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    OpenPayerNPI Medicare & MedicaidYevgeniy Sychev
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    Yevgeniy Sychev — Billing Profile & Reimbursement Data

    NPI 1609166768 · Minneapolis, MN · Retina Specialist (Ophthalmology) Physician

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    Yevgeniy Sychev is a retina specialist (ophthalmology) physician provider located in Minneapolis, Minnesota. This profile covers 19 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
    OrganizationYevgeniy Sychev
    Address710 E 24th St Ste 304
    CityMinneapolis
    StateMN
    ZIP55404
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 11, 2011

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

    Payer SourceTotal Paid
    Medicare$1.9M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is overwhelmingly driven by intravitreal anti-VEGF therapy: J0178 (aflibercept) accounts for $1.1M (56.3% of Medicare revenue) across 1.6K claims, Q5128 (ranibizumab biosimilar) contributes $312.1K (16.4%) across 1.4K claims, and J2777 (faricimab) adds $130.5K (6.8%) across 4.5K claims. The code mix and volumes indicate a practice focused on high-frequency, office-based retinal injections rather than purely surgical care.

    Revenue concentration is pronounced: the top three Medicare codes together account for 79.6% of this provider’s total Medicare revenue. This heavy concentration around three drug/injection codes signals that overall Medicare performance is highly dependent on continued utilization and reimbursement of those specific injection codes.

    The provider is effectively single-payer in scale: Medicare revenue totals $1.9M while there is no Medicaid billing on file. The absence of Medicaid activity means payer strategy, network positioning, and revenue sensitivity should be assessed primarily through a Medicare lens rather than dual-payer dynamics.

    Competitive standing varies by code: J0178 ranks #780 of 3204 providers nationally (76th percentile), and Q5128 ranks #95 of 373 (75th percentile), both characterized as typical, unremarkable national volumes for those codes. By contrast, J2777 ranks #1601 of 2039 (21st percentile) and represents a modest national presence for faricimab relative to peers, indicating differentiated uptake across therapies.

    Diagnostic and follow-up services are a strong companion line: 92134 (OCT retinal imaging) appears at 2.2K claims and $66.5K revenue and ranks in the 97th percentile as notably above typical national volume, while 92012 (intermediate established E/M) is in the 96th percentile. Those notably above-typical rankings suggest an operational model that pairs frequent imaging and visits with injection-based treatment, consistent with active chronic retinal disease management.

    Surgical retinal procedures are present but limited: vitrectomy and related surgery codes (67042, 67041, 67036, 67108, 67145) appear with small claim counts and mid-to-lower national ranks, generating single-digit-thousand-dollar revenues per code. This mix implies the practice performs occasional surgical cases but is primarily an office-centric injection and imaging practice rather than a high-volume surgical retina center.

    Tenure is long-established: the NPI was enumerated 2011-04-11 (~15 years ago), indicating the provider has operated under Medicare for over a decade and likely has an established referral and follow-up workflow for chronic retinal conditions. That tenure supports the billing patterns observed (high imaging and repeated injections).

    From a business perspective, reliance on one high-revenue drug code (J0178 at $1.1M, 56.3%) and two injection codes that form the bulk of receipts suggests revenue sensitivity to drug reimbursement, product mix shifts, and formulary changes. Payers and network planners should note that changes affecting aflibercept or ranibizumab coverage could materially affect this provider’s Medicare revenue given the 79.6% concentration in the top three codes.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,560$690$1.1M
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg1,450$220$312.1K
    J2777Injection, faricimab‑svoa, 0.1 mg4,500$30$130.5K
    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.1,390$90$130.2K
    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.2,220$30$66.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…820$70$55.2K
    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…290$90$25.3K
    J9035Injection, bevacizumab, 10 mg460$50$25.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.150$110$16.3K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$900$16.1K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781040580$690$743.4K
    J277719206,120$30$411.1K
    Q51288201,410$220$393.8K
    670281280420$90$64.8K
    67042101020$1,300$48K
    6703641020$1,140$37.5K
    6710881010$1,230$34.4K
    6704161020$1,090$25.1K
    J9035940220$50$16.9K
    92014115830100$80$11.9K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vitreoretinal Surgery PLLCMNOphthalmology Physician$0$27.8M
    David WilliamsMNRetina Specialist (Ophthalmology) Physician$5.5M$0
    David ParkeMNOphthalmology Physician$4.8M$0
    Sundeep DevMNOphthalmology Physician$4.5M$0
    John DaviesMNOphthalmology Physician$3.9M$0
    Polly QuiramMNOphthalmology Physician$3.7M$0
    Geoffrey EmersonMNRetina Specialist (Ophthalmology) Physician$3.3M$0
    Robert MittraMNOphthalmology Physician$3.1M$0
    Abdhish BhavsarMNRetina Specialist (Ophthalmology) Physician$2.3M$0
    Jacob JonesMNRetina Specialist (Ophthalmology) Physician$2.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nu-way House IncMNSubstance Abuse Rehabilitation Facility$0$200.8M
    Childrens Health CareMNChildren's Hospital$0$100M
    Midwest Home Health Care, Inc.MNHome Health Agency$0$73.5M
    Midwest Quality Home Care, Inc.MNHome Health Agency$0$66.7M
    Regents Of The University Of MinnesotaMNFederally Qualified Health Center (FQHC)$0$55.2M
    Minnesota Professional Health Services,incMNHome Health Agency$0$51.9M
    Park Ave Center IncMNSubstance Use Disorder Rehabilitation Clinic/Center$0$50.8M
    Minnesota Quality Care, Inc.MNHome Health Agency$0$48.4M
    Direct Home Health Care, Inc.MNHome Health Agency$0$30.7M
    Aaa A-z Friendly Languages IncMNInterpreter$0$29.4M

    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. Minnesota Distribution
    Yevgeniy Sychev — 3 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota