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

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

Stephanie Vanderveldt (NPI 1538109160)

Field	Value
Entity Type	Individual
Organization	Stephanie Vanderveldt
Address	1100 Johnson Ferry Rd Ne
City	Atlanta
State	GA
ZIP	30342
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicare	$4.1M
Medicaid	$0

Key Findings

This provider’s reimbursement profile is almost entirely Medicare-driven: Total Medicare revenue is $4.1M while there is no Medicaid billing on file (none below). The absence of Medicaid activity means this is effectively a single-payer (Medicare) billing footprint, which has implications for contracting and population coverage analyses focused on Medicare beneficiaries.

Revenue is highly concentrated in a few biologic injection codes: J2777 ($1.6M, 38.3%), J0178 ($922K, 22.3%), and J2778 ($900.2K, 21.7%)—the top three Medicare codes account for 82.3% of total Medicare revenue. This concentration indicates that a small set of intravitreal drug administrations drives the large majority of billings and revenue for this NPI.

The code mix and volumes point to a retina- and injection-centered ophthalmology practice that couples high-volume intravitreal drug administration with diagnostic imaging and office E/M visits. High procedure counts for injection-related code 67028 (2.5K claims, $242.7K revenue) and substantial imaging/E/M revenue from 92014 (1.7K claims, $151.9K) and 92134 (3.7K claims, $116K) are consistent with an interventional retina practice that performs injections and frequent retinal imaging.

Competitive standing on the leading biologics is strong nationally for two of the three top drugs: J2777 ranks #88 of 2039 providers nationally (96th percentile; notably above typical national volume for this code) and J2778 ranks #44 of 1208 providers nationally (96th percentile; notably above typical national volume for this code). These ranks indicate this NPI is a high-volume national participant for faricimab and ranibizumab administrations.

By contrast, J0178 (aflibercept) shows a typical-to-moderate national presence: 1.3K claims generating $922K in revenue and ranking #944 of 3204 providers nationally (70th percentile; typical, unremarkable volume for this code). This mixed competitive posture—very high volume on some agents and typical volume on others—may reflect product mix choices, patient population, or payer/drug sourcing dynamics.

Several codes related to office-based imaging and follow-up are reported as extreme outliers versus national peers: 92014 ranks #443 of 35415 providers (99th percentile; extreme outlier) and 92134 ranks #172 of 26868 providers (99th percentile; extreme outlier). Those extreme imaging volumes paired with large injection volumes suggest high-frequency follow-up and imaging workflows that support intensive retina treatment regimens.

Claim- and payment-level detail highlights variability in reimbursement and operational scale across drugs: J2777 shows 54.8K claims at $29 avg paid/claim yielding $1.6M revenue, while J0178 averages $686 paid/claim for $922K total—these differences imply distinct procurement, billing, and cash-flow profiles for each agent the practice uses. Understanding the mix of high-claim/low-unit-pay items versus lower-claim/higher-unit-pay items is important for supply cost management and revenue-cycle planning.

The provider has a long-tenured Medicare enrollment (NPI enumerated 2006-06-08 (~20 years ago)), which supports interpretation of these patterns as established practice behavior rather than a short-term billing anomaly. Tenure combined with sustained high-volume rankings on several codes indicates an established retina/injection service line likely embedded in local referral patterns and clinical workflow.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	54,780	$30	$1.6M
J0178	Injection, aflibercept, 1 mg	1,340	$690	$922K
J2778	Injection, ranibizumab, 0.1 mg	5,030	$180	$900.2K
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.	2,450	$100	$242.7K
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…	1,670	$90	$151.9K
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.	3,740	$30	$116K
J3490	Unclassified drugs	30	$1,740	$50.5K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	420	$120	$50.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	320	$160	$49.1K
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…	180	$120	$21.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Stephanie Vanderveldt — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	22	70	970	$680	$700.6K
J2777	1	40	14,100	$30	$524.3K
J2778	1	30	1,170	$180	$286.2K
67028	1	80	720	$90	$71.9K
J2781	3	10	320	$120	$43.6K
J7312	2	10	220	$160	$37.6K
67042	11	20	20	$1,200	$31.1K
J3490	42	50	50	$320	$19.8K
92014	4	850	130	$80	$19.7K
92012	96	380	90	$60	$10.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sri Krishna Mukkamala	GA	Hospitalist Physician	$3.4M	$0
Alexander Bottini	GA	Retina Specialist (Ophthalmology) Physician	$3M	$0
David Chin Yee	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Gregory Lee	GA	Ophthalmology Physician	$2.9M	$6.3K
Robert Stoltz	GA	Specialist	$2.6M	$0
Hyung Cho	GA	Ophthalmology Physician	$2.5M	$0
Sean Koh	GA	Ophthalmology Physician	$2.5M	$0
Atul Sharma	GA	Ophthalmology Physician	$2.2M	$0
Mark Rivellese	GA	Ophthalmology Physician	$2.1M	$0
Rahul Komati	IL	Retina Specialist (Ophthalmology) Physician	$1.9M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Scottish Rite Children's Medical Center	GA	Pediatric Hematology & Oncology Physician	$0	$493.4M
Life Hope Labs LLC	GA	Clinical Medical Laboratory	$8.3M	$7.3K
The Childrens Center For Digestive Health Care LLC	GA	Pediatric Gastroenterology Physician	$0	$8.1M
Northside Emergency Associates, LLC	GA	Emergency Medicine Physician	$0	$6.1M
Atlanta Perinatal Consultants, LP	GA	Neonatal-Perinatal Medicine Physician	$0	$4.8M
Children's Orthopaedics Of Atlanta P.C.	GA	Orthopaedic Surgery Physician	$0	$2.5M
Paul Sutej	GA	Rheumatology Physician	$2.4M	$0
Childrens Care Pediatrics, PC	GA	Pediatrics Physician	$0	$1.9M
Resurgens Surgery Center LLC	GA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Daniel Oh	GA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0

Stephanie Vanderveldt — Billing Profile & Reimbursement Data

Sign up for Stephanie Vanderveldt — Billing Profile & Reimbursement Data policy alerts

Stephanie Vanderveldt — Billing Profile & Reimbursement Data

Sign up for Stephanie Vanderveldt — Billing Profile & Reimbursement Data policy alerts

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