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

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

Vikram Saini (NPI 1710206719)

Field	Value
Entity Type	Individual
Organization	Vikram Saini
Address	401 Meridian St N
City	Huntsville
State	AL
ZIP	35801
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 31, 2010

Payer Source	Total Paid
Medicare	$3.1M
Medicaid	$0

Key Findings

Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes (J0178, J2777, 67028) account for 88.7% of this provider's total Medicare revenue. J0178 alone represents $2.3M (74.5% of Medicare revenue) from 3.3K claims at $687 avg paid/claim, indicating that a single drug/procedure is the dominant revenue driver for this practice.

Clinical/service mix points to an office-based retina injection program focused on anti-VEGF biologics: J0178 (aflibercept) shows 3.3K claims, $687 avg paid/claim, $2.3M revenue and ranks #128 of 3204 nationally (96th percentile; notably above typical national volume). J2777 (faricimab) appears frequently in claims (9.1K claims) but at a much lower average payment ($29 avg paid/claim) producing $262.7K, suggesting frequent administration of a lower-reimbursed product alongside aflibercept.

High ancillary diagnostic and clinic visit volume supports a ambulatory retina practice: 92134 (retinal imaging) has 3.5K claims, $28 avg paid/claim, $99K revenue and ranks #220 of 26868 (99th percentile; extreme outlier), while 99213 has 1.9K claims, $60 avg paid/claim, $112.3K revenue and ranks #1064 of 457151 (100th percentile; extreme outlier). These patterns indicate integrated imaging and high outpatient visit throughput tied to injection visits.

Competitive standing is mixed by service line: the provider is a national-level high-volume participant for J0178 (96th percentile) and an extreme outlier on both 92134 (99th percentile) and 99213 (100th percentile), signaling market prominence in injections, imaging, and routine follow-up visits. By contrast, surgical retina procedures are present but limited — for example, 67041 (13 claims, $822 avg paid/claim, $10.7K revenue) ranks #342 of 461 (18th percentile) and 67036 (16 claims, $603 avg paid/claim, $9.6K revenue) ranks #500 of 832 (35th percentile) — consistent with a practice that favors medical retina care over high-volume surgery.

The payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.1M while Medicaid shows none (no Medicaid billing on file). This absence of Medicaid activity suggests limited Medicaid participation or that Medicaid patients are not billed under this NPI, concentrating reimbursement risk in Medicare.

Tenure and market presence: the NPI was enumerated 2010-05-31 (~16 years ago), indicating an established practice with sustained billing history, which aligns with the high cumulative Medicare revenue and consistent high-volume code usage for injections and imaging.

Drug mix and clinical preference are evident: J9035 (bevacizumab) appears at 535 claims, $54 avg paid/claim and $28.9K revenue (0.9% of Medicare revenue) and ranks #240 of 1852 (87th percentile), a much smaller revenue contributor than J0178. This disparity suggests a clinical or reimbursement-driven preference toward aflibercept-based therapy for the majority of treated patients.

Operational and revenue risk observation: reliance on high-reimbursement injectable drug code J0178 (74.5% of Medicare revenue) creates revenue concentration exposure to changes in drug pricing, utilization policy, or payer coverage. Ancillary services and E&M (e.g., 99213, 99214) and imaging (92134) support the injection volume but do not offset the dominant share of drug-based revenue.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,330	$690	$2.3M
J2777	Injection, faricimab‑svoa, 0.1 mg	9,060	$30	$262.7K
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.	1,940	$90	$170.5K
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…	1,870	$60	$112.3K
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.	3,540	$30	$99K
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…	620	$80	$50K
J9035	Injection, bevacizumab, 10 mg	540	$50	$28.9K
99204	The provider sees a new 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 provider…	140	$110	$14.9K
67041	In 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…	10	$820	$10.7K
67036	The 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	$600	$9.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Vikram Saini — 5 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	1	40	920	$690	$706.2K
J2777	8	20	7,140	$30	$267.9K
67028	4	40	990	$90	$82.5K
67042	23	20	20	$940	$24.6K
J9035	15	40	410	$50	$24.5K
67041	8	10	20	$950	$18K
99214	552	7,330	120	$80	$16.8K
67036	8	20	20	$690	$12.4K
99213	5	6,470	80	$50	$7.9K
92134	1	410	50	$30	$6.4K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Health Care Authority Of The City Of Huntsville	AL	General Acute Care Hospital	$0	$17.8M
Leon W. Lewis M.d., P.C.	AL	Obstetrics & Gynecology Physician	$0	$2.6M
Edgar Ready	AL	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Hh Physicians Network	AL	Specialist	$0	$2.4M
Wasim Samara	TX	Ophthalmology Physician	$2.3M	$0
Mathew Sapp	AL	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Tarek Persaud	AL	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Samuel Taylor	AL	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Gavin Reed	AL	Ophthalmology Physician	$1.1M	$0
Scott Dorin	AL	Retina Specialist (Ophthalmology) Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Valley Neonatology, Inc	AL	Neonatal-Perinatal Medicine Physician	$0	$22.2M
Happi Health	AL	Federally Qualified Health Center (FQHC)	$0	$17.6M
Emergency Physicians Group	AL	Emergency Medicine Physician	$0	$13.5M
Healthgroup Of Alabama	AL	Contractor	$0	$13.4M
The Valley Foundation	AL	Multi-Specialty Clinic/Center	$0	$11.3M
David White	AL	Neurology Physician	$7M	$0
The Children's Hospital Of Alabama	AL	Pediatric Pulmonology Physician	$0	$5.6M
Huntsville Pediatric Associates, LLC	AL	Pediatrics Physician	$0	$4.8M
Dental Associates Of Huntsville, LLC	AL	General Practice Dentistry	$0	$4.7M
Health Group Of Alabama	AL	Contractor	$0	$4.1M

Vikram Saini — 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