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 & MedicaidCharles Wang
    Ask Trek AI about this page

    Charles Wang — Billing Profile & Reimbursement Data

    NPI 1568476059 · Wilmington, DE · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Charles Wang — 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.

    Charles Wang is a ophthalmology physician provider located in Wilmington, Delaware. This profile covers 13 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
    OrganizationCharles Wang
    Address1700 Wawaset St
    CityWilmington
    StateDE
    ZIP19806
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 28, 2006

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

    Payer SourceTotal Paid
    Medicare$666.7K
    Medicaid$0

    Key Findings

    This provider’s Medicare billing footprint is concentrated: lifetime Medicare revenue is $666.7K while there is no Medicaid billing on file, so the practice effectively operates on a single-payer (Medicare) footprint for the data available. The lack of Medicaid activity suggests limited participation in state Medicaid networks or a patient panel that is predominantly Medicare-eligible.

    Revenue is highly concentrated in a small set of procedural retinal codes: the top three Medicare codes (J0178, 67028, J2777) account for 74.8% of this provider’s total Medicare revenue. Those three codes include J0178 at $350.5K, 67028 at $79.6K, and J2777 at $67.9K, indicating dependence on a few high-volume treatment codes for the majority of revenue.

    The code mix indicates a retina-focused, procedure-driven ophthalmology practice: J0178 (aflibercept injection), J2777 (faricimab injection), J9035 (bevacizumab injection), and 67028 (intravitreal injection procedure) together dominate billing, supported by high-volume retinal imaging with 92134. This pattern (large share from injection drugs plus OCT imaging) is consistent with an office-based intravitreal injection suite treating retinal disease rather than a general primary eye-care clinic.

    J0178 is the single largest Medicare revenue driver at $350.5K (52.7% of total Medicare revenue) but the provider ranks #1908 of 3204 nationally for this code (40th percentile), a placement the source labels as "typical, unremarkable volume for this code." In other words, while J0178 dominates this provider’s revenue mix, the provider is not a top national volumetric performer for aflibercept relative to peers.

    Retinal imaging (92134) is a notable strength: 1.5K claims produced $44.1K (6.6% of Medicare revenue) and the provider ranks #1555 of 26868 nationally (94th percentile), described as "notably above typical national volume for this code." High OCT volume relative to peers suggests the practice does substantial diagnostic imaging to support injection-based management.

    There is a contrast across injection drug codes: J2777 shows 2.3K claims and $67.9K revenue but ranks #1926 of 2039 (5th percentile) and is labeled "typical, unremarkable volume for this code," while J9035 accounts for $34.7K and ranks in the 91th percentile (#175 of 1852) and is also described as "typical, unremarkable volume." These divergent percentiles imply the provider’s relative position varies by drug product—high claim counts for some agents do not always translate to above‑peer ranking, reflecting differences in national utilization patterns or pricing.

    Office/clinic evaluation-and-management and comprehensive exam codes make up a smaller portion of revenue compared with injections and imaging: 92014 produced $58.7K (8.8% of Medicare revenue) and common E/M codes such as 99214 contributed $11.2K (1.7%). This distribution underscores that procedural and drug administration services are the primary revenue drivers rather than routine E/M visits.

    The provider has long tenure on file, with an NPI enumerated 2006-07-28 (~20 years ago), which indicates a sustained market presence. That longevity combined with a concentrated retina-centric revenue mix suggests an established, procedure-oriented ophthalmology practice rather than a newly entering competitor.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg510$690$350.5K
    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.950$80$79.6K
    J2777Injection, faricimab‑svoa, 0.1 mg2,340$30$67.9K
    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…620$100$58.7K
    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.1,470$30$44.1K
    J9035Injection, bevacizumab, 10 mg640$50$34.7K
    99214The 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…150$70$11.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$110$8.7K
    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…30$110$3.6K
    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…50$70$3.5K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178410510$680$495.6K
    J277761020,040$30$474.7K
    67028510970$90$85.6K
    9201426120250$80$29.9K
    992149091,830150$80$25.5K
    J9035110290$50$15K
    992131,2831,810120$60$13.6K
    9921543157040$120$11K
    92134510080$30$7.5K
    9920449295030$110$6.5K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Nemours FoundationDEMulti-Specialty Clinic/Center$0$172M
    The Nemours FoundationFLChildren's Hospital$0$104.9M
    The Nemours FoundationDEChildren's Hospital$0$104M
    The Nemours FoundationFLMulti-Specialty Clinic/Center$0$46.2M
    Nemours Children's Health, Downtown Orlando, Specialty CareFLMulti-Specialty Clinic/Center$0$44.4M
    Nemours Children's Health, Jacksonville, Specialty CareFLMulti-Specialty Clinic/Center$0$23.6M
    Sedigheh EbadiFLPediatrics Physician$0$10.1M
    Children's Health Alliance, LLCFLPediatrics Physician$0$9.6M
    Michael KlufasPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nancy PanckoDEOrthodontics and Dentofacial Orthopedics Dentistry$0$10M
    Ingleside Homes, IncDEAssisted Living Facility$0$2.5M
    Paula KoDEOphthalmology Physician$1.7M$0
    Liberty Dialysis - Wilmington LLCDEEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.6M
    Eye Physicians & Surgeons, PADEOphthalmology Physician$0$1.6M
    Brandywine Medical Associates, Inc.DEFamily Medicine Physician$0$1.3M
    Brian ToussaintDEOphthalmology Physician$1.2M$0
    Ingleside Homes, IncDEHomemaker$0$1.2M
    Rmb Group, LLCDEIn Home Supportive Care Agency$0$1.1M
    Philip SchwartzDERheumatology Physician$937.1K$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. Delaware Distribution
    Charles Wang — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Delaware