Loading...
NPI 1730522830 · Merrillville, IN · Ophthalmology Physician
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Joel Chasan is a ophthalmology physician provider located in Merrillville, Indiana. This profile covers 19 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Joel Chasan |
| Address | 8679 Connecticut Street |
| City | Merrillville |
| State | IN |
| ZIP | 46410 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | April 9, 2013 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $6.2K |
JOEL CHASAN is an ophthalmology physician in MERRILLVILLE, IN with an NPI enumerated on 2013-04-09 (~13 years ago). The provider’s reported lifetime Medicare revenue is $2.1M and lifetime Medicaid revenue is $6.2K, reflecting a long-established practice with material Medicare billing on file.
The payer mix is effectively Medicare-dominant: Medicare revenue of $2.1M dwarfs Medicaid revenue of $6.2K, indicating the provider’s commercial and Medicare-facing activity drives nearly all billed volume while Medicaid represents a very small share of lifetime revenue. This is consistent with the precomputed concentration that the top 3 Medicare codes account for 76.9% of Medicare revenue versus Medicaid top-3 accounting for 100.0% of Medicaid revenue.
Revenue concentration on Medicare is high and narrowly focused: the top three Medicare codes — J0178 (38.5% of Medicare revenue), J2777 (30.9%), and 67028 (7.5%) — together account for 76.9% of this provider’s total Medicare revenue. That distribution signals that a small number of retina/injection-related services dominate Medicare billing.
The clinical/service-line mix is retina-centric and procedure-forward: major Medicare line items are injections and retinal procedures (J0178, J2777, J2778, 67028) together with retinal imaging (92134). This pattern points to an operation centered on intravitreal biologic therapy and diagnostic retinal imaging rather than a high-volume surgical retina practice.
Competitive standing is mixed across codes: for injection drugs the provider’s national ranks are in the typical range (J0178 at the 66th percentile and J2777 at the 79th percentile), but certain non-drug services are unusually high—99214 is an extreme outlier nationally (99th percentile) and 92134 is also an extreme outlier (98th percentile). Additionally, J3590 (unclassified biologics) is notably above typical national volume (96th percentile), which together imply above-average throughput for office visits and imaging while injection volumes are closer to peer norms.
Medicaid billing is minimal and concentrated: the top three Medicaid codes account for 100.0% of Medicaid revenue, with 92134 representing 59.6% and 99214 38.7% of the provider’s Medicaid receipts. Both Medicaid ranks are modest or low in-state (92134 at the 30th percentile in-state and 99214 at the 12th percentile in-state), indicating the provider is not a major Medicaid retina/imaging competitor in Indiana.
The E/M intensity is notable on Medicare: 99214 and 99204 both show extreme outlier status nationally (99th percentile), indicating unusually high volumes of moderate-to-high complexity office visits relative to peers. Combined with the high 92134 imaging volume, this suggests a clinic workflow that couples frequent, substantive office evaluation with diagnostic imaging for retinal disease management.
Surgical and ancillary procedures are present but limited: codes for retinal surgery and laser (67108, 67113, 67228) appear at low absolute counts and typical national ranks, consistent with an ambulatory retina practice that primarily provides injections and imaging with occasional surgical intervention rather than a high-volume surgical retina center.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
19 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,210 | $680 | $817.8K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 23,460 | $30 | $656.9K |
| 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. | 1,770 | $90 | $159.6K |
| 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… | 1,680 | $90 | $144.5K |
| J2778 | Injection, ranibizumab, 0.1 mg | 630 | $180 | $114.1K |
| 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. | 2,560 | $30 | $71.7K |
| J3590 | Unclassified biologics | 830 | $80 | $69.4K |
| 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… | 250 | $110 | $26.8K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 20 | $840 | $15.9K |
| 67113 | The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with… | 20 | $840 | $12.6K |
Showing 1–10 of 19
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 Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 24 | 60 | 830 | $690 | $868.8K |
| J2777 | 7 | 40 | 6,750 | $30 | $395.6K |
| J2778 | 6 | 10 | 560 | $180 | $150K |
| 67028 | 14 | 80 | 550 | $80 | $78.6K |
| 67113 | 4 | 10 | 20 | $1,400 | $44.8K |
| 67108 | 8 | 20 | 20 | $1,150 | $32.2K |
| J3590 | 8 | 50 | 220 | $60 | $24.5K |
| J9035 | 22 | 30 | 200 | $50 | $19.2K |
| 92235 | 23 | 40 | 90 | $100 | $15.8K |
| 99214 | 33 | 10,540 | 110 | $80 | $15.5K |
Showing 1–10 of 19
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
3 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 170 | $20 | $3.7K |
| 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… | 40 | $50 | $2.4K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 10 | $10 | $100 |
How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Indiana median
3 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 1,857 | 2,120 | 870 | $60 | $450.6K |
| 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. | 59 | 80 | 680 | $20 | $34.5K |
| 92202 | The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece… | 15 | 20 | 110 | $10 | $5.3K |
Other providers in the same ZIP code as Joel Chasan, ranked by combined Medicare and Medicaid revenue.
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.