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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMandar Joshi
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    Mandar Joshi — Billing Profile & Reimbursement Data

    NPI 1730132242 · Sylvania, OH · Retina Specialist (Ophthalmology) Physician

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    Mandar Joshi is a retina specialist (ophthalmology) physician provider located in Sylvania, Ohio. This profile covers 11 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
    OrganizationMandar Joshi
    Address5700 Monroe St Unit 211
    CitySylvania
    StateOH
    ZIP43560
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 18, 2006

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

    Payer SourceTotal Paid
    Medicare$369.1K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg440$610$269.1K
    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.240$90$20.1K
    99204The 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$15.1K
    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…150$90$13.2K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$880$13.1K
    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.420$30$11.8K
    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…180$60$11.5K
    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…70$100$6.5K
    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,…240$30$6K
    99212The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…30$40$1.4K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017869100840$680$729K
    67028107150470$90$64K
    67042155020$960$29.7K
    992144,62720,010100$70$11.7K
    992132,62920,00070$50$6.6K
    921341211,01050$30$6.3K
    992041428,33030$100$4.4K
    92235317040$90$4.2K
    992032,8846,38030$60$2.9K
    922508675050$20$2.2K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Promedica Central PhysiciansOHFamily Medicine Physician$0$40.9M
    Associated Retinal Consultants, PCMIOphthalmology Physician$0$21.1M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Joseph PalumboWVEmergency Medicine Physician$7.9M$44.3K
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0
    Scott PendergastOHRetina Specialist (Ophthalmology) Physician$6M$0
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    James OsherOHOphthalmology Physician$3.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Visiting Nurse Hospice And Health CareOHCommunity Based Hospice Care Agency$0$8.6M
    Sylvania Township Office Of ClerkOHLand Ambulance$320.9K$301.2K
    Mohamad AdamOHInternal Medicine Physician$264.2K$550
    Thomas AndreshakOHOrthopaedic Surgery Physician$252.4K$0
    Eric SnyderOHPhysical Therapist$236K$0
    Naeem LughmaniOHSleep Medicine (Internal Medicine) Physician$225.9K$0
    Jaydutt PatelOHClinical Cardiac Electrophysiology Physician$214.7K$0
    Van BoggusOHOrthopaedic Surgery Physician$199.6K$0
    Craig BurkhartOHDermatology Physician$142.3K$42.8K
    Steven RubinOHRadiation Oncology Physician$157.4K$0

    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. Ohio Distribution
    Mandar Joshi — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio