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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Omar Punjabi (NPI 1508022286)

Field	Value
Entity Type	Individual
Organization	Omar Punjabi
Address	6035 Fairview Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 1, 2008

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

OMAR PUNJABI is an ophthalmology physician in CHARLOTTE, NC with an NPI enumerated 2008-08-01 (~18 years ago). Lifetime Medicare revenue on file is $2.3M while Medicaid billing is none, making this effectively a Medicare-only billing profile in our dataset.

Revenue is highly concentrated: the top 3 Medicare codes (J0178, 99214, 67028) account for 91.6% of this provider's total Medicare revenue. J0178 alone represents 72.1% of Medicare revenue, while 99214 and 67028 represent 12.6% and 6.8% respectively, indicating a small number of services drive nearly all reported Medicare income.

The code mix—dominant revenue from J0178 (aflibercept injection) with substantial claim counts for intravitreal procedure 67028 and high-volume office visits 99214—points to a medical-retina–oriented practice model focused on intravitreal anti-VEGF therapy and frequent follow-up visits. High utilization of retinal imaging 92134 (3.2K claims) further supports an office workflow built around diagnosis, imaging, and repeated in-office injections.

Despite J0178 producing the largest share of revenue (2.4K claims and 72.1% of Medicare revenue), the provider's national rank for J0178 is #361 of 3204 (89th percentile) and is described as typical, unremarkable volume for this code; similarly 67028 ranks #577 of 4255 (86th percentile) and is also typical, unremarkable volume. Those ranks suggest the practice earns most of its revenue from a widely used, high-dollar service without being an extreme national outlier for aflibercept or intravitreal injection volume.

99214 and 92134 are statistical outliers for this provider: 99214 ranks #217 of 479517 (100th percentile; extreme outlier, far above typical national volume) and 92134 ranks #319 of 26868 (99th percentile; extreme outlier, far above typical national volume). This indicates unusually high visit and OCT imaging throughput versus national peers, suggesting a very high patient volume or follow-up cadence in outpatient evaluation and management and retinal imaging.

The absence of any Medicaid billing on file (none) means payer mix is essentially single-payer Medicare at scale; this limits exposure to Medicaid populations and creates dependence on Medicare policy and reimbursement for practice economics. For contracting and network strategy, the practice should be approached as a Medicare-centric retina clinic rather than a dual-payer ambulatory provider.

Concentration risk is material given J0178 accounts for 72.1% of Medicare revenue and the top three codes account for 91.6% of revenue; changes to reimbursement, drug utilization patterns, or shifts from aflibercept to alternate agents could meaningfully affect overall revenue. Offsetting this, very high volumes of 99214 visits and 92134 imaging suggest stable downstream visit and diagnostic activity that could sustain patient flow even if drug mix shifts.

Overall scale and tenure are consistent with an established mid-sized Medicare-focused ophthalmology practice: $2.3M lifetime Medicare revenue and an NPI active since 2008-08-01 (~18 years) indicate sustained Medicare billing over time, but the complete lack of Medicaid claims implies limited engagement with Medicaid populations or settings that serve safety-net patients.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,380	$690	$1.6M
99214	The 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…	3,120	$90	$286.8K
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.	1,720	$90	$155K
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.	3,230	$30	$93.6K
J9035	Injection, bevacizumab, 10 mg	820	$50	$42.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	140	$100	$14.2K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$890	$12.5K
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…	90	$110	$10.1K
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…	70	$70	$4.9K
67145	The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…	20	$190	$4.3K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Omar Punjabi — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	100	950	$690	$881K
67028	21	120	780	$90	$80K
67108	10	20	10	$960	$15.3K
99214	3	18,060	110	$80	$15.1K
J9035	6	90	140	$50	$13.4K
92235	11	70	60	$100	$8.7K
99215	3,209	5,720	40	$110	$7.7K
67228	19	20	30	$240	$7.6K
92134	8	790	70	$30	$7.5K
99213	7,739	16,320	70	$50	$7.1K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
Justin Brown	NC	Ophthalmology Physician	$5M	$0
John Allen	NC	Ophthalmology Physician	$3.6M	$0
Alexander Barnes	NC	Ophthalmology Physician	$2.2M	$22.5K
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0
David Browning	NC	Ophthalmology Physician	$680.9K	$0
Andrew Antoszyk	NC	Ophthalmology Physician	$559.8K	$0
Wei Huang	NC	Ophthalmology Physician	$408.4K	$0
Pedro Cervantes Fanning	NC	Ophthalmology Physician	$384.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
William Bobo	NC	Radiation Oncology Physician	$865.5K	$0
Sasha Haberle	NC	MOHS-Micrographic Surgery Physician	$388.9K	$0
William Hammonds	NC	Ophthalmology Physician	$363.8K	$0
Ernest Bhend	NC	Ophthalmology Physician	$331K	$0

Omar Punjabi — 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