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

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

Stephen Desouza (NPI 1548232820)

Field	Value
Entity Type	Individual
Organization	Stephen Desouza
Address	1750 E Glendale Ave
City	Phoenix
State	AZ
ZIP	85020
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	February 2, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider is a retina-focused ophthalmology practice whose top-coded activity centers on intravitreal drug therapy and office-based retinal care. The single largest code by revenue is J0178 (Injection, aflibercept) with 1.6K claims generating $1.1M (44.4% of Medicare revenue), and high-volume visit and imaging codes (92012, 92134) also appear near the top of the mix, consistent with a clinic that delivers repeated intravitreal injections plus ongoing monitoring and follow-up care.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 61.9% of the provider's total Medicare revenue, driven primarily by J0178 at $1.1M (44.4%), 67028 at $256K (10.3%), and 92012 at $179.1K (7.2%). That concentration indicates the practice’s financial performance is heavily dependent on a small set of high-frequency treatment and evaluation services.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.5M and there is no Medicaid billing on file, so Medicaid does not materially contribute to this provider’s billed revenue. This profile suggests the provider’s patient population and reimbursement exposure are centered on Medicare beneficiaries rather than dual- or Medicaid-heavy panels.

Injectable and drug-compounding activity is unusually prominent. J7999 (compounded drug) is an extreme outlier nationally (rank #9 of 1333, 99th percentile), and J0178 (aflibercept) accounts for the largest share of revenue ($1.1M, 44.4%) while ranking at the 76th percentile nationally (rank #757 of 3204). Together these signals point to substantial high-acuity medical retina treatment throughput and notable use of both standard biologic agents and compounded products.

Diagnostic and clinic throughput metrics place this provider well above typical national volumes. 92012 is an extreme outlier (rank #21 of 17177, 100th percentile) and 92134 is also an extreme outlier (rank #85 of 26868, 100th percentile), indicating very high volumes of established-patient evaluations and retinal imaging relative to peers, consistent with a high-frequency follow-up model common in retina practices.

Surgical retina procedures are a recognized part of the service mix and are billed at well-above-typical volumes. 67028 (vitreous injection as isolated/separate procedure) contributes $256K (10.3%) and ranks #118 of 4255 (97th percentile), and vitrectomy-related codes 67042 and 67041 are notably above typical national volume (96th and 98th percentiles respectively), indicating a meaningful operative component beyond office-based injections.

The provider’s competitive standing is mixed by service line: for some high-volume outpatient retina services (92012, 92134, 99204) the provider is a national outlier in volume, while for the highest-revenue drug J0178 the provider’s national rank (76th percentile) is more typical. This suggests dominance in clinic throughput and imaging but only typical participation in the single most expensive drug by claim-level rank.

The clinician has an extended tenure on file (NPI enumerated 2006-02-02, ~20 years), which supports the interpretation of established referral patterns and sustained procedural volume. Long tenure combined with the concentrated-revenue profile implies an entrenched specialty practice reliant on recurring retina care pathways and repeated procedural encounters.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,600	$690	$1.1M
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.	2,810	$90	$256K
92012	For 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…	2,890	$60	$179.1K
J7999	Compounded drug, not otherwise classified	2,290	$70	$167.4K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,330	$30	$125.5K
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.	4,470	$30	$125.1K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	710	$160	$113.5K
J2778	Injection, ranibizumab, 0.1 mg	630	$170	$108.2K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	80	$850	$69.9K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	70	$820	$59.3K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

Stephen Desouza — 8 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	50	780	$690	$734.8K
J2777	38	50	9,000	$30	$525.8K
J2778	12	30	550	$180	$198K
67028	5	60	1,240	$90	$119K
67041	4	20	30	$1,220	$51K
J7312	1	20	270	$160	$48.9K
J7999	1	50	490	$70	$46.8K
67042	2	40	30	$1,160	$46.5K
67113	3	20	20	$1,190	$40.3K
92014	83	650	140	$80	$21.5K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
District Medical Group, Inc	AZ	Internal Medicine Physician	$0	$130.6M
Associated Retina Consultants, Ltd.	AZ	Retina Specialist (Ophthalmology) Physician	$0	$6.2M
Matthew Welch	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Benjamin Bakall	AZ	Retina Specialist (Ophthalmology) Physician	$2M	$0
Joseph Bryan	AZ	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Rima Patel	AZ	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Henry Kwong	AZ	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Alan Gordon	AZ	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Anthony Debeus	CA	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Michael Switzer	AZ	Vascular & Interventional Radiology Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Honorhealth	AZ	General Acute Care Hospital	$0	$107.2M
All Valley Home Health Care & Nursing Inc	AZ	Home Health Agency	$0	$55.7M
Bowie Investment Group Inc	AZ	Home Health Agency	$0	$31.9M
Gina Palacios	AZ	Nurse Practitioner	$27M	$0
Affiliated Hospitalists, Plc	AZ	Hospitalist Physician	$0	$21M
Neighborhood Outreach Access To Health	AZ	Federally Qualified Health Center (FQHC)	$0	$19.6M
Avista Senior Living Desert Springs, LLC	AZ	Assisted Living Facility	$0	$17.6M
Unomed LLC	AZ	Critical Care Medicine (Internal Medicine) Physician	$0	$15.4M
Bayada Home Health Care, Inc.	AZ	Home Health Agency	$0	$10.7M
Emcare - Pnx Emergency Physicians LLC	AZ	Emergency Medicine Physician	$0	$9.6M

Stephen Desouza — 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