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    OpenPayerNPI Medicare & MedicaidMimi Liu
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    Mimi Liu — Billing Profile & Reimbursement Data

    NPI 1568469625 · Englewood, CO · Retina Specialist (Ophthalmology) Physician

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    Mimi Liu is a retina specialist (ophthalmology) physician provider located in Englewood, Colorado. This profile covers 17 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
    OrganizationMimi Liu
    Address850 Englewood Pkwy Ste 200
    CityEnglewood
    StateCO
    ZIP80110
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 5, 2005

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    MIMI LIU is a retina specialist (Ophthalmology) in ENGLEWOOD, CO with an NPI enumerated 2005-07-05 (~21 years ago) and lifetime Medicare revenue of $2.2M; there is no Medicaid billing on file. This is effectively a single-payer Medicare billing profile, with Medicaid revenue reported as none, which concentrates attribution and reimbursement exposure on Medicare rules and pricing.

    Revenue is highly concentrated in anti-VEGF drug administration: J0178 alone accounts for $1.7M and 76.7% of the provider's Medicare revenue, and the precomputed top-3 codes collectively account for 86.9% of total Medicare revenue. That profile indicates the practice’s financial performance is dominated by intravitreal injection services tied to high-cost biologic drugs.

    The procedural mix reinforces a medical-retina infusion model: J0178 (2.5K claims, $692 avg paid/claim), J2778 (578 claims, $181 avg paid/claim, $104.6K revenue), and J2777 (3.2K claims, $29 avg paid/claim, $92.2K revenue) are among the top revenue-generating codes, showing routine use of intraocular injections and multiple anti-VEGF agents/formulations. Combined billing for diagnostic imaging codes such as 92134 (1.7K claims, $32 avg paid/claim, $53.2K revenue) and fundus photography 92250 (189 claims, $22 avg paid/claim, $4.2K revenue) indicates the practice delivers both therapeutic injections and on-site retinal imaging.

    Competitive standing by code is mixed: J0178 ranks #334 of 3204 providers nationally (90th percentile), which places the provider well above many peers on aflibercept use but is described as "typical, unremarkable volume" in the source labels; 92134 ranks #1362 of 26868 (95th percentile) and is labeled "notably above typical national volume," indicating comparatively high retinal imaging throughput. By contrast, codes like J2777 (rank #1797 of 2039, 11th percentile) and Q5128 (rank #322 of 373, 14th percentile) sit at low national percentiles, suggesting limited use of those specific products relative to peers.

    Visit-level and E/M activity is present but secondary to injection revenue: 92014 shows 712 claims and $68.4K revenue (3.1% of Medicare revenue) and 92004 appears for new comprehensive visits (56 claims, $6.5K), while E/M codes such as 99204/99214 appear at low volumes. These counts suggest the practice combines procedural injection sessions with periodic comprehensive and established ophthalmology visits rather than high-volume general primary eye care.

    The provider bills care-management/coordination codes in small volumes (99426: 66 claims, $3.3K; 99427: 58 claims, $2.3K), which indicates some engagement in chronic care management for complex patients but not at a scale that materially shifts revenue composition. This pattern is consistent with a retina-focused practice that bills targeted clinical staff time alongside primary therapeutic procedures.

    From an operational and reimbursement exposure standpoint, dependence on a single drug code (J0178 at $1.7M and 76.7% of Medicare revenue) creates sensitivity to changes in drug pricing, reimbursement policy, or utilization management for aflibercept; the top-3 concentration of 86.9% amplifies that dependence. The provider’s long tenure (NPI enumerated 2005-07-05, ~21 years) suggests an established referral base and operational continuity that likely supports the high injection volume.

    Several codes are labeled as "typical, unremarkable volume" despite high absolute dollars (e.g., J0178 is in the 90th percentile and described as typical), so while the provider is a meaningful national-level user of aflibercept, it is not characterized in the source data as an extreme outlier beyond the expected range for high-volume retina specialists. The presence of a "notably above typical" ranking for 92134 reinforces that the practice stands out more on diagnostic retinal imaging throughput than on every component of drug therapy coding.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,470$690$1.7M
    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.1,190$100$123.7K
    J2778Injection, ranibizumab, 0.1 mg580$180$104.6K
    J2777Injection, faricimab‑svoa, 0.1 mg3,180$30$92.2K
    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…710$100$68.4K
    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.1,660$30$53.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg180$220$39.3K
    J7999Compounded drug, not otherwise classified110$80$8.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$120$6.5K
    99204The 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…60$110$6.4K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178360740$690$618.3K
    J277732408,910$30$456.1K
    J27781220600$180$199.7K
    Q5128810220$220$76.1K
    670281880670$100$73.3K
    J79993250230$70$21.5K
    9201437670100$80$15.2K
    92235345050$110$12.2K
    992147,9898,16080$80$11.3K
    921342144060$30$7.8K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Robert CourtneyCORetina Specialist (Ophthalmology) Physician$2.9M$0
    Salil ShuklaCORetina Specialist (Ophthalmology) Physician$2.7M$0
    Murtaza AdamCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Miriah TeeterCORetina Specialist (Ophthalmology) Physician$1.9M$0
    Nancy ChristmasCORetina Specialist (Ophthalmology) Physician$1.8M$0
    Peter HovlandCOOphthalmology Physician$1.8M$0
    Curtis HagedornCOOphthalmology Physician$1.5M$0
    David JohnsonCOSpecialist$1.5M$0
    Ashleigh LevisonCORetina Specialist (Ophthalmology) Physician$1.4M$0
    Brian JoondephCORetina Specialist (Ophthalmology) Physician$1.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cottonwood Community Alternatives, Inc.CORespite Care$0$53.7M
    Kci Usa, Inc.CODurable Medical Equipment & Medical Supplies$0$13.6M
    Home Care Of Denver, LLCCOHome Health Agency$0$12M
    Accessible Systems IncCOHome Modifications Contractor$0$6.8M
    Cottonwood Community Alternatives, Inc.CODevelopmentally Disabled Services Day Training Agency$0$4.3M
    River Point Surgery Center, LLCCOAmbulatory Surgical Clinic/Center$1.4M$22.3K
    Rocky Mountain Surgery Center LLCCOAmbulatory Surgical Clinic/Center$779.6K$0
    William RichheimerCOOphthalmology Physician$584.9K$0
    Zachary VestCOOphthalmology Physician$320.5K$0
    Pearl ShinCOOptometrist$159.3K$0

    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. Colorado Distribution
    Mimi Liu — 2 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado