Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidPaul Weishaar
    Ask Trek AI about this page

    Paul Weishaar — Billing Profile & Reimbursement Data

    NPI 1548261696 · Wichita, KS · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Paul Weishaar — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Paul Weishaar is a retina specialist (ophthalmology) physician provider located in Wichita, Kansas. This profile covers 32 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationPaul Weishaar
    Address530 N Lorraine St
    CityWichita
    StateKS
    ZIP67214
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$3.5M
    Medicaid$0

    Key Findings

    This provider is heavily revenue-driven by intravitreal biologic injections: J2777 generated $1.3M in revenue (38.9% of this provider's total Medicare revenue) with 46.3K claims, J0178 generated $1.2M (35.5%) with 1.8K claims, and J2778 generated $260.4K (7.5%) with 1.4K claims. The platform’s precomputed metric confirms that the top 3 Medicare codes (J2777, J0178, J2778) account for 81.9% of this provider's total Medicare revenue, indicating a concentrated drug/injection-focused service line rather than diversified outpatient revenue streams.

    Payer mix is effectively single-payer Medicare: Total Medicare revenue is $3.5M and there is no Medicaid billing on file. That absence of Medicaid activity means Medicaid does not contribute to this provider’s revenue base, so Medicare reimbursement policy and drug pricing dynamics are likely to disproportionately influence business performance.

    Clinical and operational profile aligns with a medical retina practice that pairs high-volume pharmacologic therapy with diagnostic imaging: 92134 appears as a high-volume imaging code with 2.9K claims and $74.5K in revenue (2.2%), ranking #460 of 26868 providers nationally (98th percentile; extreme outlier). Coupled with the injection volumes for J2777 and J0178, the mix suggests a workflow built around frequent intravitreal treatment visits supported by retinal imaging.

    Evaluation-and-management volumes are unusually high relative to peers for a retina specialist: 99213 shows 1.7K claims and $96.5K revenue (2.8%), ranking #1485 of 457151 providers nationally (100th percentile; extreme outlier). This combination of very high E/M claims plus injection and imaging volumes implies a busy clinic with large established-patient throughput and frequent follow-up visits.

    Provider shows meaningful surgical retina activity in addition to injections: 67036 has $35.5K revenue (1.0%) from 65 claims and ranks #49 of 832 providers nationally (94th percentile; notably above typical national volume), and 67041 generated $28.6K (0.8%) from 35 claims (87th percentile). These surgical CPTs indicate the practice performs a nontrivial number of posterior-segment procedures, so its capabilities span both ambulatory injections and operative retina care.

    Competitive standing is mixed by code: for J2777 this provider ranks #124 of 2039 (94th percentile; notably above typical national volume), marking them as a high-volume national participant for faricimab administration. For J0178 and J2778 the ranks are #648 of 3204 (80th percentile) and #306 of 1208 (75th percentile) respectively, which are solid but more typical volumes compared with national peers.

    Revenue concentration creates sensitivity to drug and coding trends: with the top 3 codes comprising 81.9% of Medicare revenue, shifts in utilization, reimbursement, or availability of J2777 or J0178 could materially affect overall revenue. Analysts should treat drug-code utilization trends and payer policy changes (especially around newer agents like faricimab) as the primary levers that would alter this provider’s financial profile.

    This is an established practice with long tenure: the NPI was enumerated on 2005-08-10 (~21 years ago), indicating sustained participation in Medicare across multiple policy environments. That longevity, paired with high-volume injection, imaging, and E/M activity, supports characterization as an established retina specialist in Wichita, KS rather than a newly emergent practice.

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg46,320$30$1.3M
    J0178Injection, aflibercept, 1 mg1,770$690$1.2M
    J2778Injection, ranibizumab, 0.1 mg1,420$180$260.4K
    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.1,900$80$159.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,690$60$96.5K
    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.2,870$30$74.5K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg360$160$57.9K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.70$550$35.5K
    67041In 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…40$820$28.6K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg130$220$28.3K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017814301,770$690$1.3M
    J277743012,060$30$575.7K
    J2778920860$180$297.6K
    6702812401,170$90$111.4K
    Q5128310290$220$83.5K
    J7312210260$160$43.6K
    67042102020$1,140$31.9K
    67108122020$1,130$24.8K
    J35901120200$100$24.1K
    6703611020$930$21.4K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Craig Resources LLCKSHome Health Agency$0$97.3M
    Paradigm Services IncKSIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$42.4M
    Wesley Medical Center LLCKSGeneral Acute Care Hospital$0$30.2M
    Gracemed Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$18.3M
    Healthcore Clinic IncKSFederally Qualified Health Center (FQHC)$0$15.3M
    Diversified Family Services LLCKSHome Health Agency$0$13.9M
    Alpha ServiceKSDevelopmentally Disabled Services Day Training Agency$0$12.1M
    Carepoint Emergency Medicine Kansas LLCKSEmergency Medicine Physician$0$11.8M
    Hunter Health Clinic IncKSFederally Qualified Health Center (FQHC)$0$10.4M
    Ascension Via Christi Hospitals Wichita Inc.KSGeneral Acute Care Hospital$0$8.9M

    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. Kansas Distribution
    Paul Weishaar — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas