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    OpenPayerNPI Medicare & MedicaidSatish Arora
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    Satish Arora — Billing Profile & Reimbursement Data

    NPI 1700827805 · Thibodaux, LA · Ophthalmology Physician

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    Satish Arora is a ophthalmology physician provider located in Thibodaux, Louisiana. This profile covers 19 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
    OrganizationSatish Arora
    Address1101 Audubon Ave
    CityThibodaux
    StateLA
    ZIP70301
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicare$1M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only billing entity: lifetime Medicare revenue is $1M and there is no Medicaid billing on file, so payer mix is single-payer Medicare in practice rather than a split Medicare/Medicaid practice. Analysts should treat Medicaid activity as absent when modeling payor risk or access patterns for this NPI.

    Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 76.8% of this provider's total Medicare revenue, indicating a narrow set of services generate most of the billing. This concentration heightens dependence on a few service lines—primarily intravitreal injections and comprehensive ophthalmologic exams.

    The dominant single code is J0178 (aflibercept injection) with $566.9K in revenue representing 55.0% of the provider’s Medicare revenue; ranking #1482 of 3204 (54th percentile) implies this provider delivers a substantial absolute volume of aflibercept to their patient panel but is not an extreme national outlier for that drug. Operationally, this suggests a clinic model that administers frequent intravitreal biologic therapy.

    The second and third revenue drivers are 92014 (comprehensive established ophthalmology exam) with $125K (12.1% of Medicare revenue) and 67028 (intravitreal injection procedure) with $100.4K (9.7% of Medicare revenue). 92014 ranks in the 98th percentile nationally (extreme outlier), indicating very high exam volume relative to peers and a strong clinical throughput of established patients, while 67028 sits in the 73th percentile (typical volume), reinforcing a mixed profile of high clinic visit volume plus procedural injection work.

    Multiple diagnostic imaging and retina-related codes (92134, 92250, 92235) appear among the top services, with 92134 at $61K (5.9%) and ranking in the 97th percentile (notably above typical national volume). This code mix—high-volume retinal imaging alongside frequent anti-VEGF injections—points to a subspecialty emphasis on medical retina care and longitudinal monitoring of retinal disease.

    Competitive standing varies by service: for exam services (92014) the provider is an extreme outlier in national volume, suggesting local market dominance or a high-volume clinic for established patient visits, while for the largest revenue driver J0178 they are in the middle of the national distribution (54th percentile), and for several retina imaging and intermediate exam codes (92134, 92012, 92250) they are notably above typical national volume. Together these rankings indicate the provider is a major local operator in clinic visits and retinal diagnostics but not a clear national leader for drug administrations.

    Tenure is long: the NPI was enumerated on 2006-06-09 (about 20 years ago), which supports the interpretation that current high volumes (especially the extreme 92014 volume) likely reflect an established practice with sustained patient flow rather than a new entrant scaling rapidly.

    There are several codes with high percentile labels that represent statistically unusual volumes for specific services (92014 labeled an "extreme outlier"; 92134, 92012, and 92250 labeled "notably above typical national volume"). These descriptors support the conclusion that the practice has atypically strong throughput in office exams and retinal diagnostics relative to national peers, which has implications for staffing, equipment needs, and reimbursement exposure focused on retina-related care.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg820$690$566.9K
    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…1,520$80$125K
    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.1,180$90$100.4K
    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.2,260$30$61K
    J7999Compounded drug, not otherwise classified670$70$49.7K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…720$60$43.7K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.50$380$17.4K
    92250Code 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,…600$30$15.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$100$14.2K
    92235The 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…120$100$11K

    Showing 1–10 of 19

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781250300$680$371.5K
    67028770410$80$44.3K
    9201413470170$80$23.9K
    J7999320140$40$16.6K
    6721041040$380$16.5K
    9201218350100$60$11.7K
    92235194070$90$11.3K
    J90353240130$50$10.8K
    67228101030$250$8.2K
    92134936070$20$7.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Thibodaux Laser And Surgery Center, LLCLAAmbulatory Surgical Clinic/Center$940.4K$89.4K
    Gregory HenkelmannLARadiation Oncology Physician$754.9K$0
    Jamie HatcherLARetina Specialist (Ophthalmology) Physician$544.8K$1.1K
    Richard ArceneauxLAOphthalmology Physician$346K$0
    Jonathan CarrereLAOphthalmology Physician$287.2K$0
    Daniel SalisburyLARetina Specialist (Ophthalmology) Physician$141.1K$9.8K
    Edward LanglowLAOphthalmology Physician$99K$0
    Christopher KimbleLACertified Registered Nurse Anesthetist$46.5K$0
    David NaulLACertified Registered Nurse Anesthetist$20.3K$0
    Andrew HoffmannLAAnatomic Pathology & Clinical Pathology Physician$18.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lafourche ArcLAIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$41.6M
    Magnolia Family Services LLCLACommunity/Behavioral Health Agency$0$31.4M
    Leading Health Care Of La, Inc.LAIn Home Supportive Care Agency$0$19.2M
    Thibodaux Regional Health System IncLAGeneral Acute Care Hospital$0$12.6M
    Easter Seals Louisiana Inc.LACase Management Agency$0$10.7M
    Raja Talluri Md A Professional Medical CorporationLARural Health Clinic/Center$0$10.6M
    The Center For Pediatric And Adolescent Medicine,llcLAPediatric Adolescent Medicine Physician$0$9.5M
    Merakey PennsylvaniaLACommunity/Behavioral Health Agency$0$9.3M
    Thibodaux Emergency Physicians Group LLCLAEmergency Medicine Physician$0$7.7M
    Medical Resources & Guidance, Inc.LACase Management Agency$0$7.7M

    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. Louisiana Distribution
    Satish Arora — 4 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Louisiana