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    OpenPayerNPI Medicare & MedicaidDelia Sang
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    Delia Sang — Billing Profile & Reimbursement Data

    NPI 1508842634 · Brookline, MA · Ophthalmology Physician

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    Delia Sang is a ophthalmology physician provider located in Brookline, Massachusetts. This profile covers 14 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
    OrganizationDelia Sang
    Address1101 Beacon St
    CityBrookline
    StateMA
    ZIP02446
    TaxonomyOphthalmology Physician
    NPI EnumeratedDecember 20, 2005

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    DELIA SANG is an Ophthalmology Physician in BROOKLINE, MA with lifetime Medicare revenue of $2.7M and no Medicaid billing on file; the NPI was enumerated 2005-12-20 (~21 years ago), indicating an established practice tenure. The absence of any Medicaid activity (none below) makes this effectively a single-payer Medicare practice from a billing perspective, concentrating commercial/patient exposure on the Medicare population.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 79.5% of this provider's total Medicare revenue, driven by J0178 ($1.2M, 42.3%), J2777 ($863K, 31.7%), and 67028 ($150.1K, 5.5%). This degree of concentration signals the business is heavily dependent on a small set of intravitreal injection–related services for the bulk of its income.

    The code mix and descriptions point to a retina-focused, procedure-driven operation: large revenues for J0178 (aflibercept) and J2777 (faricimab) plus 67028 (intravitreal injection) indicate ongoing anti-VEGF treatment as a core service line. Complementary high-volume diagnostic imaging codes (see 92134 and 92250 below) and frequent E/M claims (92014, 99213) support a workflow centered on recurrent injections with serial retinal monitoring.

    Competitive standing for the primary injection codes is modest rather than dominant: J0178 ranks #715 of 3204 providers nationally (78th percentile; typical, unremarkable volume for this code), J2777 ranks #301 of 2039 providers nationally (85th percentile; typical, unremarkable volume for this code), and 67028 ranks #717 of 4255 providers nationally (83th percentile; typical, unremarkable volume for this code). In plain terms, the provider participates in a common national service line for intravitreal therapy at volumes that are within typical peer ranges rather than being a national leader.

    In contrast, several diagnostic and office-visit codes show exceptional relative volume: 92134 has 3.5K claims and $124.1K revenue and ranks #216 of 26868 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code); 92250 reports 1.6K claims and $51.7K revenue and ranks #70 of 25087 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code); and 99213 shows 1.5K claims and $116.2K revenue and ranks #1944 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). These extreme outlier labels indicate the practice is a high-throughput center for retinal imaging and routine follow-up visits relative to national peers.

    Operationally, the revenue and utilization mix suggests a model that pairs high-frequency, lower-dollar diagnostic imaging (e.g., 92134 at $35 avg paid/claim) with recurring higher-dollar therapeutic injections (e.g., J0178 at $692 avg paid/claim). That combination is consistent with a retina clinic relying on serial monitoring and repeat intravitreal treatments, which creates steady, treatment-driven revenue but also concentrates financial performance on episodic drug administration and imaging throughput.

    The lack of Medicaid activity (none below) exposes the practice to payer-concentration risk — commercial and Medicare reimbursement dynamics will largely determine revenue stability. For payer/provider analysts, this single-payer profile reduces complexity for Medicaid network planning but highlights sensitivity to Medicare policy changes affecting J0178, J2777, and related injection/imaging reimbursement.

    Taken together, long tenure since 2005-12-20 (~21 years ago), heavy revenue concentration in three injection codes (79.5% of Medicare revenue), and extreme outlier status on retinal imaging and routine E/M volumes suggest an established, retina-oriented practice that functions as a high-volume diagnostic and therapeutic center for Medicare beneficiaries rather than a broad-based multispecialty outpatient practice. Analysts should consider the operational implications of dependence on repeated anti-VEGF therapy and retinal imaging when assessing competitive positioning and revenue resilience.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,660$690$1.2M
    J2777Injection, faricimab‑svoa, 0.1 mg29,760$30$863K
    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.1,580$100$150.1K
    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.3,550$40$124.1K
    92014An 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…1,220$100$123K
    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…1,550$80$116.2K
    J2778Injection, ranibizumab, 0.1 mg560$180$101.5K
    92250Code 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,…1,620$30$51.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$120$15.7K
    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…140$110$15.6K

    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

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781990790$690$826.5K
    J27774507,080$30$343.1K
    J27781530560$180$200.7K
    6702823120570$100$80.7K
    92014551,070160$90$30.1K
    J90355480250$50$19.7K
    992146,28215,410110$80$15.6K
    921341167070$30$10.6K
    992134613,70070$60$8.8K
    920048989040$100$6.3K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hri Hospital, IncMAPsychiatric Hospital$0$6.2M
    Biocardia Diagnostics IncMARadiology Clinic/Center$59.2K$456.9K
    Johnelle SmithMAPhysical Medicine & Rehabilitation Physician$219.5K$175.5K
    Brian BoyleMAPsychiatry Physician$311.9K$0
    Miaoyuan WangMADermatology Physician$302.8K$0
    Glenn KehlmannMAInternal Medicine Physician$276.8K$0
    Kenneth LawtonMAFoot Surgery Podiatrist$233.3K$14K
    Reena GuptaMAOphthalmology Physician$152K$7.4K
    Megan WebbMAPhysician Assistant$153.1K$0
    Suzanne GleysteenMAInternal Medicine Physician$134.1K$0

    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.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Massachusetts Distribution
    Delia Sang — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts