue) ranks #867 of 227068 providers nationally (100th percentile; extreme outlier), suggesting the practice combines high injection throughput with substantial face‑to‑face E/M encounters for new and established patients.

    Implications for network and payer strategy: because Total Medicare revenue: $4.2M is the sole reported public payer revenue stream and because the business is concentrated in a small set of high‑percentile retinal/injection codes, the provider is operationally vulnerable to changes in Medicare drug reimbursement, coverage policies, or shifts in utilization patterns. Payer negotiations, utilization management, or population shifts that affect anti‑VEGF use would likely materially affect this provider's revenue given the 85.2% concentration in the top three codes.

    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 mg3,420$690$2.4M
    J2777Injection, faricimab‑svoa, 0.1 mg34,500$30$1M
    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.2,180$100$218K
    J2778Injection, ranibizumab, 0.1 mg780$180$142K
    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…1,500$90$139.4K
    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.3,660$30$117.2K
    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…970$70$69.8K
    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…340$130$42.8K
    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…350$90$32.8K
    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$940$21.7K

    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
    J01786100950$690$887.3K
    J27779708,520$30$487.3K
    J27782150650$180$207.8K
    6702814120700$100$101.5K
    9201445620210$90$44K
    67042113020$1,060$25.4K
    992142,62710,270150$90$24.1K
    6703672020$960$22K
    92235439070$110$19.5K
    9213414490110$30$17.3K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Raymond SjaardaMDOphthalmology Physician$4.2M$0
    John ThompsonMDOphthalmology Physician$3.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baltimore County Public SchoolsMDLocal Education Agency (LEA)$0$102.7M
    Gilchrist Hospice Care Inc.MDInpatient Hospice$0$60.7M
    Sheppard Pratt Physicians, P.A.MDPsychiatry Physician$0$17.3M
    Greater Baltimore Medical Center, Inc.MDGeneral Practice Physician$0$9.4M
    Mei TangMDMedical Oncology Physician$6.9M$0
    Patient First Maryland Medical Group PLLCMDFamily Medicine Physician$0$6.8M
    University Of Maryland St. Joseph Medical Group, LLCMDGeneral Practice Physician$0$6.2M
    Sheppard Pratt Physicians PAMDMental Health Counselor$0$5.7M
    Baltimore County Deparment Of HealthMDPublic Health or Welfare Agency$0$5.2M
    Dulaney Eye Institute, LLCMDAmbulatory Surgical Clinic/Center$3.1M$503.5K

    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. Maryland Distribution
    David Baranano — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maryland