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    OpenPayerNPI Medicare & MedicaidSteven Saraf
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    Steven Saraf — Billing Profile & Reimbursement Data

    NPI 1649545112 · Medford, OR · Retina Specialist (Ophthalmology) Physician

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    Steven Saraf is a retina specialist (ophthalmology) physician provider located in Medford, Oregon. This profile covers 16 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
    OrganizationSteven Saraf
    Address1333 E Barnett Rd
    CityMedford
    StateOR
    ZIP97504
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 17, 2012

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    Medicare revenue is highly concentrated in intravitreal drug administration: the top three Medicare codes (J0178, J2777, 67028) produce $611.1K, $224.5K, and $61K respectively and together account for 87.2% of this provider's total Medicare revenue. J0178 alone represents 59.4% of Medicare revenue with an average paid per claim of $679, indicating that aflibercept injections are the central revenue driver for this practice.

    Clinical/service-line profile is consistent with a retina-focused ophthalmology practice: high-volume billing for intravitreal drug codes (J0178 and J2777) alongside procedure code 67028 for isolated intravitreal injection and elevated use of posterior-segment imaging (92134). The presence of 1.4K claims for 92134 ($30 avg paid/claim, $41.4K revenue) and its characterization as notably above typical national volume (94th percentile) supports a workflow built around imaging-guided retina care and frequent injection follow-ups.

    Competitive standing on primary drug codes is modest rather than dominant: J0178 ranks #1387 of 3204 providers nationally (57th percentile; typical, unremarkable volume) and J2777 ranks #1201 of 2039 providers nationally (41th percentile; typical, unremarkable volume). These ranks suggest the provider participates at a middling level among peers for anti-VEGF and newer biologic injections rather than being a national leader, while the high percentile for 92134 points to relatively stronger imaging throughput.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1M while there is no Medicaid billing on file, so this provider operates without a Medicaid presence in the available data. That concentration means reimbursement exposure and network negotiation leverage will be driven by Medicare performance metrics and drug utilization rather than state Medicaid activity.

    Visit-level E/M activity shows regular management of established patients: 99214 accounts for 341 claims ($92 avg paid/claim, $31.4K revenue, 3.0% of Medicare revenue) and 99213 has 389 claims ($60 avg paid/claim, $23.3K revenue, 2.3% of Medicare revenue). Both codes rank in higher national percentiles (99214 at 82th; 99213 at 91th) indicating persistent follow-up and medical-management workload consistent with a retina specialty that requires frequent monitoring.

    Practice tenure indicates an established billing history: NPI was enumerated 2012-03-17 (~14 years ago), reflecting more than a decade of Medicare participation. This longevity supports the interpretation that current coding and revenue patterns represent stable clinical operations rather than a transient or newly established practice.

    Relative lack of high-complexity office visits and procedures: 99215 is billed only 12 times ($131 avg paid/claim, $1.6K revenue) and ranks #138358 of 145531 providers nationally (2th percentile; typical, unremarkable volume), suggesting relatively few high-complexity encounter billings. Coupled with a heavy procedural/drug-revenue profile, the mix implies most patient encounters are procedure- or imaging-driven follow-ups rather than high-complexity new-problem management.

    The absence of Medicaid claims removes any in-state Medicaid comparative signals and may limit downstream analyses tied to state-covered populations or safety-net volume. For payers and analysts this means competitive benchmarking and network decisions for this provider should prioritize Medicare drug utilization, injection throughput, and imaging capacity rather than Medicaid-facing metrics.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg900$680$611.1K
    J2777Injection, faricimab‑svoa, 0.1 mg7,740$30$224.5K
    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.680$90$61K
    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.1,380$30$41.4K
    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$31.4K
    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…390$60$23.3K
    J7999Compounded drug, not otherwise classified200$70$14.2K
    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…70$100$6.3K
    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$3.1K
    67145The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…20$190$2.8K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782860840$680$623.7K
    J2777243010,050$30$527.6K
    670283470580$90$72.3K
    J79993050270$70$23.4K
    92014278440110$80$16K
    92235263060$100$11.1K
    992145526,07080$70$10.3K
    921342939080$30$8.1K
    992152,0592,17040$100$6.7K
    992132365,48060$50$5.7K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of WashingtonWAGeneral Acute Care Hospital$0$129.5M
    Harborview Medical CenterWAGeneral Acute Care Hospital$0$128.2M
    Franciscan Medical GroupWAFamily Medicine Physician$0$92.6M
    Fred Hutchinson Cancer CenterWAGeneral Acute Care Hospital$0$72.6M
    The Association Of University PhysiciansWAAnesthesiology Physician$0$66.3M
    The Vancouver Clinic Inc PsWAInternal Medicine Physician$0$28.2M
    Pacmed ClinicsWAMulti-Specialty Clinic/Center$0$4.5M
    North Kitsap Ambulatory Surgery Center, LLCWAAmbulatory Surgical Clinic/Center$3.1M$60.2K
    Zhihong ZhangWAHematology & Oncology Physician$1.1M$0
    Craig LemleyORRetina Specialist (Ophthalmology) Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    AsanteORGeneral Acute Care Hospital$0$29.7M
    Addictions Recovery Center, Inc.ORSubstance Abuse Rehabilitation Facility$0$29.2M
    Asante Physician PartnersORFamily Medicine Physician$0$27.2M
    Mercy Flights IncorporatedORAmbulance$3.6M$19.4M
    Providence Health & Services - OregonORGeneral Acute Care Hospital$0$20.9M
    Crc Health Oregon, LLCORMethadone Clinic$193K$13M
    James Kolby Robinson, DmdORPediatric Dentistry$0$11.6M
    Valley Immediate Care, LLCORUrgent Care Clinic/Center$0$9.4M
    Lincare IncORDurable Medical Equipment & Medical Supplies$0$7.1M
    Southern Oregon Pediatrics, LLPORPediatric Hospice and Palliative Medicine Physician$0$6.5M

    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. Oregon Distribution
    Steven Saraf — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon