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    OpenPayerNPI Medicare & MedicaidAbraham Mitias
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    Abraham Mitias — Billing Profile & Reimbursement Data

    NPI 1750328241 · Charleston, WV · Retina Specialist (Ophthalmology) Physician

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    Abraham Mitias is a retina specialist (ophthalmology) physician provider located in Charleston, West Virginia. This profile covers 22 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
    OrganizationAbraham Mitias
    Address331 Laidley St
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 1, 2006

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

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Key Findings

    ABRAHAM MITIAS’s Medicare revenue profile is highly concentrated in intravitreal biologic therapies and associated retina procedures: J0178 (aflibercept) brought in $1.7M (46.6% of Medicare revenue), J2777 (faricimab) brought in $1.4M (38.0%), and 67028 (isolated intravitreal injection) contributed $169.3K (4.5%). These three codes alone account for 89.1% of this provider's total Medicare revenue, indicating the practice is primarily structured around high-volume injection treatment for retinal disease rather than broad primary ophthalmology services.

    The provider’s overall Medicare scale is $3.7M in lifetime revenue, while Total Medicaid revenue is none (no Medicaid billing on file); this makes the practice effectively single-payer with Medicare as the dominant commercial source and little-to-no Medicaid activity to diversify payer risk. Analysts should treat Medicaid-based comparisons as not applicable for this NPI because there is no Medicaid billing on file.

    Operationally, the claim counts show a throughput-oriented injection clinic: J0178 has 2.6K claims and J2777 has 49K claims reported, supporting the revenue figures for these drugs and implying the practice maintains staffing, scheduling, and inventory processes to support frequent intravitreal dosing. The presence of imaging codes such as 92134 (3.1K claims) and 92014 (1.1K claims) further suggests integrated diagnostic workflows that support same-day imaging and treatment.

    Competitive standing is mixed across the highest-volume codes: J2777 ranks #111 of 2039 providers nationally (95th percentile) and is described as notably above typical national volume, marking the provider as a high-volume national outlier for faricimab administration. By contrast, J0178 ranks #302 of 3204 (91th percentile) and is labeled typical/unremarkable volume for that code, indicating strong but not exceptional aflibercept activity relative to peers.

    Imaging and office exam volumes are unusually high in several categories relative to national peers: 92134 ranks #368 of 26868 (99th percentile) and is labeled an extreme outlier, and 92014 ranks #1310 of 35415 (96th percentile) and is described as notably above typical national volume. These high percentiles for retinal imaging and established ophthalmologic exams suggest the practice performs comprehensive image-guided management rather than relying solely on procedure-based visits.

    Although injection therapies dominate revenue, the provider maintains a small but present surgical and laser footprint: codes such as 67042 (vitrectomy, $13.6K, 0.4% of Medicare revenue) and 67210 (retinal laser, $23.3K, 0.6%) appear in the top code list at typical volumes. This mix indicates capability to escalate care to procedures when needed, but these services are not major revenue drivers compared with biologic injections.

    The provider’s national percentile ranks show a pattern of selective specialization: extreme or notably above-typical volume for advanced retinal imaging and faricimab administration combined with typical volumes for aflibercept and many other retinal procedures. For payers and network planners, this profile signals a specialist who is a destination for newer biologic treatment (faricimab) and high-volume diagnostic imaging, which could influence referral patterns and capacity planning.

    The NPI has been enumerated since 2006-06-01 (~20 years ago), indicating a long-tenured practice likely capable of sustaining established care pathways and patient panels. Tenure combined with concentrated Medicare revenue around high-cost injectables suggests long-standing local presence with a business model centered on frequent, protocol-driven treatment visits.

    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.

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,560$680$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg49,020$30$1.4M
    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.2,040$80$169.3K
    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.3,080$30$89.2K
    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…1,110$80$88.7K
    J2778Injection, ranibizumab, 0.1 mg330$190$61K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg220$160$35.6K
    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…250$90$23.3K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.60$370$23.3K
    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…340$60$20.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782102,090$690$1.7M
    J27771108,490$30$456.6K
    67028210770$80$94.4K
    J2778310370$180$74.3K
    J7312110220$160$35.5K
    6721031060$380$21.3K
    920142180120$70$16.3K
    992141,0502,740100$70$11.8K
    6704211010$830$11.6K
    J903541090$50$9.3K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Daniel RichardsonWVRetina Specialist (Ophthalmology) Physician$2.5M$0
    Scott JamersonWVRetina Specialist (Ophthalmology) Physician$2.4M$0
    Richard HatfieldWVRetina Specialist (Ophthalmology) Physician$2.2M$0
    David HuntWVRetina Specialist (Ophthalmology) Physician$2.1M$0
    Robert DundervillWVRetina Specialist (Ophthalmology) Physician$1.3M$0
    Chaitanya IndukuriTXOphthalmology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M
    Mindoula Health Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M

    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. West Virginia Distribution
    Abraham Mitias — 5 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia