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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Arghavan Almony (NPI 1558465278)

Field	Value
Entity Type	Individual
Organization	Arghavan Almony
Address	2170 Midland Rd
City	Southern Pines
State	NC
ZIP	28387
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 12, 2006

Payer Source	Total Paid
Medicare	$3.9M
Medicaid	$0

Key Findings

This profile is effectively single‑payer: the provider reports Total Medicare revenue of $3.9M and has no Medicaid billing on file, so Medicare drives the entirety of documented public-payer revenue. The reported top 3 Medicare codes account for 94.4% of the provider's total Medicare revenue, indicating heavy dependence on a narrow set of services.

The code mix indicates a retina‑focused ophthalmology practice centered on intravitreal drug administration and retinal imaging. High-volume drug codes J2778 and J2777 (ranibizumab and faricimab) together with procedure 67028 (injection into the vitreous chamber) and imaging codes like 92134 and 92235 point to a workflow dominated by repeated outpatient injections, follow-up evaluations, and posterior-segment diagnostic imaging.

Revenue concentration is extreme: J2778 alone accounts for $2.1M revenue (53.0% of this provider's total Medicare revenue), J2777 accounts for $1.4M revenue (35.5% of this provider's total Medicare revenue), and 67028 adds $228.8K revenue (5.9% of this provider's total Medicare revenue); the precomputed top‑three share is 94.4%. This pattern signals that a majority of Medicare receipts flow from drug administration and the associated injection procedure rather than a broad mix of services.

On national competitive standing, the provider is an outlier for ranibizumab administration: J2778 ranks #7 of 1208 providers nationally (100th percentile; extreme outlier), meaning this provider delivers ranibizumab at far higher volumes than typical peers. That single-code dominance positions the provider as a major national volume player for that drug.

Other codes also show above‑typical volumes across imaging and injections: J2777 ranks #118 of 2039 providers nationally (94th percentile; notably above typical national volume), 92134 ranks #426 of 26868 providers nationally (98th percentile; extreme outlier), and 67028 ranks #201 of 4255 providers nationally (95th percentile; notably above typical national volume). Together these ranks reinforce that the practice operates a high-throughput retina/injection service with comparably high utilization of diagnostic imaging.

Evaluation-and-management activity supports a high follow-up cadence: 99213 generated $53.4K revenue (1.4% of this provider's total Medicare revenue) and ranks #8473 of 457151 providers nationally (98th percentile; extreme outlier), while 99214 produced $34.1K revenue (0.9% of this provider's total Medicare revenue) and ranks in a typical range (85th percentile). This suggests many visits are lower‑complexity, established‑patient encounters consistent with routine injection follow-ups.

The provider has long tenure in the Medicare program, with the NPI enumerated on 2006-09-12 (~20 years ago), supporting a stable operating history and likely established referral patterns in its market. Longitudinal presence combined with high national ranks for specific drug codes suggests an entrenched specialty service rather than a recent expansion.

Implications for payers and contracting teams: because revenue is concentrated in high-volume intravitreal drug administration and related imaging, payers should treat this entity as a specialized retina/injector practice when assessing utilization management, drug procurement, or network adequacy. The combination of extreme outlier status on J2778 and very high ranks on imaging codes warrants benchmarking against regional and national injection clinics to set appropriate reimbursement and oversight thresholds, while noting that no Medicaid activity is on file to inform state‑level network planning.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2778	Injection, ranibizumab, 0.1 mg	11,480	$180	$2.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	47,640	$30	$1.4M
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.	2,430	$90	$228.8K
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.	2,960	$30	$85.9K
99213	The 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…	890	$60	$53.4K
99214	The provider sees an established 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…	400	$90	$34.1K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	210	$100	$20.3K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	60	$250	$14.4K
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…	70	$110	$6.9K
67141	The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by using extreme cold or heat to create scar tissue to strengthen the…	20	$170	$2.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Arghavan Almony — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	4	70	12,990	$30	$503.7K
J2778	1	50	620	$180	$202.2K
67028	4	120	780	$90	$80K
99214	2,368	18,060	110	$80	$15.1K
92235	6	70	60	$100	$8.7K
67228	2	20	30	$240	$7.6K
92134	9	790	70	$30	$7.5K
99213	167	16,320	70	$50	$7.1K
99204	1,690	8,430	30	$110	$4.8K
92250	710	850	80	$20	$3.5K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Zeina Haddad	NC	Ophthalmology Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Paula Pecen	NC	Ophthalmology Physician	$1.1M	$0
Neil Griffin	SC	Ophthalmology Physician	$800.4K	$0
John French	NC	Ophthalmology Physician	$453.7K	$0
Tarra Millender	NC	Ophthalmology Physician	$391.9K	$0
Anna Fakadej	NC	Ophthalmology Physician	$386.1K	$0
Jeffrey White	NC	Ophthalmology Physician	$385.5K	$0
Winston Garris	NC	Ophthalmology Physician	$304.6K	$0
Robert Sharpe	NC	Ophthalmology Physician	$257.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandhills Pediatrics	NC	Pediatrics Physician	$0	$32.8M
Integrated Pain Solutions PLLC	NC	Interventional Pain Medicine Physician	$0	$12.7M
Magnolia Gardens	NC	Assisted Living Facility	$0	$8.3M
The Eye Surgery Center Of The Carolinas LP	NC	Ambulatory Surgical Clinic/Center	$3.1M	$813.9K
Brooks Mays	NC	Endocrinology, Diabetes & Metabolism Physician	$569.7K	$0
Michol Stanzione	NC	Internal Medicine Physician	$433.8K	$0
Scott Luneau	NC	Internal Medicine Physician	$335.7K	$0
Robert Deucher	NC	Internal Medicine Physician	$323.7K	$0
Andrew Apple	NC	Optometrist	$236.3K	$0
Lisa Sitterson	NC	Ophthalmology Physician	$190.8K	$0

Arghavan Almony — 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