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

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

Geeta Lalchandani-lalwani (NPI 1609891811)

Field	Value
Entity Type	Individual
Organization	Geeta Lalchandani-lalwani
Address	4430 Arapahoe Ave Ste 115
City	Boulder
State	CO
ZIP	80303
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the public programs: Total Medicare revenue is $1.5M while Medicaid revenue is none (no Medicaid billing on file), indicating the provider’s publicly reported activity and revenue are concentrated in Medicare. Analysts should treat Medicare patterns as representative of this provider’s public-payor footprint rather than expecting meaningful Medicaid volumes.

Revenue concentration is high and tightly focused: the precomputed top‑3 Medicare codes account for 81.7% of this provider’s total Medicare revenue, driven by J0178 ($916.3K, 61.5%), J2777 ($187.9K, 12.6%), and 92014 ($113.5K, 7.6%). This level of concentration signals material business risk or specialization around a small set of high‑revenue services.

The code mix points to a retina‑focused ophthalmology practice with a high volume of intravitreal biologic injections and associated diagnostics: J0178 (Injection, aflibercept) and J2777 (Injection, faricimab) are the top revenue drivers, and high imaging codes 92134 and 92250 appear in the top codes list supporting retina management. Combined, these codes suggest the operation centers on recurring injection therapy plus retinal imaging and follow‑up visits rather than primary care or high volumes of general ophthalmic surgery.

Competitive standing is mixed by service line: J0178 ranks #957 of 3204 providers nationally (70th percentile; typical, unremarkable volume for this code) and J2777 ranks #1338 of 2039 (34th percentile; typical), indicating modest national participation in anti‑VEGF/faricimab injections. By contrast 92014 (comprehensive established exam) ranks #1133 of 35415 (97th percentile; notably above typical national volume), signaling this provider bills office exam visits at a substantially higher rate than most peers.

Diagnostic and imaging utilization is elevated relative to peers: 92134 has 1.6K claims and $49.9K revenue (3.4% of Medicare revenue) and ranks #1459 of 26868 providers (95th percentile; notably above typical national volume), while 92250 has 575 claims and $17.3K revenue and ranks #937 of 25087 (96th percentile; notably above typical national volume). This pattern—high OCT and fundus photography activity—aligns with a practice managing chronic retinal disease that requires serial imaging.

Visit‑level and care‑management activity show above‑typical new‑patient and complex care billing: 99204 reports 217 claims for $26.7K (1.8% of Medicare revenue) and ranks #3796 of 227068 (98th percentile; extreme outlier, far above typical national volume), and chronic care management codes 99426/99427 appear with 365 and 164 claims respectively. These items suggest substantial time spent on new patient evaluations and coordinated management of complex chronic conditions beyond routine follow‑ups.

Surgical retinal procedures are present but not a dominant revenue stream: 67028 (intravitreal injection as isolated procedure) appears with 870 claims and $82.7K revenue (5.5%) at a typical volume (63rd percentile), while more invasive procedures such as 67042 and 67108 show very low claim counts (13 and 12 claims) and low national percentiles (13th and 9th percentiles, respectively; typical, unremarkable volume). This indicates the practice primarily operates as an outpatient injection and imaging clinic with occasional surgical cases rather than as a high‑volume retinal surgical center.

Tenure and market presence are long‑standing: the NPI was enumerated on 2006‑07‑12 (~20 years ago), indicating a long period of Medicare participation that supports observing stable, repeated patterns in billing for retina therapeutics and related services. The absence of any Medicaid billing on file further emphasizes a Medicare‑skewed payer mix rather than a balanced Medicare/Medicaid practice profile.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,330	$690	$916.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,480	$30	$187.9K
92014	An 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…	1,180	$100	$113.5K
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.	870	$100	$82.7K
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.	1,560	$30	$49.9K
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…	220	$120	$26.7K
99426	Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last…	370	$50	$17.5K
92250	Code 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,…	580	$30	$17.3K
J9035	Injection, bevacizumab, 10 mg	230	$60	$12.5K
67042	In 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…	10	$930	$12.1K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Geeta Lalchandani-lalwani — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	60	740	$690	$618.3K
J2777	25	40	8,910	$30	$456.1K
67028	35	80	670	$100	$73.3K
67042	25	30	20	$1,140	$29.6K
67108	17	20	20	$1,260	$26.5K
66821	132	180	40	$240	$15.5K
92014	5	670	100	$80	$15.2K
92235	27	50	50	$110	$12.2K
99214	3,745	8,160	80	$80	$11.3K
99215	3,098	3,230	40	$110	$8.1K

Showing 1–10 of 22

Related Providers

Other providers that share a Tax Identification Number (TIN) with Geeta Lalchandani-lalwani, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Kitchens	KY	Retina Specialist (Ophthalmology) Physician	$3.5M	$514.7K
Vlad Matei	CO	Retina Specialist (Ophthalmology) Physician	$791.9K	$0

Nearby Providers

Other providers in the same ZIP code as Geeta Lalchandani-lalwani, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Boulder Community Health	CO	General Acute Care Hospital	$0	$7.8M
Patrick Richard	CO	Radiation Oncology Physician	$1.9M	$0
Austin Poole	CO	Hematology & Oncology Physician	$1.1M	$0
Gregory Britt	CO	Hematology & Oncology Physician	$1.1M	$0
Dario Pasalic	CO	Radiation Oncology Physician	$956.3K	$0
David Andorsky	CO	Hematology & Oncology Physician	$890K	$0
Leslie Busby	CO	Hematology & Oncology Physician	$863.7K	$0
Jenny Fox	CO	Hematology & Oncology Physician	$476.5K	$0
Mark Sitarik	CO	Hematology & Oncology Physician	$468.8K	$0
Foothills Surgery Center, LLC	CO	Ambulatory Surgical Clinic/Center	$315.2K	$76.9K

Geeta Lalchandani-lalwani — Billing Profile & Reimbursement Data

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Geeta Lalchandani-lalwani — 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