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

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

Parin Gohel (NPI 1710024096)

Field	Value
Entity Type	Individual
Organization	Parin Gohel
Address	750 E Beltline Ave Ne
City	Grand Rapids
State	MI
ZIP	49525
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 30, 2007

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider’s Medicare billing is highly concentrated: total Medicare revenue is $1.6M and the precomputed top three Medicare codes account for 94.2% of that Medicare revenue. There is no Medicaid billing on file, so the provider is effectively single‑payer (Medicare) in the available claims data and any analysis of payer mix should treat Medicaid as absent rather than minimal.

One code dominates the book of business: J0178 accounts for $1.4M (86.5% of Medicare revenue) across 2K claims with an average paid/claim of $679. J0178 ranks #534 of 3204 providers nationally (83rd percentile) — meaning this physician is dependent on aflibercept administration for revenue but the injection volume is typical, not an extreme outlier, relative to national peers.

The next two Medicare revenue contributors are procedure and diagnostic support codes consistent with a retina-focused practice: 67028 generated $84.5K (5.3% of Medicare revenue) over 939 claims and ranks #1471 of 4255 (65th percentile), while 92134 generated $37.3K (2.4% of Medicare revenue) over 1.2K claims and ranks #1823 of 26868 (93rd percentile). Together with J0178, these codes suggest an operational model centered on intravitreal injections plus high utilization of retinal imaging to support treatment decisions.

Operational footprint beyond injections is modest: office/office‑visit codes such as 92014 ($30K, 362 claims, 78th percentile), 99214 ($27.5K, 306 claims, 79th percentile) and 99213 ($14.9K, 245 claims, 83rd percentile) account for small shares of revenue and reflect routine ambulatory ophthalmology work that accompanies the injection/imaging service line. These E/M and comprehensive exam volumes are within typical ranges nationally, indicating ongoing longitudinal outpatient care but not a large general ophthalmology revenue base.

A review of lower‑volume procedure codes shows limited surgical or laser workload outside the injection/imaging axis: codes like 66821 ($4K, 10th percentile), 67228 ($3.9K, 9th percentile) and 67145 ($2.1K, 12th percentile) appear only sporadically in this profile. Those low percentiles imply the provider does some laser or minor procedural work but is not a high‑volume surgical retina or comprehensive surgical cataract operator based on reported Medicare activity.

The provider’s single‑payer concentration and dependence on one biologic (J0178) creates a focused business profile: with $1.6M lifetime Medicare revenue and no Medicaid claims on file, revenue is concentrated in medically administered anti‑VEGF therapy and associated clinic visits and imaging. That concentration can simplify operational planning (lean retina clinic workflows) but also concentrates reimbursement and clinical risk around changes to anti‑VEGF utilization or payor coverage policies.

This NPI has been enumerated since 2007‑01‑30 (~19 years ago), indicating long tenure in the Medicare program. The combination of long tenure with a Medicare revenue profile dominated by J0178 and supported by retinal imaging and injection procedures describes a stable, mid‑scale retina/injection practice rather than a large multi‑service ophthalmology center or a broad Medicaid‑serving provider.

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	2,010	$680	$1.4M
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.	940	$90	$84.5K
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.	1,240	$30	$37.3K
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…	360	$80	$30K
99214	The 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…	310	$90	$27.5K
99213	The 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…	250	$60	$14.9K
J3590	Unclassified biologics	110	$40	$4.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	20	$240	$4K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	20	$260	$3.9K
67145	The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…	10	$170	$2.1K

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. Michigan Distribution

Parin Gohel — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	110	680	$690	$630.2K
67028	38	160	440	$90	$57.6K
J3590	41	80	140	$80	$19.6K
92014	172	1,080	100	$80	$14.8K
66821	276	310	40	$230	$13.4K
99214	1,933	15,470	80	$80	$11.4K
92235	79	100	40	$100	$7.8K
92134	52	820	60	$30	$7.1K
92012	400	460	50	$60	$6.8K
67228	26	30	30	$250	$6.7K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Blue Sky Vision Eye Care, P.C	MI	Ophthalmology Physician	$0	$9.4M
Ebsc, LLC	MI	Ambulatory Surgical Clinic/Center	$1.2M	$953.3K
Jeffrey Zheutlin	MI	Ophthalmology Physician	$1.5M	$0
Joseph Tan	MI	Ophthalmology Physician	$1.1M	$0
Yosef Gindzin	MI	Ophthalmology Physician	$897.2K	$0
Louis Glazer	MI	Ophthalmology Physician	$896.2K	$0
Gregory Katz	MI	Ophthalmology Physician	$293.4K	$0
Kamal Gupta	MI	Ophthalmology Physician	$289.4K	$0
Barry Fuller	MI	Ophthalmology Physician	$173.3K	$0
Jae Kim	MI	Ophthalmology Physician	$153.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Advanced Radiology Services PC	MI	Diagnostic Radiology Physician	$0	$60M
Clm Enterprises, Inc.	MI	Home Health Agency	$0	$13.4M
Stephanie Sweebe	MI	Behavior Analyst	$0	$12.4M
West Michigan Anesthesia, PC	MI	Anesthesiology Physician	$0	$9.9M
Infusion Associates PLLC	MI	Internal Medicine Physician	$0	$6.1M
Andrea Gillon	MI	Family Nurse Practitioner	$1.4M	$0
Kimberly Agim	MI	Nurse Practitioner	$1.1M	$0
Zhe Liang	MI	Rheumatology Physician	$1M	$14.6K
Grand Valley Surgical Center, LLC	MI	Ambulatory Surgical Clinic/Center	$515.5K	$0
Fadi Saab	MI	Cardiovascular Disease Physician	$451.2K	$0

Parin Gohel — Billing Profile & Reimbursement Data

Sign up for Parin Gohel — Billing Profile & Reimbursement Data policy alerts

Parin Gohel — Billing Profile & Reimbursement Data

Sign up for Parin Gohel — Billing Profile & Reimbursement Data policy alerts

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