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    OpenPayerNPI Medicare & MedicaidMichelle Liang
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    Michelle Liang — Billing Profile & Reimbursement Data

    NPI 1437483310 · Boston, MA · Ophthalmology Physician

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    Michelle Liang is a ophthalmology physician provider located in Boston, Massachusetts. This profile covers 11 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
    OrganizationMichelle Liang
    Address800 Washington St
    CityBoston
    StateMA
    ZIP02111
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 25, 2009

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

    Payer SourceTotal Paid
    Medicare$2.1M
    Medicaid$0

    Key Findings

    This provider reports Total Medicare revenue of $2.1M and has no Medicaid billing on file, making their active payer footprint effectively single‑payer (Medicare) in the available claims data. The absence of Medicaid activity means analyses of Medicaid payer mix or in‑state competitive positioning are not possible for this NPI.

    Revenue is highly concentrated in three procedure/product codes: J0178 accounts for $1M (49.2%), J2777 accounts for $684.1K (33.1%), and 67028 accounts for $134.2K (6.5%); the three precomputed top codes together represent 88.7% of this provider's total Medicare revenue. This concentration indicates the practice’s Medicare economics are predominantly driven by a small set of high‑revenue retinal injection services and related procedures.

    The CPT/HCPCS mix and top codes indicate a retina-focused ophthalmology practice with heavy reliance on intravitreal injections and associated procedures: J0178 (aflibercept) and J2777 (faricimab) together compose the majority of revenue, while 67028 documents injections into the vitreous chamber as a common procedural billing. These code selections align with an operational model centered on repeated, high-volume anti‑VEGF pharmacologic therapy and procedure‑based care rather than primary reliance on office E/M revenue.

    Competitive standing for the top drug/procedure codes is mixed: J0178 ranks #832 of 3204 providers (74th percentile; typical, unremarkable volume) and J2777 ranks #425 of 2039 providers (79th percentile; typical, unremarkable volume), indicating the provider is a modest but not dominant national participant for intravitreal drug administration. By contrast, procedural and imaging volumes show stronger relative concentration: 67028 ranks #901 of 4255 (79th percentile; typical) for injections, while 92134 retinal imaging ranks #641 of 26868 (98th percentile; extreme outlier), signaling unusually high use of retina imaging compared with national peers.

    Clinical visit (E/M) billing is a small share of revenue and activity: 99213 generated $20.2K (1.0% of Medicare revenue) across 316 claims and ranks #55599 of 457151 (88th percentile; typical), while 99214 produced $9.9K (0.5%) and ranks at the 50th percentile. This suggests patient encounters are more procedure‑ and treatment‑driven than office‑visit driven, with follow‑up/injection encounters likely accounting for the majority of face‑to‑face care.

    Diagnostic and comprehensive exam activity is relatively high for an ophthalmology procedural practice: 92014 contributed $111.4K (5.4%) and ranks #1009 of 35415 (97th percentile; notably above typical national volume), and 92134 contributed $78.9K (3.8%) with an extreme outlier ranking. Together these findings imply the provider combines frequent high‑intensity retinal imaging and comprehensive exams with procedure‑dominant revenue, supporting a model that pairs diagnostics with repeated therapeutic injections.

    Tenure data show the NPI was enumerated on 2009-09-25 (~17 years ago), indicating an established billing presence in Medicare that likely reflects stable referral patterns and sustained clinical operations over time. Longevity paired with concentrated injection/imaging revenue suggests an entrenched subspecialty practice rather than a new or sporadic billing pattern.

    Given that the top three Medicare codes make up 88.7% of Medicare revenue, the provider’s financial performance is materially sensitive to utilization or payment changes for intravitreal injections and related retinal procedures and drugs. Analysts assessing risk or contracting strategy should prioritize J0178 and J2777 utilization trends, reimbursement constraints, and peer benchmarks because shifts in those code volumes or pricing would disproportionately affect the provider’s overall Medicare revenue.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,490$680$1M
    J2777Injection, faricimab‑svoa, 0.1 mg23,590$30$684.1K
    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$100$134.2K
    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…1,240$90$111.4K
    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.2,550$30$78.9K
    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…320$60$20.2K
    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…110$90$9.9K
    J9035Injection, bevacizumab, 10 mg140$50$7.7K
    92250Code 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,…100$30$2.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$110$1.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782190790$690$826.5K
    J27776507,080$30$343.1K
    6702826120570$100$80.7K
    92014481,070160$90$30.1K
    J90354780250$50$19.7K
    992147,59515,410110$80$15.6K
    921342367070$30$10.6K
    992131,58713,70070$60$8.8K
    9200477889040$100$6.3K
    9208364467060$40$5.1K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tufts Medical Center, Inc.MAGeneral Acute Care Hospital$0$164.6M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Sean GarrityAZOphthalmology Physician$3.4M$0
    Adam ChinMAOphthalmology Physician$3.4M$870

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Boston Senior Home CareMACase Management Agency$0$118.8M
    Boston Senior Home CareMACase Management Agency$0$38.9M
    South Cove Community Health Center, Inc.MAFederally Qualified Health Center (FQHC)$0$20.5M
    Trustees Of Tufts CollegeMADental Clinic/Center$0$18.2M
    Pratt Pediatric Associates IncMAPediatrics Physician$0$7.7M
    Boston Center For Independent Living, Inc.MAPersonal Care Attendant$0$7.2M
    Tufts Medical Center Ep LLCMAEmergency Medicine Physician$0$6.6M
    Minping LiuMAInternal Medicine Physician$14.7K$6.6M
    Andre WitkinMARetina Specialist (Ophthalmology) Physician$2.9M$0
    Pet-ct Services By Tufts Medical Center And Shields LLCMAMobile Radiology Clinic/Center$779.1K$1.2M

    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. Massachusetts Distribution
    Michelle Liang — 2 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts