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 Georgia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Georgia 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. Georgia (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.

Lakshmana Kooragayala (NPI 1497757496)

Field	Value
Entity Type	Individual
Organization	Lakshmana Kooragayala
Address	895 Canton Rd Ne
City	Marietta
State	GA
ZIP	30060
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 10, 2005

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider is effectively a single-payer Medicare practice: total Medicare revenue is $1.8M and there is no Medicaid billing on file, so operations and revenue are concentrated almost entirely in the Medicare population. That concentration creates exposure to Medicare policy and payment changes because there is no offsetting Medicaid volume.

Revenue is highly concentrated in a small set of drugs: the precomputed top 3 Medicare codes account for 72.5% of this provider's total Medicare revenue, with J0178 alone contributing $986.5K (53.5% of this provider's total Medicare revenue). Dependence on a handful of high-revenue codes suggests the practice derives most of its income from a narrow set of services.

The code mix points to a retina-focused ophthalmology practice centered on intravitreal biologic injections and monitoring: the top revenue drivers are J0178, J2777, and J0179 (all intravitreal drug codes), supported by substantial retinal imaging activity captured under 92134. Together these codes indicate the clinic primarily delivers injection-based therapies and frequent retinal diagnostics rather than broad multispecialty ophthalmology.

On competitive standing for drug/injection services the provider appears to be a modest but meaningful participant nationally: J0178 ranks #868 of 3204 nationally (73th percentile; typical, unremarkable volume for this code), J2777 ranks #1139 of 2039 (44th percentile; typical, unremarkable volume for this code), and J0179 ranks #27 of 64 (57th percentile; typical, unremarkable volume for this code). These ranks indicate solid activity in aflibercept and presence in newer biologic categories, but not market leadership at a national level.

Imaging and monitoring volume is an outlier in the dataset: 92134 shows 1.8K claims for $51.8K (2.8% of this provider's total Medicare revenue) and ranks #1238 of 26868 providers nationally (95th percentile; notably above typical national volume). The high percentile for retinal imaging supports the interpretation of intensive monitoring and follow-up consistent with a high-volume injection practice.

A small number of high–paid, unclassified drug entries materially contribute to revenue: J3590 has 44 claims with $93.3K revenue (5.1% of total) at an average of $2120 paid/claim, and J3490 has 30 claims with $52.5K revenue (2.8% of total) at an average of $1749 paid/claim. These items indicate occasional use of unclassified biologics or miscellaneous drug billing that generate outsized revenue per claim despite low claim counts, and they merit attention when reviewing case-mix and coding patterns.

The provider has long tenure in enrolled Medicare: NPI was enumerated 2005-08-10 (~21 years ago), indicating an established practice. Combined with the concentrated, injection-centric revenue mix, this tenure is consistent with a mature ophthalmology practice specializing in medical retina and intravitreal therapies rather than a new entrant or general ophthalmology clinic.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,440	$690	$986.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,400	$30	$243.6K
J0179	Injection, brolucizumab-dbll, 1 mg	440	$240	$105.6K
J3590	Unclassified biologics	40	$2,120	$93.3K
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.	990	$90	$89.9K
J2778	Injection, ranibizumab, 0.1 mg	470	$180	$83.6K
J3490	Unclassified drugs	30	$1,750	$52.5K
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.	1,790	$30	$51.8K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	360	$120	$43.2K
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…	400	$90	$35.1K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Lakshmana Kooragayala — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	70	970	$680	$700.6K
J2777	32	40	14,100	$30	$524.3K
J2778	20	30	1,170	$180	$286.2K
J0179	1	10	440	$240	$105.7K
J3590	2	10	40	$2,120	$78.4K
67028	32	80	720	$90	$71.9K
J2781	4	10	320	$120	$43.6K
67108	11	10	10	$1,260	$25.2K
J3490	40	50	50	$320	$19.8K
92014	178	850	130	$80	$19.7K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Marietta Eye Clinic, PA	GA	Ophthalmologic Surgery Clinic/Center	$2.5M	$0
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Bilal Yousufzai	DC	Ophthalmology Physician	$1.6M	$0
Jared Cox	GA	Optometrist	$23.3K	$525.1K
Justin Wilkin	GA	Ophthalmology Physician	$354.5K	$0
Puneet Panda	GA	Ophthalmology Physician	$257.2K	$0
Andre Cohen	GA	Ophthalmology Physician	$239.2K	$0
Byron Long	GA	Ophthalmology Physician	$208.2K	$0
Charles Ho	GA	Ophthalmology Physician	$186.3K	$0
Denise Johnson	GA	Ophthalmology Physician	$165.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quantum Radiology, PC	GA	Diagnostic Radiology Physician	$0	$4.3M
Robert Stoltz	GA	Specialist	$2.6M	$0
Weijian Zhu	GA	Anatomic Pathology & Clinical Pathology Physician	$2.6M	$4.7K
Jeffrey Winter	GA	Vascular Surgery Physician	$2.4M	$0
Kennestone Hospital, Inc.	GA	General Acute Care Hospital	$0	$1.9M
Kevin Thomas	GA	Dermatopathology (Pathology) Physician	$1.6M	$0
Mark Chastain	GA	Dermatology Physician	$1.6M	$0
Marietta Advanced Surgery Center	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Mohammed Abubaker	GA	Rheumatology Physician	$1.2M	$0
Jared Friedman	GA	MOHS-Micrographic Surgery Physician	$1.2M	$0

Lakshmana Kooragayala — Billing Profile & Reimbursement Data

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Lakshmana Kooragayala — 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