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    v1.0.28
    OpenPayerNPI Medicare & MedicaidSwetangi Bhaleeya
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    Swetangi Bhaleeya — Billing Profile & Reimbursement Data

    NPI 1629226782 · Sandy Springs, GA · Retina Specialist (Ophthalmology) Physician

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    Swetangi Bhaleeya is a retina specialist (ophthalmology) physician provider located in Sandy Springs, Georgia. This profile covers 9 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
    OrganizationSwetangi Bhaleeya
    Address5995 Barfield Rd
    CitySandy Springs
    StateGA
    ZIP30328
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedSeptember 3, 2008

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

    Payer SourceTotal Paid
    Medicare$343K
    Medicaid$0

    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.

    9 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg390$680$261.7K
    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…450$90$38.4K
    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.190$100$18.4K
    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.510$30$14.8K
    92250Code 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,…110$30$3K
    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…50$60$3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.20$110$2.2K
    92274The provider performs an electrophysiologic test of retinal function, which consists of multifocal electroretinography (mfERG) to detect localized retinal abnormalities or cone–rod dysfunction. The…10$60$810
    76512The provider uses B–scan ultrasound imaging, with or without a non–qualitative A–scan superimposed, to examine the intraocular and orbital structures.10$30$450

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    9 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017815670970$680$700.6K
    6702823380720$90$71.9K
    92014549850130$80$19.7K
    9201277638090$60$10.5K
    9213431962070$30$7.1K
    920041,40164040$90$5.9K
    9225063462050$20$2.8K
    9227431030$60$1.4K
    765122114030$30$1.3K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Medical Service Association IncFLGeneral Practice Physician$0$29.4M
    Lester E Cox Medical CentersMOGeneral Practice Physician$0$9.2M
    Lewis GlassFLDermatopathology Physician$1.2M$0
    Basil CherpelisFLMOHS-Micrographic Surgery Physician$804.8K$0
    Adrienne HeryFLAnatomic Pathology & Clinical Pathology Physician$619.1K$0
    Hadi BazziFLDiagnostic Radiology Physician$381.4K$0
    William UpshawFLPsychiatry Physician$310.3K$0
    Yogi TrivediFLNeuroradiology Physician$273.9K$0
    Gregg BaranFLDiagnostic Radiology Physician$260K$0
    Robert ZamoreCADiagnostic Radiology Physician$252.8K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Finan Dermatopathology Laboratory, P.C.GAClinical Medical Laboratory$1.8M$0
    Thomas Eye Surgery Center LLCGAAmbulatory Surgical Clinic/Center$1.8M$0
    Paul KaufmanGAOphthalmology Physician$1.7M$0
    Jessica MccluskeyGAOphthalmology Physician$1.3M$0
    Woolfson Ambulatory Surgery Center, LLCGAOphthalmologic Surgery Clinic/Center$861.9K$0
    Merinda HerronGAPediatrics Physician$0$770.9K
    Mid Physician Network (oh), LLCGAGeneral Practice Physician$0$756.5K
    Kirk PaulkGAInternal Medicine Physician$711.8K$0
    Nandini SetiaGARheumatology Physician$629.3K$0
    Mark BermanGAOphthalmology Physician$395.1K$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. Georgia Distribution
    Swetangi Bhaleeya — 0 of 9 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia