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

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

Anita Agarwal (NPI 1508940628)

Field	Value
Entity Type	Individual
Organization	Anita Agarwal
Address	1445 Bush St
City	San Francisco
State	CA
ZIP	94109
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,120	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	7,680	$30	$215K
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.	1,370	$120	$160.4K
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…	860	$120	$99.6K
J2778	Injection, ranibizumab, 0.1 mg	360	$180	$62.5K
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.	1,480	$40	$54.8K
J7999	Compounded drug, not otherwise classified	420	$70	$29.7K
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…	250	$90	$23.4K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	1,050	$20	$23.2K
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.	140	$130	$18.1K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Anita Agarwal — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	39	310	570	$690	$647.1K
J2777	115	200	10,740	$30	$459.5K
J2778	90	130	700	$180	$196K
67028	89	470	420	$100	$71.8K
J7999	41	240	130	$140	$34.9K
92014	260	2,890	110	$100	$28.7K
92012	1,017	1,620	150	$70	$23.6K
99214	11,064	37,970	120	$90	$23.2K
92235	260	270	60	$110	$17.1K
92134	168	2,150	90	$30	$12.6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vanderbilt University Medical Center	TN	General Acute Care Hospital	$0	$137.7M
Providence Health & Services Washington	WA	Pulmonary Disease Physician	$0	$78.6M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Sutter Valley Medical Foundation	CA	Multi-Specialty Clinic/Center	$0	$41.2M
Children's Hospital And Health System, Inc.	WI	Urgent Care Clinic/Center	$0	$17.7M
Thomas Schlesinger	CA	Retina Specialist (Ophthalmology) Physician	$4.3M	$7.9M
Shalini Yalamanchi	CA	Ophthalmology Physician	$4.6M	$7.2M
Stephen Meffert	CA	Retina Specialist (Ophthalmology) Physician	$3.2M	$5.5M
Louis Chang	CA	Ophthalmology Physician	$2.2M	$5.9M
Matthew Powers	CA	Retina Specialist (Ophthalmology) Physician	$3.7M	$4.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
J Jumper	CA	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Judy Chen	CA	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Eye Surgical Center Of San Francisco LLC	CA	Ambulatory Surgical Clinic/Center	$2.2M	$78.3K
Robert Johnson	CA	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
H. Mcdonald	CA	Specialist	$1.8M	$0
Daniel Nathanson	CA	Vascular Surgery Physician	$1.3M	$0
The San Francisco Vein And Vascular Institute, LLC	CA	Ambulatory Surgical Clinic/Center	$343K	$0
Jasmine Elison	CA	Retina Specialist (Ophthalmology) Physician	$306K	$0
Jamie Bigelow	CA	Pulmonary Disease Physician	$275.8K	$0
Richard Hongo	CA	Clinical Cardiac Electrophysiology Physician	$211.8K	$0

Anita Agarwal — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References