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

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

Saurabh Patel (NPI 1508897133)

Field	Value
Entity Type	Individual
Organization	Saurabh Patel
Address	27160 Bay Landing Dr
City	Bonita Springs
State	FL
ZIP	34135
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicare	$5.3M
Medicaid	$0

Key Findings

This provider is essentially single‑payer in the public programs: Total Medicare revenue is $5.3M and there is no Medicaid billing on file, indicating Medicare accounts for the entirety of the available public claims data and that Medicaid is not part of this provider’s recorded payer mix. Analysts should treat Medicare patterns as representing the full public-payor footprint for this NPI.

Revenue is highly concentrated in a small set of retinal injection codes: the precomputed top three Medicare codes (J2777, J0178, 67028) account for 91.7% of this provider’s Medicare revenue. Those three codes—J2777 ($3.2M, 61.3%), J0178 ($1.3M, 25.5%), and 67028 ($257.4K, 4.9%)—dominate the practice’s billed services and revenue stream.

Clinical mix and service line: the code mix indicates a medical retina–focused practice with a high volume of intravitreal pharmacologic therapy and retinal imaging. The prominence of J2777 (faricimab), J0178 (aflibercept), and procedure 67028 (vitreous injection) plus high use of 92134 retinal imaging supports an operation structured around frequent outpatient injection visits and diagnostic retina follow-up rather than predominantly elective cataract surgery or broad multispecialty ophthalmology.

J2777 is an extreme national outlier: this provider billed 111.3K claims for J2777 with $29 avg paid/claim generating $3.2M and ranks #13 of 2039 providers nationally (99th percentile; extreme outlier). This placement signals unusually high adoption and volume for faricimab compared with peers and is the single largest driver of the practice’s Medicare revenue.

Competitive standing for the other top drivers is mixed: J0178 (2K claims, $686 avg paid/claim, $1.3M) ranks #560 of 3204 providers nationally (82th percentile; typical, unremarkable volume), while 67028 (2.9K claims, $88 avg paid/claim, $257.4K) ranks #106 of 4255 providers nationally (98th percentile; notably above typical). In combination, these ranks indicate market-leading scale on faricimab and strong procedural volume for vitreous injections, but more typical aflibercept volumes relative to national peers.

Visit and imaging throughput is also elevated: 99213 shows 1.7K claims ($69 avg paid/claim, $116K) and ranks #1529 of 457151 providers (100th percentile; extreme outlier), and 92134 shows 3.3K claims ($31 avg paid/claim, $103.2K) and ranks #278 of 26868 providers (99th percentile; extreme outlier). These extreme outlier ranks for E/M and retinal imaging reinforce that the practice maintains very high clinic throughput consistent with frequent injection visits and ongoing retinal monitoring.

Procedural breadth beyond injections is present but limited in revenue contribution: surgical and procedure codes such as 67036 ($27.1K), 66850 ($18.4K), 67108 ($12.6K), and 67041 ($12.2K) appear in the top codes but represent small shares of total Medicare revenue. This pattern suggests the provider performs some surgical retina work but that it is a smaller component of the business compared with intravitreal pharmacotherapy.

Tenure and adoption signal: the NPI was enumerated 2006-07-05 (~20 years ago), indicating an established provider with a long billing history; combined with the unusually high J2777 volume, this suggests an established referral base and willingness to adopt newer retina therapies (faricimab) at scale within the clinic model.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	111,300	$30	$3.2M
J0178	Injection, aflibercept, 1 mg	1,950	$690	$1.3M
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.	2,930	$90	$257.4K
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…	1,680	$70	$116K
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.	3,330	$30	$103.2K
J3490	Unclassified drugs	100	$730	$73.2K
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…	230	$130	$29.5K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	40	$730	$27.1K
66850	The provider uses mechanical or ultrasonic methods to break down the lens material and remove it from the eye to treat a cataract, which obscures the patient’s vision. He aspirates the material…	60	$330	$18.4K
67220	In this procedure, the provider treats a localized lesion of the choroid, the vascular middle layer of the eye, by using a laser beam that destroys the abnormal blood vessel growth of the choroid.	40	$430	$15.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Saurabh Patel — 6 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	54	250	800	$690	$817.6K
J2777	2	170	12,810	$30	$549.2K
67028	15	300	710	$90	$91.1K
J3490	60	180	70	$280	$87.5K
67036	18	70	20	$1,050	$31.4K
92014	2,039	2,180	160	$80	$28.5K
67108	46	60	20	$1,200	$27.5K
67041	27	40	20	$1,160	$25.4K
67220	1	10	40	$430	$15K
99213	247	30,010	80	$60	$12K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
George Peters	MA	Ophthalmology Physician	$1.6M	$0
Claudio Ferreira	FL	Ophthalmology Physician	$685.8K	$43.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Rubin	FL	Medical Oncology Physician	$4.2M	$0
Sonal Sura	FL	Therapeutic Radiology Physician	$3.5M	$3.5K
Rebecca Kosloff	FL	Medical Oncology Physician	$3.1M	$0
Ahsan Shah	FL	Medical Oncology Physician	$2.6M	$0
Todd Pezzi	FL	Radiation Oncology Physician	$1.3M	$0
Susanna Gaikazian	FL	Medical Oncology Physician	$1.2M	$0
Cynthia Hensley	FL	Procedural Dermatology Physician	$899.2K	$0
Jason Triana	FL	Internal Medicine Physician	$639K	$0
Donald Mccarren	FL	Neurology Physician	$508.3K	$0
Avidah Rudberg	FL	Urology Physician	$382.6K	$78.3K

Saurabh Patel — 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