Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Virginia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Virginia only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Virginia (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Juan Astruc (NPI 1477515237)

Field	Value
Entity Type	Individual
Organization	Juan Astruc
Address	8720 Stony Point Pkwy Ste 105
City	Richmond
State	VA
ZIP	23235
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 5, 2006

Payer Source	Total Paid
Medicare	$4.7M
Medicaid	$0

Key Findings

Practice and service-line profile: The provider’s Medicare code mix is dominated by intravitreal injection and retinal imaging services, indicating a procedural ophthalmology practice focused on medical retina care (anti-VEGF and implant therapy) rather than primary care eye exams. High-volume drug administration codes such as J0178, J2777 and J7312 appear alongside retinal imaging and diagnostic codes 92134 and 92250, consistent with a practice that delivers repeated in-office injections and follows outcomes with imaging.

Revenue concentration: Medicare revenue is highly concentrated in a very small set of codes — the precomputed top 3 Medicare codes account for 90.4% of the provider’s total Medicare revenue. This indicates that the business is overwhelmingly dependent on a few high-value procedures and drug administrations rather than a broad mix of office visit or surgical codes.

Payer mix: This provider is effectively single-payer with respect to government programs: lifetime Medicare revenue is $4.7M while there is no Medicaid billing on file. Analysts should treat the provider as Medicare-dependent for public-payer volume and reimbursement benchmarking because Medicaid contributes no reported revenue.

Dominant national presence for key drug: J0178 (aflibercept) generates $3.8M and represents 80.3% of the provider’s Medicare revenue; the provider ranks #21 of 3204 nationally and is described as a 99th-percentile extreme outlier. This places the clinician among a very small number of providers with exceptionally high aflibercept volume, signaling regional referral concentration or a specialized injection practice.

Elevated volumes across retinal diagnostics and adjunctive injections: Several additional codes show notably high national standing — 92134 (retinal imaging) ranks in the 99th percentile and 92250 (fundus photography) ranks in the 99th percentile, while 67028 and J7312 are described as notably above typical national volume. Together these patterns suggest coordinated imaging and injection workflows and a practice that manages high caseloads of retinal disease.

Mixed standing on other medical/office E/M and surgical codes: The provider reports notable volumes for higher-level new-patient E/M code 99204 (99th percentile, extreme outlier) while common established E/M codes like 99213 and 99214 are at or below typical national volume. Surgical retina codes (e.g., 67042, 67108) appear but at modest claim counts and typical national ranks, implying the practice focuses more on medical retina injections than frequent vitreoretinal surgery.

Tenure and market experience: The NPI was enumerated around 2006-04-05 (~20 years ago), indicating long-term presence in the market and likely established referral relationships that could explain sustained high procedural volumes for retina treatments and imaging.

Risk and operational implications for payers: Given the extreme concentration in high-cost drug administration (J0178) and very high utilization of retinal imaging services, payers should expect most Medicare spend for this provider to be driven by repeated in-office injections and associated diagnostics. Network contracting and utilization management strategies should therefore focus on drug-use pathways, injection protocols, and imaging appropriateness guidelines.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	5,440	$690	$3.8M
67028	The 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.	2,600	$90	$241.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,980	$30	$231.4K
92014	An 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	$80	$104.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	550	$160	$87.4K
92134	The 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.	3,020	$30	$84.6K
J2778	Injection, ranibizumab, 0.1 mg	270	$180	$48K
99204	The 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…	310	$120	$36.2K
92250	Code 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,…	1,200	$30	$31.1K
J9035	Injection, bevacizumab, 10 mg	280	$50	$15K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Juan Astruc — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	80	1,400	$690	$1.1M
J2777	39	60	13,200	$30	$517.1K
J2778	34	40	560	$180	$171.5K
67028	6	90	1,000	$90	$107.1K
J7312	2	20	240	$160	$42.5K
67042	15	20	20	$1,130	$33.8K
92014	65	870	170	$80	$32.8K
67108	19	20	20	$1,180	$23.5K
99214	7,742	12,890	140	$80	$21K
J9035	20	60	170	$50	$19.9K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Eye Consultants Inc	VA	Ophthalmology Physician	$0	$8.3M
John O'keefe	VA	Ophthalmology Physician	$4.8M	$0
Rohit Adyanthaya	VA	Ophthalmology Physician	$4.1M	$0
Bryan Schwent	VA	Ophthalmology Physician	$3.7M	$0
Thomas Jenkins	VA	Ophthalmology Physician	$2.8M	$0
David Salib	VA	Ophthalmology Physician	$2.5M	$0
Evan Berger	VA	Retina Specialist (Ophthalmology) Physician	$2M	$0
Ali Tabassian	VA	Ophthalmology Physician	$1.7M	$0
Kori Elkins	VA	Retina Specialist (Ophthalmology) Physician	$1.7M	$670
Andrew Michael	VA	Ophthalmology Physician	$760.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse Behavioral Health Center, LLC	VA	Community/Behavioral Health Agency	$0	$16.5M
Radiology Associates Of Richmond Inc	VA	Diagnostic Radiology Physician	$0	$14.2M
Hobby Home Care, LLC	VA	Home Health Agency	$0	$12M
The Pediatric Connection, Inc	VA	Nursing Care Agency	$0	$11.7M
Caremed, Inc	VA	Home Health Agency	$0	$10.7M
Care Advantage, Inc	VA	Home Health Agency	$0	$10.7M
Family Guidance Of Virginia	VA	Community/Behavioral Health Agency	$0	$9.6M
Daily Grace, LLC	VA	Community/Behavioral Health Agency	$0	$9.1M
Trinity Care LLC	VA	Community/Behavioral Health Agency	$0	$7.8M
Stony Point Surgery Center, L.L.C	VA	Ambulatory Surgical Clinic/Center	$4.9M	$1.4M

Juan Astruc — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References