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    v1.0.28
    OpenPayerNPI Medicare & MedicaidJames Valice
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    James Valice — Billing Profile & Reimbursement Data

    NPI 1437144482 · Fraser, MI · Retina Specialist (Ophthalmology) Physician

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    James Valice is a retina specialist (ophthalmology) physician provider located in Fraser, Michigan. 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
    OrganizationJames Valice
    Address33080 Utica Rd Ste B
    CityFraser
    StateMI
    ZIP48026
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedSeptember 15, 2005

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    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 mg1,030$690$710.7K
    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.1,400$90$126.9K
    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…1,270$90$111.3K
    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…1,090$100$103.4K
    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.2,410$30$69.8K
    J3590Unclassified biologics850$70$57.6K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg230$160$36.2K
    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…30$920$25.6K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$700$15.5K
    J9035Injection, bevacizumab, 10 mg170$50$9.3K

    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
    J017835110680$690$630.2K
    6702822160440$90$57.6K
    J7312710230$150$36.1K
    J3590580140$80$19.6K
    6704223020$1,030$18.6K
    6703621020$910$16.4K
    9201471,080100$80$14.8K
    9921410015,47080$80$11.4K
    J9035113070$50$9.5K
    922352610040$100$7.8K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Anu PatelMIOphthalmology Physician$1M$0
    Arezo AmirikiaMIOphthalmology Physician$563.9K$0
    Brett MalbinMIOphthalmology Physician$477.6K$0
    Mahdi BashaMIOphthalmology Physician$463.7K$0
    Xihui LinMIOphthalmology Physician$376.6K$0
    Michael CluneMIOphthalmology Physician$364.7K$0
    Joshua AppleCOOphthalmology Physician$280.4K$0
    Snigdha SinghMIOphthalmology Physician$277.9K$0
    Neal KrasnickMIOphthalmology Physician$247.5K$0
    Daniel LinMIOphthalmology Physician$197.7K$1.2K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michigan Outpatient Surgery Center IncMIAmbulatory Surgical Clinic/Center$1.3M$676.4K
    Joseph TanMIOphthalmology Physician$1.1M$0
    John StaszelMIDiagnostic Radiology Physician$231.8K$0
    Lucas BonafedeMIOphthalmology Physician$186.5K$0
    Ryan JaberMIOphthalmology Physician$103.3K$0
    Rhett BrandenburgMIEmergency Medicine Physician$95.5K$0
    Alicia MooreMICertified Registered Nurse Anesthetist$6.3K$0

    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
    James Valice — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan