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

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

Ashkan Abbey (NPI 1548402886)

Field	Value
Entity Type	Individual
Organization	Ashkan Abbey
Address	9600 N Central Expy Ste 100
City	Dallas
State	TX
ZIP	75231
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 1, 2009

Payer Source	Total Paid
Medicare	$6.4M
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in high-cost intravitreal biologic injections and ophthalmology office visits, indicating a retina-focused practice with substantial procedural throughput. The top three Medicare codes — J2777, J0178, and Q5128 — together account for 72.9% of the provider’s total Medicare revenue, showing the business model is heavily dependent on a small set of injection therapies and related retina services.

Medicare revenue totals $6.4M while there is no Medicaid billing on file, so the provider is effectively single-payer with respect to public programs; Medicaid does not contribute measurable revenue to the practice’s public-payer mix. Analysts should treat all public-payer exposure as Medicare-dominant when modeling payer risk and revenue sensitivity.

J2777 (faricimab) is the single largest revenue driver at $3.1M (49.0% of Medicare revenue) and the provider ranks #14 of 2039 nationally for this code, described in the source as an "extreme outlier". That national ranking indicates this clinician has exceptionally high faricimab volume relative to peers, which suggests a specialized service line or referral center status for anti-VEGF/anti‑inflammatory intravitreal therapy.

92014 (established comprehensive ophthalmology visit) and 92134 (retinal imaging) also appear at very high volumes and are labeled as extreme outliers, with 92014 generating $347.6K (5.4% of Medicare revenue) and 92134 $136.3K (2.1%). This combination of high-volume office exams and retinal imaging alongside injection codes supports a full-service retina clinic workflow that performs diagnostics, monitoring, and repeat intravitreal treatments in-house.

Several additional intravitreal implant and injection codes show notably elevated or extreme-volume positions: J7312 ranks #4 of 492 (99th percentile) with $128K, J3299 ranks #1 of 17 (100th percentile) with $74.3K, and 67028 (intravitreal injection procedure) ranks #141 of 4255 (97th percentile) with $262.8K. Those rankings collectively reinforce that a large share of billings are procedural and biologic-drug driven rather than general ophthalmic care.

Beyond the dominant injection codes, some surgical retinal procedures and complex E/M codes appear at above-typical volume for national peers (e.g., 67036 at $48.1K, 66986 at $32.4K, and 99204 at $41.7K), indicating the practice also performs a measurable amount of office-based surgery and higher-complexity new-patient evaluations. This mix suggests downstream revenue from both treatment and associated surgical management.

The provider was enumerated on 2009-04-01 (approximately 17 years ago), which indicates long tenure in Medicare. Combined with national outlier rankings on multiple retina-related codes, the tenure supports a mature practice likely established in its specialty niche and potentially serving as a referral destination for retinal disease management.

From a competitive perspective, this clinician is a major national participant for specific retina biologic codes (J2777 extreme outlier, 92014 and 92134 extreme outliers, J7312 and J3299 in the top percentiles). For payers evaluating network adequacy or center-of-excellence designation in Dallas, this provider should be considered a high-volume retina capacity node rather than a general ophthalmology office.

Medicare: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	108,190	$30	$3.1M
J0178	Injection, aflibercept, 1 mg	1,300	$680	$876.8K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	3,000	$220	$657.9K
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…	3,860	$90	$347.6K
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.	2,660	$100	$262.8K
J3590	Unclassified biologics	160	$1,250	$193.8K
J7313	Injection, fluocinolone acetonide, intravitreal implant (iluvien), 0.01 mg	420	$390	$160.9K
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.	4,400	$30	$136.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	830	$160	$128K
J3490	Unclassified drugs	60	$2,030	$122K

Showing 1–10 of 31

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 31 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Ashkan Abbey — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

31 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	57	210	610	$690	$694.9K
J2777	5	140	7,470	$30	$479.2K
Q5128	7	50	770	$220	$263.7K
J3590	7	40	70	$1,640	$162.7K
J2781	39	50	720	$120	$131.9K
J7313	1	10	330	$370	$124.3K
67028	12	290	510	$90	$73K
J3490	150	350	60	$480	$54.4K
J3299	1	10	980	$40	$43.3K
67042	21	90	20	$1,150	$41.3K

Showing 1–10 of 31

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lori Coors	TX	Ophthalmology Physician	$5.2M	$0
Ivan Castillo-salazar	TX	Ophthalmology Physician	$4.7M	$0
Andrew Mcclellan	TX	Ophthalmology Physician	$4.5M	$0
Wayne Solley	TX	Ophthalmology Physician	$4M	$0
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0
Robert Wang	TX	Ophthalmology Physician	$3.5M	$0
Patrick Williams	TX	Ophthalmology Physician	$2.8M	$0
Nikisha Kothari	TX	Ophthalmology Physician	$2.4M	$0
Diana Laura	TX	Ophthalmology Physician	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dallas Independent School District	TX	Local Education Agency (LEA)	$0	$22.6M
North Star Home Health Care Inc	TX	Personal Care Attendant	$0	$10.8M
Ophthalmology Surgery Center Of Dallas, LLC	TX	Ambulatory Surgical Clinic/Center	$8.3M	$134.6K
Deborah Chong	TX	Ophthalmology Physician	$2.3M	$0
Morgan Click	TX	Family Nurse Practitioner	$2.1M	$0
Russell Lam	TX	Vascular Surgery Physician	$2M	$0
Center For Molecular Imaging Limited Partnership	TX	Radiology Clinic/Center	$2M	$0
Gary Fish	TX	Ophthalmology Physician	$2M	$0
Haskell Kirkpatrick	TX	Medical Oncology Physician	$1.8M	$0
Christopher Wright	TX	Rheumatology Physician	$1.4M	$0

Ashkan Abbey — Billing Profile & Reimbursement Data

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Ashkan Abbey — 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