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

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

Larry Puthenparambil (NPI 1679718506)

Field	Value
Entity Type	Individual
Organization	Larry Puthenparambil
Address	8540 Broadway St Ste 210
City	Pearland
State	TX
ZIP	77584
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 5, 2008

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	780	$690	$543.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,100	$30	$234.9K
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…	1,220	$90	$108.3K
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.	620	$100	$63.2K
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.	1,110	$30	$32.2K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	170	$150	$25.4K
J9035	Injection, bevacizumab, 10 mg	180	$50	$9.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$260	$7.3K
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…	50	$100	$4.3K
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,…	160	$30	$4K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Larry Puthenparambil — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	95	210	610	$690	$694.9K
J2777	62	140	7,470	$30	$479.2K
67028	124	290	510	$90	$73K
J7312	28	40	200	$150	$40.8K
92014	85	2,700	100	$80	$21K
66821	510	700	50	$230	$20K
92012	1,460	1,690	80	$60	$10.9K
J9035	27	130	90	$50	$9.8K
92134	121	1,690	70	$30	$8.3K
99204	6,124	16,380	30	$110	$5.6K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utmb Faculty Group Practice	TX	General Practice Physician	$0	$98.9M
Ohiohealth Corporation	OH	Family Medicine Physician	$0	$89.1M
Imaging Subspecialists Of North Jersey, LLC	NJ	Diagnostic Radiology Physician	$0	$7.5M
Ashkan Abbey	TX	Ophthalmology Physician	$6.4M	$0
Lori Coors	TX	Ophthalmology Physician	$5.2M	$0
Ivan Castillo-salazar	TX	Ophthalmology Physician	$4.7M	$0
Andrew Mcclellan	TX	Ophthalmology Physician	$4.5M	$0
Wayne Solley	TX	Ophthalmology Physician	$4M	$0
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Timothy Fuller	TX	Ophthalmology Physician	$3.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Integrity Health Group, Inc.	TX	Home Health Agency	$0	$12.5M
Apc Health LLC	TX	Clinical Medical Laboratory	$600.6K	$2.3M
Anna Drosou	TX	MOHS-Micrographic Surgery Physician	$588.5K	$0
Steven Pulley	TX	Interventional Pain Medicine Physician	$202.5K	$137.8K
Carl Fastabend	TX	Cardiovascular Disease Physician	$226.8K	$0
Alpesh Shah	TX	Interventional Cardiology Physician	$223.6K	$0
Jay Lafleur	TX	Interventional Pain Medicine Physician	$221.7K	$0
Sunrise Labs Tx	TX	Clinical Medical Laboratory	$219.8K	$0
Robert Burke	TX	Sports Medicine (Orthopaedic Surgery) Physician	$192K	$0
Islam Al-howaidi	TX	Interventional Cardiology Physician	$158.2K	$0

Larry Puthenparambil — Billing Profile & Reimbursement Data

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Larry Puthenparambil — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References