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    OpenPayerNPI Medicare & MedicaidAlexander Talalight
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    Alexander Talalight — Billing Profile & Reimbursement Data

    NPI 1700094661 · Huntsville, AL · Retina Specialist (Ophthalmology) Physician

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    Alexander Talalight is a retina specialist (ophthalmology) physician provider located in Huntsville, Alabama. This profile covers 17 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
    OrganizationAlexander Talalight
    Address2331 Whitesburg Dr S
    CityHuntsville
    StateAL
    ZIP35801
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 21, 2007

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

    Payer SourceTotal Paid
    Medicare$1.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 77.0% of this provider's total Medicare revenue, with J0178 alone contributing $802.2K (58.4% of total Medicare revenue) and the next two codes J0178, 67028 and J2777 together dominating the practice’s billings. That concentration indicates a business model centered on high-frequency intravitreal pharmacologic therapy rather than broad multispecialty services.

    Clinical service mix is consistent with a retina-focused ophthalmology practice: the single largest revenue driver is J0178 (aflibercept) at $802.2K and 1.2K claims, supported by substantial billing for other injectable agents (J2777 faricimab at $125.3K and J9035 bevacizumab at $62.4K) and retina diagnostics (92134 at $57K). The presence of high-volume injection codes alongside retinal imaging (92134) and follow-up E&M codes suggests the operation runs frequent injection clinics with integrated diagnostic imaging and office visits.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.4M while there is no Medicaid billing on file, so the provider’s public-fee revenue and utilization signals should be interpreted without Medicaid comparators. This single-payer footprint limits insight into any Medicaid-facing service lines or state-program behavior for this NPI.

    Competitive standing is moderate for the dominant drug: J0178 ranks #1110 of 3204 providers nationally (65th percentile; typical, unremarkable volume), indicating the provider is an active aflibercept user but not a national high-volume outlier for this agent. By contrast, some ancillary services show much stronger relative volume—these mixed rankings point to a practice that is regionally busy but not a top national injector for every retina drug.

    Several codes show notably above-typical national volume for non-drug services: 92134 (retinal imaging) ranks #1006 of 26868 providers nationally (96th percentile; notably above typical national volume) and 99213 (established E&M) ranks #10121 of 457151 providers nationally (98th percentile; notably above typical national volume). These high percentiles for imaging and E&M imply a consistent patient flow and frequent follow-up visits, supporting the interpretation of an active injection clinic with substantial diagnostic throughput.

    There is a visible preference pattern across anti-VEGF agents: J0178 (aflibercept) produces $802.2K while J2777 (faricimab) and J2778 (ranibizumab) produce $125.3K and $46.7K respectively; J2777 ranks at the 20th percentile (typical, unremarkable volume) and J2778 at the 17th percentile (typical, unremarkable volume). This distribution suggests clinical or formulary preference toward aflibercept (and continued use of bevacizumab, J9035 at $62.4K) rather than heavy utilization of faricimab or ranibizumab in this practice.

    The provider has sustained tenure in the Medicare program, with the NPI enumerated on 2007-05-21 (~19 years ago), indicating a long-established practice presence that likely supports steady referral patterns and a stable patient base. Longer enrollment combined with the high imaging and E&M percentiles is consistent with an established retina clinic rather than a new or transient provider.

    Surgical and laser procedures are present but represent a small portion of revenue: procedural codes such as 67036 ($9.3K), 67145 ($5.5K) and 67228 ($5.3K) appear but account for minor shares of total Medicare revenue. This mix reinforces that the practice’s primary revenue driver is office-based intravitreal therapy and diagnostic follow-up rather than frequent vitreoretinal surgery.

    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.

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,180$680$802.2K
    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.1,500$90$130.6K
    J2777Injection, faricimab‑svoa, 0.1 mg4,320$30$125.3K
    J9035Injection, bevacizumab, 10 mg1,160$50$62.4K
    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.2,040$30$57K
    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…620$90$53.6K
    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…820$60$50.1K
    J2778Injection, ranibizumab, 0.1 mg290$160$46.7K
    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…220$70$15.7K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$620$9.3K

    Showing 1–10 of 17

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781640920$690$706.2K
    J277721207,140$30$267.9K
    67028740990$90$82.5K
    J2778510290$180$69.9K
    J9035340410$50$24.5K
    992145417,330120$80$16.8K
    92014100430100$80$13.3K
    67036102020$690$12.4K
    92235131050$90$10.7K
    6722841030$240$10K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William MitchellALOphthalmology Physician$562.1K$0
    Michael SalterALGlaucoma Specialist (Ophthalmology) Physician$472.6K$0
    Danny LeeALOphthalmology Physician$407.8K$0
    Jonathan RamseyALOphthalmology Physician$327.6K$0
    Brian BaxterCOOptometrist$112.7K$0
    Brenda Miller EdmonsonALOphthalmology Physician$112K$0
    Stephen SolomonALNeuro-ophthalmology Physician$54.7K$21.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Valley Neonatology, IncALNeonatal-Perinatal Medicine Physician$0$22.2M
    The Health Care Authority Of The City Of HuntsvilleALGeneral Acute Care Hospital$0$17.8M
    Happi HealthALFederally Qualified Health Center (FQHC)$0$17.6M
    Emergency Physicians GroupALEmergency Medicine Physician$0$13.5M
    Healthgroup Of AlabamaALContractor$0$13.4M
    The Valley FoundationALMulti-Specialty Clinic/Center$0$11.3M
    David WhiteALNeurology Physician$7M$0
    The Children's Hospital Of AlabamaALPediatric Pulmonology Physician$0$5.6M
    Huntsville Pediatric Associates, LLCALPediatrics Physician$0$4.8M
    Dental Associates Of Huntsville, LLCALGeneral Practice Dentistry$0$4.7M

    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. Alabama Distribution
    Alexander Talalight — 4 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama