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    v1.0.28
    OpenPayerNPI Medicare & MedicaidDevon Ghodasra
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    Devon Ghodasra — Billing Profile & Reimbursement Data

    NPI 1619298262 · Hixson, TN · Retina Specialist (Ophthalmology) Physician

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    Devon Ghodasra is a retina specialist (ophthalmology) physician provider located in Hixson, Tennessee. This profile covers 18 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
    OrganizationDevon Ghodasra
    Address1961 Northpoint Blvd Ste 110
    CityHixson
    StateTN
    ZIP37343
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 17, 2010

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

    Payer SourceTotal Paid
    Medicare$3.6M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only practice at scale: lifetime Medicare revenue is $3.6M while Medicaid shows none on file, so payer exposure is concentrated in Medicare. The NPI has been enumerated since 2010-06-17 (~16 years ago), indicating an established practice footprint in Hixson, TN.

    Revenue is highly concentrated in anti-VEGF injections: the top three Medicare codes (J0178, J2778, J2777) together account for 88.1% of this provider's total Medicare revenue. Individually those codes are J0178 ($1.6M revenue, 45.6%), J2778 ($864.9K revenue, 23.9%), and J2777 ($671.6K revenue, 18.6%), signaling that intravitreal pharmacologic therapy is the dominant revenue stream.

    Clinical/service-line mix aligns with a retina-focused, procedure-driven operation: high volumes of J0178, J2778, and J2777 (aflibercept, ranibizumab, faricimab) plus 2.2K claims for 67028 (intravitreal injection, $195K revenue, 5.4%) indicate the practice primarily delivers repeated intravitreal injections and related interventional retinal care rather than longitudinal primary eye-care. Office E/M codes such as 99213 (526 claims, $31K, 0.9%) and 99214 (341 claims, $30.3K, 0.8%) comprise only a small portion of revenue, reinforcing a procedure-centric model.

    Competitive standing is mixed across codes: for ranibizumab (J2778) the provider ranks #49 of 1208 nationally (96th percentile) and is described as notably above typical national volume, making them a high-volume national user of that drug. By contrast, J0178 ranks #352 of 3204 (89th percentile) and J2777 ranks #435 of 2039 (79th percentile), both characterized as typical or unremarkable volumes relative to national peers — implying market strength for ranibizumab but more modest positioning on the other two major agents.

    Imaging and diagnostic utilization is unusually high relative to peers: 92134 (retinal OCT with interpretation) shows 2.9K claims, $77.8K revenue (2.2%) and ranks #456 of 26868 providers nationally (98th percentile), labeled an extreme outlier and far above typical national volume. This suggests heavy reliance on advanced retinal imaging to support diagnosis and injection decision-making and may reflect workflow or care-pattern intensity beyond typical retina practices.

    Procedure-level activity is also elevated for intravitreal injection encounters: 67028 has 2.2K claims and $195K revenue (5.4%) and ranks #297 of 4255 nationally (93th percentile), noted as notably above typical national volume. Together with the injection drug mix, these procedure counts point to a high-frequency injection practice that drives both drug and procedure revenue.

    The provider displays a clear preference for branded anti-VEGF agents over compounded bevacizumab in Medicare billing: J9035 (bevacizumab) accounts for only $7.2K revenue (0.2%) across 133 claims, whereas J0178 and J2778 together exceed $2.4M in revenue. That billing profile may reflect formulary, clinical, or purchasing choices that favor aflibercept and ranibizumab in this practice.

    Concentration risk and operational implications: with $3.6M concentrated in Medicare and no Medicaid activity reported, the practice has limited payer diversification and is therefore more exposed to Medicare reimbursement or utilization policy changes that affect intravitreal drugs, OCT imaging, or injection procedure rules. From an operational standpoint, the high procedural and imaging volumes suggest capacity and scheduling patterns optimized for frequent, recurring injections rather than primarily new-patient evaluation or broad primary eye-care services.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,410$680$1.6M
    J2778Injection, ranibizumab, 0.1 mg4,810$180$864.9K
    J2777Injection, faricimab‑svoa, 0.1 mg23,160$30$671.6K
    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.2,190$90$195K
    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.2,880$30$77.8K
    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…520$80$42.3K
    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…530$60$31K
    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…340$90$30.3K
    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$850$15.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$100$12.8K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178980790$680$769.8K
    J2777155015,060$30$592.1K
    J27786401,340$180$370.2K
    6702810801,130$90$98.5K
    67042274020$1,020$34.5K
    92014117810120$80$19.2K
    J90353770140$50$17.1K
    992142,31011,370120$80$16.6K
    921341360060$30$8.2K
    9921351911,03080$50$8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    James MillerTNRetina Specialist (Ophthalmology) Physician$3.9M$0
    Nicholas AndersonTNRetina Specialist (Ophthalmology) Physician$3M$0
    Rohan ShahTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Scott BarbTNOphthalmology Physician$2.8M$0
    Robert ShulerTNRetina Specialist (Ophthalmology) Physician$2.6M$0
    Tod McmillanTNRetina Specialist (Ophthalmology) Physician$2.5M$0
    Ailee LahamTNRetina Specialist (Ophthalmology) Physician$2.5M$0
    Stephen PerkinsTNRetina Specialist (Ophthalmology) Physician$2.3M$0
    Francis DecroosTNRetina Specialist (Ophthalmology) Physician$2.3M$0
    Cristoforo LarzoTNRetina Specialist (Ophthalmology) Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Galen Medical Group, PCTNInternal Medicine Physician$0$10.2M
    Agilitas Usa IncTNPhysical Therapy Clinic/Center$0$7.4M
    Dental Center, IncTNDentist$0$7.4M
    Lighthouse Kids Hixson, LLCTNBehavior Analyst$0$3.7M
    Hixson Pediatric Dentistry PLLCTNPediatric Dentistry$0$3.2M
    Memorial Health Care System Inc.TNGeneral Acute Care Hospital$0$2.4M
    Chattanooga Pain Management Center LLCTNAmbulatory Surgical Clinic/Center$2.4M$1.6K
    Chelsea SchwindTNDentist$0$2.2M
    Richard BreazealeTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    Summit Physical Therapy, LLCTNPhysical Therapy Clinic/Center$0$2.1M

    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. Tennessee Distribution
    Devon Ghodasra — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee