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    OpenPayerNPI Medicare & MedicaidJohn Alappatt
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    John Alappatt — Billing Profile & Reimbursement Data

    NPI 1568409688 · Houston, TX · Retina Specialist (Ophthalmology) Physician

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    John Alappatt is a retina specialist (ophthalmology) physician provider located in Houston, Texas. This profile covers 15 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
    OrganizationJohn Alappatt
    Address7789 Southwest Fwy Ste 530
    CityHouston
    StateTX
    ZIP77074
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 31, 2006

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

    Payer SourceTotal Paid
    Medicare$1.1M
    Medicaid$0

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg15,540$30$450.7K
    J0178Injection, aflibercept, 1 mg560$700$391.4K
    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…1,130$90$104.1K
    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.600$90$53.3K
    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.1,050$30$31.6K
    92235The 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…250$110$26.6K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…100$210$20.9K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…350$30$10.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.100$100$9.9K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…370$20$7.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178113210610$690$694.9K
    J2777341407,470$30$479.2K
    67028128290510$90$73K
    9224282050$200$24.4K
    922352716060$100$21.3K
    92014982,700100$80$21K
    J799912314090$80$14.4K
    920121,6141,69080$60$10.9K
    67228316030$230$9.3K
    921341261,69070$30$8.3K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lindsey HarrisTXRetina Specialist (Ophthalmology) Physician$2.7M$0
    Michael LamTXRetina Specialist (Ophthalmology) Physician$2.1M$0
    Carolyn ChenTXOphthalmology Physician$2M$0
    Lee TranTXRetina Specialist (Ophthalmology) Physician$1.9M$0
    Sapa PhamTXRetina Specialist (Ophthalmology) Physician$1.4M$0
    Andrew KopelTXOphthalmology Physician$1.2M$0
    Bailey LeeTXOphthalmology Physician$911.8K$0
    Jeffrey ArnoultTXOphthalmology Physician$402.1K$0
    Richard UrsoTXOphthalmology Physician$388.9K$0
    Susan FishTXOphthalmology Physician$388.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Harris Center For Mental Health And IddTXCommunity/Behavioral Health Agency$0$69.5M
    Beneficient IncTXPersonal Care Attendant$0$52.7M
    Resource Health Services IncTXHome Health Agency$0$32.4M
    Kids Dc, LLCTXRehabilitation Clinic/Center$0$24.5M
    Pauline IgweTXHome Health Agency$0$21.5M
    Meridian Living Center, IncTXIntellectual Disabilities Intermediate Care Facility$0$19.2M
    Pinnacle Medical Systems,incTXNursing Care Agency$0$16.4M
    P C Chollett LLCTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$15.1M
    Houston Circle Of Hope ServicesTXCase Management Agency$0$14.7M
    Emmaco Home Health Services, IncTXHome Health Agency$0$13M

    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. Texas Distribution
    John Alappatt — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas