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    OpenPayerNPI Medicare & MedicaidRobert Mittra
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    Robert Mittra — Billing Profile & Reimbursement Data

    NPI 1699764456 · Minneapolis, MN · Ophthalmology Physician

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    Robert Mittra is a ophthalmology physician provider located in Minneapolis, Minnesota. This profile covers 21 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
    OrganizationRobert Mittra
    Address7760 France Ave S
    CityMinneapolis
    StateMN
    ZIP55435
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 14, 2005

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider’s lifetime Medicare footprint is concentrated: total Medicare revenue is $3.1M and there is no Medicaid billing on file, so the practice effectively operates as a Medicare-focused provider rather than a mixed Medicaid/Medicare practice. The absence of any Medicaid claims means payer-mix analysis should treat this entity as single‑payer (Medicare) when assessing contracting or network value.

    Revenue is highly concentrated in a small set of injection codes: the precomputed top 3 Medicare codes by revenue account for 76.6% of this provider’s total Medicare revenue, with J0178 alone representing 47.7% of Medicare revenue, Q5128 contributing 21.2%, and J2778 contributing 7.7%. This concentration indicates that anti‑VEGF and related intravitreal drug administration drive the majority of billings and payments.

    The procedure mix indicates a retina-focused ophthalmology operation: dominant injectable drug codes (J0178, Q5128, J2778, J2777) combined with high-volume retinal imaging (92134 with 3K claims, $88.8K revenue) and fluorescein angiography (92235, 207 claims, $22.6K revenue) point to routine intravitreal therapy workflows supported by diagnostic OCT and angiography services. The presence of retinal surgery codes—67041 (28 claims, $24.6K), 67108 (18 claims, $16K), and 67113 (13 claims, $13.6K)—also shows the practice performs some surgical retina interventions in addition to office-based injections.

    Competitive standing on injection codes is mixed: J0178 ranks #457 of 3204 providers nationally (86th percentile; typical, unremarkable volume), indicating an above‑average but not dominant national position for aflibercept injections. Q5128 ranks #33 of 373 providers (91th percentile; typical, unremarkable volume), signaling relatively high national activity among providers using this ranibizumab biosimilar, while J2778 ranks #339 of 1208 (72th percentile; typical, unremarkable volume), reflecting more modest standing for that ranibizumab formulation.

    Diagnostic and exam volumes are notable outliers: 92134 is an extreme outlier nationally (ranks #427 of 26868, 98th percentile; far above typical volume) with 3K claims and $88.8K revenue, indicating unusually heavy use of retinal OCT imaging. Supporting that high imaging intensity, routine exam code 92014 shows 895 claims, $81.4K revenue and ranks #2097 of 35415 (94th percentile; notably above typical national volume), consistent with a busy ophthalmology practice that pairs imaging with treatment.

    Payer/payment profile within Medicare shows variation by drug and code: J0178 carries a relatively high average paid/claim ($692 avg paid/claim, $1.5M revenue from 2.2K claims), while other injectables show lower averages (Q5128 $217 avg paid/claim, $665.8K revenue from 3.1K claims; J2777 $29 avg paid/claim, $154.9K revenue from 5.3K claims). These differences highlight that the provider’s revenue mix depends on both drug selection and volume—high claim counts for some codes do not necessarily translate into commensurate revenue without higher per‑claim payments.

    Use of unclassified biologics and other injectables is material but secondary: J3590 (278 claims, $66.7K revenue, ranks #139 of 631, 78th percentile) and J9035 (78 claims, $4.1K revenue) indicate additional biologic administration beyond the primary anti‑VEGF agents, which may reflect mixed product use or billing of ancillary biologic supplies. These ancillary biologic billings supplement the practice’s injection revenue but do not approach the top three codes in revenue share.

    The provider is an established practitioner: NPI enumerated (registered) 2005-10-14 (~21 years ago), signaling long tenure in the Medicare program. That longevity, combined with concentrated injection and imaging volumes, suggests a well‑established retina/medical ophthalmology practice rather than a recently entered or transient billing pattern.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,160$690$1.5M
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg3,070$220$665.8K
    J2778Injection, ranibizumab, 0.1 mg1,300$190$243.1K
    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.1,900$90$174.8K
    J2777Injection, faricimab‑svoa, 0.1 mg5,340$30$154.9K
    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.2,960$30$88.8K
    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…900$90$81.4K
    J3590Unclassified biologics280$240$66.7K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg200$170$33.7K
    67041In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…30$880$24.6K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178740580$690$743.4K
    J277716206,120$30$411.1K
    Q51283201,410$220$393.8K
    J2778320500$180$121K
    J3590310220$230$73.7K
    67028980420$90$64.8K
    Q5124410200$170$49.2K
    6711321010$1,440$46.2K
    6710841010$1,230$34.4K
    6704131020$1,090$25.1K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$90.4M
    Regions HospitalMNGeneral Acute Care Hospital$0$44.4M
    Fairview Express CareMNSpecialist$0$33.1M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$30M
    Vitreoretinal Surgery PLLCMNOphthalmology Physician$0$27.8M
    Fairview Health ServicesMNEmergency Medicine Physician$0$26.6M
    Fairview Health ServicesMNGeneral Acute Care Hospital$0$17.2M
    Regions HospitalMNEmergency Medicine Physician$0$15.1M
    Fairview Express CareMNGeneral Practice Physician$0$11.4M
    Maple Grove Hospital CorporationMNGeneral Acute Care Hospital$0$7.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Emergency Physicians Professional AssociationMNEmergency Medicine Physician$0$72.7M
    Professional Resource Network - Prn - CorporationMNHome Health Agency$0$12.4M
    Virtual Radiologic Professionals, LLCMNDiagnostic Radiology Physician$0$11.3M
    Mental Health Systems PCMNPsychologist$0$11M
    Premier Obgyn Of Minnesota PLLCMNObstetrics & Gynecology Physician$0$7M
    Noran Neurological Clinic P.A.MNSpecialist$0$6M
    Nura Surgical Center LLCMNAmbulatory Surgical Clinic/Center$5.3M$581.7K
    Southdale Pediatric Associates, LtdMNMulti-Specialty Clinic/Center$0$5.3M
    David ParkeMNOphthalmology Physician$4.8M$0
    Sundeep DevMNOphthalmology Physician$4.5M$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. Minnesota Distribution
    Robert Mittra — 3 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota