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

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

Ramin Sarrafizadeh (NPI 1700813391)

Field	Value
Entity Type	Individual
Organization	Ramin Sarrafizadeh
Address	2770 N Union Blvd
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

RAMIN SARRAFIZADEH is a retina specialist with an NPI enumerated 2006-06-27 (~20 years ago) and shows $3.4M in lifetime Medicare revenue with no Medicaid billing on file; this profile makes the practice effectively single‑payer (Medicare) in the available claims data.

Revenue is highly concentrated in a small set of drug administration codes: the precomputed top three Medicare codes account for 78.3% of this provider’s Medicare revenue, with J2777 alone representing $1.8M (52.9% of Medicare revenue), J2778 at $530.1K (15.5%), and J0178 at $339K (9.9%).

The code mix indicates a medical‑retina practice built around intravitreal pharmacotherapy and outpatient retinal care: dominant codes are intravitreal drug administrations (J2777, J2778, J0178, J2781, J7312) together with intravitreal injection procedure 67028, consistent with routine injection clinics for retinal disease.

On competitive standing, the provider reports notably above‑typical national volume for faricimab (J2777: 62.6K claims, $29 avg paid/claim, ranks #64 of 2039, 97th percentile, "notably above typical national volume") and strong national volume for ranibizumab (J2778 ranks #121 of 1208, 90th percentile), while aflibercept (J0178) ranks lower nationally (#1927 of 3204, 40th percentile), indicating market leadership for some drugs but more modest participation for others.

High outpatient imaging and follow‑up activity supports the injection volume: 92134 is an "extreme outlier" (2.3K claims, $32 avg paid/claim, $75K revenue; ranks #754 of 26868, 97th percentile) and 92014 also ranks in the 97th percentile (1.2K claims, $98 avg paid/claim, $116.6K revenue), signaling intensive diagnostic monitoring and follow‑up visits that align with frequent intravitreal therapy.

Surgical retina procedures are present but low volume relative to injections and imaging—examples include 67108 (20 claims, $956 avg paid/claim, $19.1K revenue), 67042 (15 claims, $836 avg paid/claim, $12.5K revenue) and 67036 (13 claims, $730 avg paid/claim, $9.5K revenue)—which suggests the practice focuses primarily on medical retina care with occasional surgical cases.

The absence of any Medicaid billing on file combined with $3.4M in Medicare revenue implies limited exposure to non‑Medicare payer mix; analysts should treat this entity as essentially Medicare‑driven when modeling reimbursement risk and access for lower‑income populations.

Because more than half of Medicare revenue is tied to J2777 and the top three codes together account for 78.3% of Medicare revenue, payer policy changes, utilization management, or price shifts for these specific intravitreal drugs would be disproportionately material to this provider’s revenue—contracting and coverage discussions should prioritize J2777, J2778, and J0178.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	62,580	$30	$1.8M
J2778	Injection, ranibizumab, 0.1 mg	2,950	$180	$530.1K
J0178	Injection, aflibercept, 1 mg	500	$680	$339K
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.	1,660	$110	$187.1K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,410	$120	$166.4K
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…	1,190	$100	$116.6K
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.	2,350	$30	$75K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	390	$110	$42.4K
92242	The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…	160	$210	$33.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	180	$160	$28.8K

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

Claims Volume vs. Colorado Distribution

Ramin Sarrafizadeh — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	37	60	740	$690	$618.3K
J2777	3	40	8,910	$30	$456.1K
J2778	2	20	600	$180	$199.7K
J2781	2	10	470	$120	$79.4K
67028	8	80	670	$100	$73.3K
J7312	7	10	220	$160	$37.4K
67036	22	30	20	$1,100	$37.3K
67042	22	30	20	$1,140	$29.6K
67108	5	20	20	$1,260	$26.5K
J7999	23	50	230	$70	$21.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants Of Southern Colorado P C	CO	Ophthalmology Physician	$0	$9M
James Luu	CO	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Adam Martidis	CO	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ryan Rich	CO	Ophthalmology Physician	$3.1M	$0
Stanford Taylor	CO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Cecinio Ronquillo	CO	Ophthalmology Physician	$2.1M	$0
Steven Christiansen	CO	Ophthalmology Physician	$302.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Rocky Mountain Health Care Services	CO	PACE Provider Organization	$0	$38.5M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Akvc Central LLC	CO	Pediatric Optometrist	$0	$8.8M

Ramin Sarrafizadeh — Billing Profile & Reimbursement Data

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Ramin Sarrafizadeh — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References