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    OpenPayerNPI Medicare & MedicaidFrank Wyant
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    Frank Wyant — Billing Profile & Reimbursement Data

    NPI 1497740989 · Albuquerque, NM · Ophthalmology Physician

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    Frank Wyant is a ophthalmology physician provider located in Albuquerque, New Mexico. This profile covers 9 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
    OrganizationFrank Wyant
    Address806 Dr. Mlk Jr. Ave., Ne
    CityAlbuquerque
    StateNM
    ZIP87102
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 12, 2005

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

    Payer SourceTotal Paid
    Medicare$509.3K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 88.6% of this provider's total Medicare revenue, with J0178 alone generating $341K (67.1% of Medicare revenue). Such concentration indicates the practice derives the large majority of Medicare receipts from a very small set of drug-administration codes.

    Code mix and descriptions point to a retina-focused procedural practice. The top three codes are J0178 (aflibercept), J2777 (faricimab-svoa), and J2778 (ranibizumab) — all intravitreal injections — which, together with vitreous injection procedure 67028 ($29.6K, 5.8%), indicate routine, repeated anti-VEGF therapy and associated ocular injection procedures as the core service line.

    The revenue profile is driven by drug and procedure payments rather than evaluation-and-management visits: 99214 accounts for $11.6K (2.3%) and 99213 for $2.2K (0.4%) of Medicare revenue, while intravitreal drug codes dominate overall receipts. This suggests the practice’s financial model depends primarily on administered ophthalmic pharmaceuticals and injection procedures rather than office E/M volume.

    This provider is effectively single-payer from the claims we have: total Medicare revenue is $509.3K and there is no Medicaid billing on file. The absence of Medicaid activity implies the practice’s public-payer footprint is concentrated in Medicare.

    National competitive standing for the top drug codes is modest: J0178 ranks #1943 of 3204 providers (39th percentile) and is described as "typical, unremarkable volume," J2777 ranks #1920 of 2039 (6th percentile, "typical, unremarkable volume"), and J2778 ranks #1065 of 1208 (12th percentile, "typical, unremarkable volume"). These ranks indicate the provider is not a dominant national outlier on these injectables and generally reports volumes that peer comparisons label as typical or unremarkable.

    There is relatively stronger use of diagnostic retinal imaging compared with many peers: 92134 generated $5.8K (1.1% of Medicare revenue) and ranks #5856 of 26868 providers nationally (78th percentile, described as "typical, unremarkable volume"). This higher percentile suggests a comparatively greater reliance on retinal imaging in support of therapeutic injections.

    Secondary revenue lines are present but small: 67028 produced $29.6K (5.8%) with 394 claims, and J7999 (compounded drug, not otherwise classified) produced $7.9K (1.5%) with 131 claims. These entries show supplementary procedural and compounded-drug billing, but neither comes close to the revenue dominance of J0178 and the other top injectables.

    The provider has long tenure on file, with NPI enumeration on 2005-09-12 (~21 years ago), which aligns with an established ophthalmology practice profile that centers on repeated intravitreal treatments. Combined with the concentrated drug/procedure revenue mix, the tenure supports the interpretation of a stable, procedure-focused ophthalmology practice rather than a recently opened or rapidly evolving operation.

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg490$700$341K
    J2777Injection, faricimab‑svoa, 0.1 mg2,400$30$67.2K
    J2778Injection, ranibizumab, 0.1 mg230$180$42.1K
    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.390$80$29.6K
    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…150$80$11.6K
    J7999Compounded drug, not otherwise classified130$60$7.9K
    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.240$20$5.8K
    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…60$40$2.2K
    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…10$90$1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017811201,100$690$816.1K
    J2777142017,340$30$653.4K
    J27781110720$180$247.3K
    670281330390$90$71.6K
    J7999910320$60$18.6K
    992149282,70090$70$12.9K
    992131,2902,44060$50$7.3K
    921343516070$30$5.9K
    992041,1581,21030$100$4.5K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    John PitcherNMOphthalmology Physician$5.1M$0
    Mark ChiuNMOphthalmology Physician$3.8M$0
    Christopher RoybalNMOphthalmology Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Ashok ReddyNMOphthalmology Physician$3.2M$0
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0
    Kamalesh RamaiyaNMOphthalmology Physician$2.9M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricore Reference LaboratoriesNMClinical Medical Laboratory$0$64.8M
    Bright Horizons, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$46.9M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$45.2M
    Tricore Inc.NMClinical Medical Laboratory$7M$35.8M
    App Of New Mexico Ed PLLCNMEmergency Medicine Physician$0$42M
    Duke City Recovery Toolbox LLCNMCommunity/Behavioral Health Agency$108.4K$28M
    Metro Treatment Of New Mexico LPNMMethadone Clinic$220.4K$27.9M
    Enchanted Care Solutions, LLCNMHome Health Agency$0$25.8M
    Open Skies HealthcareNMCommunity/Behavioral Health Agency$0$23.8M
    Krossroads Integrative Health And Recovery Solutions IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M

    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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Frank Wyant — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico