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    OpenPayerNPI Medicare & MedicaidJuner Colina-biscotto
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    Juner Colina-biscotto — Billing Profile & Reimbursement Data

    NPI 1457510687 · Waterford, CT · Retina Specialist (Ophthalmology) Physician

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    Juner Colina-biscotto is a retina specialist (ophthalmology) physician provider located in Waterford, Connecticut. This profile covers 20 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
    OrganizationJuner Colina-biscotto
    Address174 Cross Rd
    CityWaterford
    StateCT
    ZIP06385
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 3, 2008

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

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Key Findings

    Practice profile and service mix: JUNER COLINA-BISCOTTO is a retina specialist whose Medicare billing profile is dominated by intravitreal drug injections and posterior-segment diagnostic imaging and procedures, reflecting a clinic workflow built around frequent in‑office injections and retinal imaging. The highest-revenue code is J0178 (aflibercept) with 3.1K claims and $2.2M revenue (58.9% of this provider's total Medicare revenue), and high-usage imaging codes such as 92134 (2.3K claims, $73.5K) appear alongside procedure code 67028 (2.2K claims, $221.3K), supporting a treatment + imaging care model.

    Revenue concentration and scale: This provider’s Medicare revenue totals $3.7M, and the top three Medicare codes account for 74.9% of that total, indicating heavy revenue concentration in a small set of drug administration codes. The extreme concentration around a few high-revenue injection codes suggests operational sensitivity to changes in drug utilization, reimbursement, or practice volume for those specific therapies.

    Dominant anti‑VEGF utilization: J0178 is a clear revenue driver at $691 avg paid/claim and $2.2M in revenue (58.9%), and the provider also bills J2778 (ranibizumab) for $265K (7.2%) and J2777 (faricimab) for $320.2K (8.7%), showing primary reliance on anti‑VEGF biologic therapy. J0178 ranks #164 of 3204 providers nationally (95th percentile), indicating this provider is a high-volume national participant for aflibercept administration.

    Adoption of biosimilars and miscoded biologics: The profile includes Q5128 (ranibizumab-eqrn biosimilar) with 296 claims and $63.9K (1.7%) and unclassified drug/biologic codes J3490 (104 claims, $182.2K; 5.0%) and J3590 (62 claims, $127.3K; 3.5%). These entries, together with elevated avg paid/claim values for J3490 ($1752) and J3590 ($2053), suggest occasional use of non‑specific billing lines or newer/alternative product entries alongside brand biologics.

    High relative imaging and office encounter activity: Several non-drug codes are billed at well-above-typical national volumes, including 92134 (2.3K claims, $73.5K) which is labeled an "extreme outlier" and ranks #791 of 26868 providers (97th percentile), 92012 (860 claims, $61.1K) at the 96th percentile, and 92250 (644 claims, $18K) at the 97th percentile. These high percentiles for imaging and intermediate E/M visits indicate a steady stream of follow-up and diagnostic work that complements the injection-centric services.

    Competitive standing by code: For procedural and imaging codes the provider is often notably above typical national volume—67028 ranks #279 of 4255 (93rd percentile) and 92012 ranks #674 of 17177 (96th percentile)—while for some drug codes the provider’s standing is more modest (J2777 ranks #942 of 2039, 54th percentile; Q5128 ranks #275 of 373, 26th percentile). Overall, the provider is a major national participant for certain high-revenue codes (notably J0178) and a typical or modest participant for several others.

    Payer mix and market exposure: The provider appears effectively single‑payer on file, with $3.7M in total Medicare revenue and no Medicaid billing on file; note explicitly that there is no Medicaid revenue recorded ("none below"). This concentrated payer footprint means business performance is closely tied to Medicare reimbursement and beneficiary volume rather than a dual Medicaid/Medicare mix.

    Tenure and practice stability: The NPI was enumerated on 2008-06-03 (~18 years ago), indicating a long-established Medicare billing history. That tenure, combined with concentrated high-volume billing patterns in a narrow set of retinal therapeutic codes, is consistent with an experienced specialty practice focused on ongoing intravitreal therapy and retinal diagnostics.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,120$690$2.2M
    J2777Injection, faricimab‑svoa, 0.1 mg11,040$30$320.2K
    J2778Injection, ranibizumab, 0.1 mg1,460$180$265K
    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.2,240$100$221.3K
    J3490Unclassified drugs100$1,750$182.2K
    J3590Unclassified biologics60$2,050$127.3K
    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.2,300$30$73.5K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg300$220$63.9K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…860$70$61.1K
    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…680$70$45.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178240830$690$713.1K
    J277713308,190$30$340.4K
    J359031050$2,090$127.3K
    J2778220410$180$117.8K
    Q5128310300$220$105.2K
    J349022050$1,380$76K
    67028250540$100$66.4K
    J7312310250$160$35.9K
    92014130580100$90$18.6K
    9201215300120$70$15.2K

    Showing 1–10 of 20

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Juner Colina-biscotto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Group Of New England PCCTRetina Specialist (Ophthalmology) Physician$0$8.6M
    Nauman ChaudhryCTRetina Specialist (Ophthalmology) Physician$5.1M$0
    Glenn GandelmanCTCardiovascular Disease Physician$1.7M$593.4K
    Thomas BerenbergCTRetina Specialist (Ophthalmology) Physician$1.5M$0
    Jaime StrachanCTVascular Surgery Physician$1.5M$0
    Stephanie SuginCTRetina Specialist (Ophthalmology) Physician$1.4M$0
    Robert SchoenCTRheumatology Physician$1.3M$0
    Jeffrey GreenCTCardiovascular Disease Physician$1M$0
    Robert WizniaCTOphthalmology Physician$228.5K$644.2K
    Marcus MayusCTInternal Medicine Physician$748.4K$0

    Nearby Providers

    Other providers in the same ZIP code as Juner Colina-biscotto, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Visiting Nurse Association Of Southeastern ConnecticutCTHome Health Agency$0$4.1M
    Constitution Surgery Center East LLCCTAmbulatory Surgical Clinic/Center$3M$272.2K
    Connections Counseling Center, LLCCTPsychiatry Physician$0$1.7M
    Waterford Ambulance Service, IncCTLand Ambulance$380.9K$1.1M
    Careco Medical, Inc.CTHome Health Agency$0$1.4M
    Waterford Public SchoolsCTLocal Education Agency (LEA)$0$1.2M
    Mallory DevonaCTCounselor$0$1.2M
    Brian MannCTOptometrist$8.6K$1.1M
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$200.7K$30.4K
    Anita HwangCTOphthalmology Physician$198.1K$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. Connecticut Distribution
    Juner Colina-biscotto — 7 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut