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    OpenPayerNPI Medicare & MedicaidAlan Hromas
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    Alan Hromas — Billing Profile & Reimbursement Data

    NPI 1437475902 · Wichita, KS · Retina Specialist (Ophthalmology) Physician

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    Alan Hromas is a retina specialist (ophthalmology) physician provider located in Wichita, Kansas. This profile covers 18 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
    OrganizationAlan Hromas
    Address655 N Woodlawn
    CityWichita
    StateKS
    ZIP67208
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 8, 2010

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $2.1M and there is no Medicaid billing on file, so payer mix is single-payer in practice and financial exposure is concentrated in Medicare reimbursements. With an NPI enumerated on 2010-04-08 (~16 years ago), the provider has an established billing history to Medicare.

    Revenue is highly concentrated in intravitreal biologic injections: J2777 (faricimab) accounts for $974.4K (46.3% of Medicare revenue) and J0178 (aflibercept) accounts for $659.5K (31.3% of Medicare revenue); the precomputed top-3 codes together make up 84.2% of total Medicare revenue. This mix indicates the practice’s business model is primarily anti-VEGF pharmacologic retinal therapy rather than diversified outpatient procedures.

    Despite J2777 driving the largest share of dollars, its national standing is not dominant: J2777 ranks #243 of 2039 providers nationally (88th percentile; typical, unremarkable volume for this code), and J0178 ranks #1324 of 3204 (59th percentile; typical, unremarkable volume). These percentiles suggest the provider’s injection volumes are notable for revenue impact but not consistently market-leading relative to national retina peers.

    Imaging and diagnostic services are outsized relative to peers: 92134 has 2.6K claims and $69K revenue (3.3% of total Medicare revenue) and ranks #636 of 26868 providers nationally (98th percentile; extreme outlier). This extreme outlier status for retinal imaging implies a high-volume diagnostic workflow that likely supports frequent treatment decisions and follow-up for retinal disease.

    Office evaluation patterns show elevated established- and new-patient care: 92014 (established comprehensive exam) has 849 claims, $69.6K revenue (3.3%) and ranks in the 93rd percentile (notably above typical), while 99204 (new patient 45+ minutes) has 211 claims, $21.3K revenue (1.0%) and ranks in the 98th percentile (extreme outlier). Together these data indicate both substantial follow-up volume and unusually high new-patient consult intensity compared with national peers.

    The practice performs some surgical and procedural retina work but at modest scale: 67028 has 1.6K claims, $138.2K revenue (6.6%) and ranks #725 of 4255 (83rd percentile; typical), and vitrectomy-related codes 67036 and 67041 appear with small claim counts and routine national percentiles. These entries indicate the provider offers procedural retinal surgery in addition to injection therapy, but surgical revenue is a minority of Medicare dollars.

    Use of alternative biologics and bevacizumab is present but secondary: Q5128 (cimerli) contributes $62.4K (3.0%) and ranks in the 24th percentile, and J9035 (bevacizumab) contributes $44.4K (2.1%) and ranks in the 94th percentile. This pattern shows primary reliance on faricimab and aflibercept for high-dollar billing, with biosimilar and compounded agents used to a lesser extent and mixed national competitiveness across those products.

    Revenue concentration in a small set of high-cost drug administration codes (top 3 = 84.2% of Medicare revenue) creates sensitivity to utilization or reimbursement shifts for those agents; operationally, the practice appears optimized around frequent injections supported by high-volume retinal imaging and substantial established/new patient visit activity. Analysts should treat reimbursement or access changes to J2777 and J0178 as key risk factors for the provider’s Medicare revenue trajectory.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg33,600$30$974.4K
    J0178Injection, aflibercept, 1 mg960$690$659.5K
    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.1,570$90$138.2K
    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…850$80$69.6K
    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.2,550$30$69K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg290$220$62.4K
    J9035Injection, bevacizumab, 10 mg840$50$44.4K
    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…210$100$21.3K
    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.30$660$20.5K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…20$850$17K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017821301,770$690$1.3M
    J277753012,060$30$575.7K
    6702815401,170$90$111.4K
    Q5128210290$220$83.5K
    6703631020$930$21.4K
    6704141020$970$21.4K
    9201422530180$70$18.5K
    9223593060$90$12.3K
    J903521060$50$11.4K
    9201213424070$60$8.6K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Grene Vision Group LLCKSOphthalmology Physician$0$6.3M
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ascension Medical Group Via Christi, PAKSMulti-Specialty Clinic/Center$0$21.2M
    County Of SedgwickKSCase Manager/Care Coordinator$0$15.5M
    County Of SedgwickKSPsychiatry Physician$0$5.9M
    Great Plains Dental Group, LLCKSGeneral Practice Dentistry$0$5.8M
    Mental Health America Of South Central Kansas, Inc.KSCommunity/Behavioral Health Agency$0$5.7M
    Kidspace Pediatric Dentistry,p.aKSPediatric Dentistry$0$4.4M
    Cerebral Palsy Research Foundation Of Kansas, IncKSNon-emergency Medical Transport (VAN)$0$4.3M
    Nassim NabboutKSHematology & Oncology Physician$4.2M$0
    Phu TruongKSHematology & Oncology Physician$4.1M$0
    Grace Home Care, LLCKSHome Health Agency$0$4M

    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. Kansas Distribution
    Alan Hromas — 3 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas