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    v1.0.28
    OpenPayerNPI Medicare & MedicaidBabak Jian Seyedahmadi
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    Babak Jian Seyedahmadi — Billing Profile & Reimbursement Data

    NPI 1538262761 · East Weymouth, MA · Ophthalmology Physician

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    Babak Jian Seyedahmadi is a ophthalmology physician provider located in East Weymouth, Massachusetts. This profile covers 27 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
    OrganizationBabak Jian Seyedahmadi
    Address97 Libbey Industrial Pkwy Ste 100
    CityEast Weymouth
    StateMA
    ZIP02189
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 6, 2006

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

    Payer SourceTotal Paid
    Medicare$4.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is dominated by intravitreal biologic therapy and retinal diagnostics: the top revenue codes are J0178, J2778 and Q5124 (anti–VEGF/retinal injectables and a ranibizumab biosimilar), and imaging and injection procedure codes such as 92134 and 67028 also appear prominently. The procedure mix (multiple high-volume intravitreal injection codes plus high-volume retinal imaging) indicates an operation focused on medical retina care and recurring injection visits rather than primarily surgical retina or general ophthalmology services.

    Revenue is highly concentrated in a few drug codes: the precomputed top 3 Medicare codes account for 55.2% of this provider’s total Medicare revenue, with J0178 reporting $948.1K (21.6%), J2778 $828.6K (18.9%), and Q5124 $642.9K (14.7%). This concentration signals that Medicare revenue is largely driven by repeat injectable therapies rather than dispersed E/M or diverse procedural billing.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $4.4M and there is no Medicaid billing on file. For contracting and risk-sharing analyses, this provider should be treated as Medicare-dependent with no measurable Medicaid footprint in the supplied data.

    Competitive standing varies by product: the provider ranks highly for biosimilar ranibizumab with Q5124 at #6 of 122 providers nationally (96th percentile; typical, unremarkable volume for this code) and for ranibizumab J2778 at #57 of 1208 (95th percentile; typical, unremarkable volume), indicating above-average use of ranibizumab products. By contrast, J0178 (aflibercept) is #913 of 3204 (71th percentile; typical, unremarkable volume), suggesting aflibercept use is more typical relative to national peers rather than dominant.

    Several codes show extreme national concentration that mark this practice as a very high-volume injection and imaging site: 67028 has 5K claims and ranks #7 of 4255 providers nationally (100th percentile; extreme outlier), 92134 has 6.1K claims and ranks #13 of 26868 (100th percentile; extreme outlier), and 92014 has 2.7K claims and ranks #91 of 35415 (100th percentile; extreme outlier). Those extreme-outlier labels, combined with large claim counts, imply unusually high throughput of injection visits and retinal imaging compared with peers.

    The drug portfolio includes notable adoption of newer or high-cost agents and unclassified billing: J2781 (pegcetacoplan) appears with 2.5K claims and $300.6K revenue, ranking #20 of 490 (96th percentile; notably above typical national volume for this code), and J3490 (unclassified drugs) contributed $323.5K from 183 claims and ranks #374 of 2838 (87th percentile; typical, unremarkable volume). These items indicate active use of novel therapeutics and occasional use of non–J-code billed pharmacologic agents that materially contribute to revenue.

    Tenure and market presence are established: the provider’s NPI was enumerated on 2006-09-06 (~20 years ago), indicating long-standing presence in the market which likely supports the high procedural volumes and repeat-injection patient base observed. This longevity strengthens the interpretation that the observed high volumes reflect sustained clinical operations rather than short-term spikes.

    There is some variation across drug adoption and volume tiers that matters for competitive and contracting decisions: J9035 (bevacizumab) shows high relative national rank (#10 of 1852, 100th percentile; extreme outlier) suggesting substantial bevacizumab use, whereas J2777 (faricimab) at 4.6K claims yields $132.2K and ranks #1591 of 2039 (22th percentile; typical, unremarkable volume) indicating lower relative use of that agent. The split across specific injectable agents suggests the practice favors certain therapies (notably ranibizumab biosimilar and ranibizumab) while maintaining significant volume in bevacizumab and pegcetacoplan, which has implications for drug spend, supplier negotiations, and pathway-of-care modeling.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,380$690$948.1K
    J2778Injection, ranibizumab, 0.1 mg4,500$180$828.6K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg4,100$160$642.9K
    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.5,020$90$461.4K
    J3490Unclassified drugs180$1,770$323.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg2,510$120$300.6K
    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…2,710$100$257.6K
    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.6,070$30$194.2K
    J2777Injection, faricimab‑svoa, 0.1 mg4,560$30$132.2K
    J9035Injection, bevacizumab, 10 mg2,320$50$125.3K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782590790$690$826.5K
    J277737507,080$30$343.1K
    J2778330560$180$200.7K
    Q5124110800$160$186K
    J2781110550$120$117.4K
    670281120570$100$80.7K
    J349042060$380$49.5K
    9201471,070160$90$30.1K
    67042103020$1,170$25.7K
    J9035180250$50$19.7K

    Showing 1–10 of 27

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Babak Jian Seyedahmadi, 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
    Mohammad SuhailRIInternal Medicine Physician$126.3K$16M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Torsten WiegandMARetina Specialist (Ophthalmology) Physician$7.6M$0
    Yusef Haj-darwishMAEmergency Medicine Physician$744K$5M
    Andrew LipmanFLMedical Oncology Physician$5.6M$0

    Nearby Providers

    Other providers in the same ZIP code as Babak Jian Seyedahmadi, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Shore Support ServicesMAHome Health Agency$0$26.8M
    Active Ma, Inc.MAAdult Day Care Clinic/Center$0$9.3M
    Mark DaceyMAOphthalmology Physician$2.1M$0
    James StefaterMAOphthalmology Physician$1.6M$0
    Heidi Anderson-dockterMADermatology Physician$806.3K$0
    Ramy RizkallaMAOphthalmology Physician$627.4K$1K
    Anita ShuklaMAOphthalmology Physician$604.9K$560
    Mary Lisa MchamMAOphthalmology Physician$571.6K$0
    Teresa DegiacomoMADermatology Physician$537K$0
    Kimberly HsuMAOphthalmology Physician$451.8K$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
    Babak Jian Seyedahmadi — 7 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts