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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAshvani Dass
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    Ashvani Dass — Billing Profile & Reimbursement Data

    NPI 1417985516 · Holt, MI · Retina Specialist (Ophthalmology) Physician

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    Ashvani Dass is a retina specialist (ophthalmology) physician provider located in Holt, Michigan. This profile covers 13 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
    OrganizationAshvani Dass
    Address2040 Aurelius Rd Ste 20
    CityHolt
    StateMI
    ZIP48842
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicare$1.6M
    Medicaid$0

    Key Findings

    This NPI is a retina specialist (Ophthalmology) with a clinical mix dominated by intravitreal biologic therapy and related retina management codes, indicating an operation focused on medical retina care rather than primary eye care or surgical retina. The top revenue drivers are anti-VEGF/anti‑angiogenic drug administrations and injection procedures, supported by high E/M and retinal imaging volumes that are consistent with ongoing chronic disease management (neovascular AMD/diabetic retinal disease).

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 82.2% of this provider's total Medicare revenue, with J0178 contributing 48.8%, J2778 contributing 21.2%, and J2777 contributing 12.1% of Medicare revenue. That level of concentration signals that a small set of drug administration codes—especially J0178—are the primary economic drivers of the practice.

    Payer mix is effectively single-payer Medicare: Total Medicare revenue is $1.6M and there is no Medicaid billing on file, so the provider’s public-payor exposure is concentrated entirely in Medicare. This makes the practice sensitive to Medicare policy, reimbursement updates, and utilization patterns for high-cost retinal injectables.

    Competitive standing on the highest-revenue drug codes is mixed: for J0178 the provider ranks #1126 of 3204 nationally (65th percentile; typical, unremarkable volume), for J2778 the provider ranks #232 of 1208 nationally (81th percentile; typical, unremarkable volume), and for J2777 the provider ranks #1307 of 2039 nationally (36th percentile; typical, unremarkable volume). These ranks indicate a modest-to-moderate national presence on these drugs but do not reflect a dominant market share for any single injectable.

    Certain non-drug service lines show distinctly high relative volumes: 99214 ranks #15075 of 479517 (97th percentile; notably above typical national volume) and 92134 ranks #1601 of 26868 (94th percentile; notably above typical national volume). The combination of elevated E/M and retinal imaging volumes suggests high patient follow-up throughput and consistent use of diagnostic OCT imaging to manage chronic retinal disease.

    Procedure-level billing supports an injection-centered workflow: 67028 (vitreous injection as an isolated procedure) appears with 940 claims and $92.1K revenue (5.7% of Medicare revenue), indicating many injections are billed as separate procedures in addition to drug administration codes. Lower-volume imaging and specialty ophthalmoscopy codes (92235, 92201, 92202) are present but contribute relatively small shares of revenue, consistent with a practice structured around frequent drug administration encounters.

    Tenure is long: the NPI was enumerated on 2006-06-28 (~20 years ago), indicating an established practice presence that may have long-standing referral relationships and a stable Medicare billing footprint. Long enumeration combined with the concentrated injectable revenue profile suggests an entrenched specialty service line rather than a new or transitioning practice.

    From a risk/opportunity perspective, reliance on a single high-revenue drug code (J0178 at 48.8% of Medicare revenue) creates sensitivity to changes in product utilization, reimbursement, or clinical practice patterns. Any shifts toward alternative therapeutics, changes in dosing frequency, or payer-level formulary adjustments impacting aflibercept could materially affect quarterly and annual Medicare revenue for this provider.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,160$690$793K
    J2778Injection, ranibizumab, 0.1 mg1,910$180$344.3K
    J2777Injection, faricimab‑svoa, 0.1 mg6,780$30$196.6K
    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.940$100$92.1K
    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…890$100$85.8K
    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…560$90$47.9K
    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.1,430$30$42.9K
    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…60$120$7.7K
    92235The 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…60$110$5.9K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…160$20$2.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017828110680$690$630.2K
    J277734607,200$30$321K
    J27781650730$180$240.5K
    6702837160440$90$57.6K
    92014841,080100$80$14.8K
    9921418315,47080$80$11.4K
    922353310040$100$7.8K
    921343982060$30$7.1K
    992041,0226,28030$110$4.2K
    9200457069030$90$4.2K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIHospitalist Physician$0$167.9M
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$165.3M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$162.4M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$84.8M
    Oakwood Ambulatory LLCMIInternal Medicine Physician$0$66.9M
    St Joseph Mercy HospitalMIGeneral Acute Care Hospital$0$65.2M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$61.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wellstreet Urgent Care Of MichiganMIUrgent Care Clinic/Center$0$37.5M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M

    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. Michigan Distribution
    Ashvani Dass — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan