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NPI 1508009754 · Louisville, KY · Ophthalmology Physician
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Victor Neamtu is a ophthalmology physician provider located in Louisville, Kentucky. This profile covers 10 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Victor Neamtu |
| Address | 3810 Springhurst Blvd Ste 100 |
| City | Louisville |
| State | KY |
| ZIP | 40241 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | April 16, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.5M |
| Medicaid | $980 |
VICTOR NEAMTU’s billings are concentrated in medical retina and related diagnostic services, consistent with an ophthalmology practice that delivers frequent intravitreal therapies and retinal imaging. Notable Medicare drivers are J0178 (1.1K claims, $691 avg paid/claim, $772.5K revenue; 50.7% of Medicare revenue), J2777 (12.5K claims, $29 avg paid/claim, $362.1K revenue; 23.8%), and 92014 (1.9K claims, $84 avg paid/claim, $162.4K revenue; 10.7%). The presence of procedure code 67028 (1.3K claims, $85 avg paid/claim, $106.4K revenue) and imaging code 92134 (2.1K claims, $27 avg paid/claim, $57.7K revenue) further supports a high-volume, injection-and-imaging–focused clinical operation.
Revenue concentration is high on Medicare: the precomputed top 3 Medicare codes account for 85.1% of this provider’s total Medicare revenue, indicating dependence on a small set of services for the majority of income. For Medicaid the top codes are reported to account for 100.0% of Medicaid revenue, driven entirely by a single code (92134), which signals minimal Medicaid diversification and a concentrated payer-service exposure.
Payer mix is effectively Medicare-dominant: lifetime Medicare revenue is $1.5M versus lifetime Medicaid revenue of $978, so Medicaid represents a vanishingly small share of billed revenue. Operational and reimbursement risk is therefore tightly linked to Medicare policy and reimbursement for intravitreal injections, comprehensive ophthalmologic exams, and retinal imaging.
Competitive standing is mixed across service lines. The provider is an extreme outlier on 92014 (rank #281 of 35415, 99th percentile) with far above typical national volume for comprehensive established-patient exams, and is notably above typical national volume for 92134 on Medicare (rank #911 of 26868, 97th percentile), suggesting a strong market position for retinal imaging and follow-up examinations nationally.
For intravitreal drug administration the provider’s national placement is more modest: J0178 sits at rank #1167 of 3204 (64th percentile) and J2777 at rank #843 of 2039 (59th percentile), both described as typical, unremarkable volumes. This pattern indicates the practice is an active but not dominant national player in aflibercept and faricimab administration, relying on consistent procedural throughput rather than uniquely high drug volume.
Medicaid activity is negligible in scale and not competitive statewide: the single Medicaid code 92134 shows 57 claims, $17 avg paid/claim, and $969 revenue, reported as 100.0% of the provider’s Medicaid revenue and ranked #52 of 74 in-state (30th percentile). This places the provider in the lower half of in-state peers for Medicaid retinal imaging, underscoring a limited role in the state Medicaid market.
Tenure and practice stability are evident: the NPI was enumerated on 2009-04-16 (~17 years ago), which together with the high volumes of established-patient exams and repeated injection procedures suggests an established patient base and a steady, procedure-oriented practice model. The longevity combined with concentrated Medicare revenue highlights dependence on maintaining referral and follow-up patterns in the Medicare population.
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
10 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,120 | $690 | $772.5K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 12,490 | $30 | $362.1K |
| 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… | 1,930 | $80 | $162.4K |
| 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. | 1,250 | $90 | $106.4K |
| 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. | 2,140 | $30 | $57.7K |
| J3590 | Unclassified biologics | 580 | $70 | $42.4K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 160 | $100 | $15.9K |
| 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,… | 60 | $20 | $1.4K |
| 92012 | For 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… | 20 | $60 | $1.3K |
| 99213 | The 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… | 20 | $60 | $1.2K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 60 | $20 | $970 |
How this provider's Medicaid billing volume and revenue compare to other Kentucky providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Kentucky median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 52 | 70 | 210 | $20 | $29.2K |
Other providers in the same ZIP code as Victor Neamtu, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Community Medical Associates, Inc. | KY | Internal Medicine Physician | $0 | $135.1M |
| Norton Childrens Medical Group, LLC | KY | Pediatrics Physician | $0 | $107.3M |
| Community Medical Associates, Inc. | KY | Multi-Specialty Clinic/Center | $0 | $49M |
| Motc - Louisville LLC | KY | Prosthetic/Orthotic Supplier | $0 | $5.4M |
| Gml Pain Md Psc | KY | Durable Medical Equipment & Medical Supplies | $0 | $3.9M |
| Aspire Case Management LLC | KY | Case Management Agency | $0 | $3.2M |
| Michael Mccall | KY | Dermatology Physician | $938.6K | $0 |
| Timothy Brown | KY | Dermatology Physician | $874.6K | $0 |
| Robin Curry | KY | Sports Medicine (Family Medicine) Physician | $628.2K | $0 |
| Diley Perez Garcia | KY | Ophthalmology Physician | $608.4K | $7.6K |
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