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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMithlesh Sharma
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    Mithlesh Sharma — Billing Profile & Reimbursement Data

    NPI 1528052719 · Clackamas, OR · Ophthalmology Physician

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    Mithlesh Sharma is a ophthalmology physician provider located in Clackamas, Oregon. This profile covers 7 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
    OrganizationMithlesh Sharma
    Address12100 Se Stevens Ct Ste 106
    CityClackamas
    StateOR
    ZIP97086
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 2, 2005

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

    Payer SourceTotal Paid
    Medicare$51.9K
    Medicaid$0

    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.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg40$670$28.3K
    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.100$80$8.2K
    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…80$100$8.1K
    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.190$30$4.9K
    92012For 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…40$40$1.3K
    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,…30$20$540
    68200The provider injects medication into the subconjunctival space for a variety of reasons, such as to deliver antibiotics or to treat swelling.30$10$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01789360840$680$623.7K
    670289870580$90$72.3K
    92014460440110$80$16K
    9213417039080$30$8.1K
    9201214117050$60$7.2K
    9225038728040$20$1.8K
    6820021030$30$680

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Unm HospitalNMGeneral Acute Care Hospital$0$462.9M
    Unm Medical Group IncNMMulti-Specialty Clinic/Center$0$113.5M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$44.9M
    Peach Tree HealthcareCAFederally Qualified Health Center (FQHC)$0$26.4M
    University Of New Mexico Dental ServicesNMGeneral Practice Dentistry$0$3.3M
    Bradley HamarCAOptometrist$2.3M$0
    Baljit SohalCAOptometrist$2.3M$10.5K
    Medical Foundation, Inc.MSGeriatric Medicine (Family Medicine) Physician$0$1.8M
    Cecilia Arana YiAZHematology & Oncology Physician$1.8M$0
    Douglas McgrawCAOphthalmology Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hilltop View IncORHome Health Agency$0$2.8M
    Eye Health Eastside Surgery CenterORAmbulatory Surgical Clinic/Center$1.5M$1.1M
    Sunnyside Collaborative CareORHealth Service Clinic/Center$0$1.9M
    Mountain Crest Counseling Services, LLCORCommunity/Behavioral Health Agency$0$1.3M
    East Portland Surgery Center LLCORAmbulatory Surgical Clinic/Center$295.5K$38.2K
    Joseph StapletonORPain Medicine (Anesthesiology) Physician$147.4K$0
    Kevin PhanOROptometrist$139.8K$2.1K
    Lauren WikholmORSurgery Physician$121.7K$0
    Stephen FritzORAllergy & Immunology Physician$41.2K$0
    Paul JonesORFoot & Ankle Surgery Podiatrist$32.6K$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.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Oregon Distribution
    Mithlesh Sharma — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon