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    OpenPayerNPI Medicare & MedicaidMohit Nanda
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    Mohit Nanda — Billing Profile & Reimbursement Data

    NPI 1750363396 · Charlottesville, VA · Retina Specialist (Ophthalmology) Physician

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    Mohit Nanda is a retina specialist (ophthalmology) physician provider located in Charlottesville, Virginia. This profile covers 26 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
    OrganizationMohit Nanda
    Address600 Peter Jefferson Pkwy
    CityCharlottesville
    StateVA
    ZIP22911
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedNovember 18, 2005

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

    Payer SourceTotal Paid
    Medicare$4.6M
    Medicaid$0

    Key Findings

    This provider is a retina specialist whose Medicare billing is overwhelmingly dominated by intravitreal drug therapy and retina-focused procedures: J0178 (aflibercept) accounts for $2.9M and 63.2% of Medicare revenue, J2777 (faricimab) contributes $802.1K and 17.6%, and 67028 (intravitreal injection) contributes $234.8K and 5.1%; the precomputed top three codes together account for 85.9% of the provider's total Medicare revenue, indicating a tightly concentrated service line.

    The practice generates $4.6M in total Medicare revenue and has no Medicaid billing on file, so its commercial and Medicaid exposure is effectively zero in the available data; this makes the provider functionally single-payer within the public-program dataset and dependent on Medicare reimbursement trends.

    On competitive standing for high-revenue therapeutics, the provider ranks #60 of 3204 nationally for J0178 (98th percentile; notably above typical national volume for this code), signaling a major national-level presence in aflibercept administration and above-typical procedural throughput for that drug. Similarly, 67028 ranks #123 of 4255 (97th percentile; notably above typical national volume for this code), reinforcing that intravitreal injection procedures are a significant, above-typical component of the practice.

    Diagnostic and outpatient visit coding shows unusually high imaging and office-visit throughput: 92134 ranks #157 of 26868 (99th percentile; extreme outlier) and 92202 ranks #23 of 2327 (99th percentile; extreme outlier), while 99213 ranks #6231 of 457151 (99th percentile; extreme outlier). These rank/percentile labels imply the provider performs retinal OCT and extended ophthalmoscopy at volumes far above typical national peers, consistent with a high-volume retina referral practice.

    The provider also bills newer intravitreal agents at appreciable scale: J2777 appears as $802.1K (17.6% of Medicare revenue) and ranks #333 of 2039 (84th percentile; typical, unremarkable volume), while J2781 produces $108K (2.4% of Medicare revenue) and ranks #139 of 490 (71th percentile; typical, unremarkable volume). This pattern suggests adoption of multiple intravitreal therapeutics with faricimab uptake notable but not as dominant as aflibercept.

    Several ancillary procedural and diagnostic codes appear at high national percentiles but represent small shares of revenue, for example 92202 (2.4K claims, $11 avg paid/claim, 0.6% of Medicare revenue) and 92014 (1.1K claims, $88 avg paid/claim, 2.1% of Medicare revenue) — these support a workflow with substantial in-office imaging and follow-up visits that feed the high-volume injection practice. The combination of frequent imaging codes and injection procedures is consistent with a retina specialty practice model focused on medical retina management.

    From a business-risk and contracting perspective, revenue concentration in a handful of high-cost injectable codes (J0178, J2777, 67028) means the provider’s Medicare revenue is sensitive to drug utilization patterns and reimbursement policy changes affecting those codes. Payers and network managers evaluating this profile should note the potential revenue and utilization impact if preferred-agent policies, prior-authorization rules, or site-of-care edits change for these high-share therapeutics.

    The provider has an established tenure in the Medicare program, with NPI enumeration dated 2005-11-18 (~21 years ago), indicating long-standing participation and likely sustained referral relationships that align with the high procedural and diagnostic volumes observed in the claims mix.

    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.

    26 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg4,170$690$2.9M
    J2777Injection, faricimab‑svoa, 0.1 mg27,660$30$802.1K
    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.2,760$90$234.8K
    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.3,840$30$111.5K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg900$120$108K
    J2778Injection, ranibizumab, 0.1 mg510$190$94.4K
    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…1,070$90$94.2K
    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…1,010$70$65.9K
    J3490Unclassified drugs30$1,790$57.3K
    92202The 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…2,410$10$26.6K

    Showing 1–10 of 26

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    26 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01785801,400$690$1.1M
    J2777136013,200$30$517.1K
    J27782440560$180$171.5K
    670284901,000$90$107.1K
    J2781520560$120$86.6K
    67042212020$1,130$33.8K
    9201483870170$80$32.8K
    992148,30112,890140$80$21K
    J34908111060$280$20.5K
    J90354360170$50$19.9K

    Showing 1–10 of 26

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jacob MeyerVARetina Specialist (Ophthalmology) Physician$3.8M$0
    Ashley BlurtonVANuclear Medicine Physician$2.9M$0
    Yevgeniy ShildkrotVAOphthalmology Physician$1.5M$0
    Nader MoinfarVAOphthalmology Physician$1.4M$0
    Krishi PeddadaSCOphthalmology Physician$1.3M$0
    Benjamin HarrisPADiagnostic Radiology Physician$527.8K$504.9K
    Linda ArmstrongGADiagnostic Radiology Physician$643.9K$175.1K
    Anjali BalPAInternal Medicine Physician$731.1K$0
    David WoodCADiagnostic Radiology Physician$641.3K$2.7K
    Todd BlodgettPADiagnostic Radiology Physician$380.1K$254K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Compass Youth ServicesVACommunity/Behavioral Health Agency$0$63.5M
    Martha Jefferson HospitalVAGeneral Acute Care Hospital$0$26.9M
    Addiction Recovery Systems LLCVAMethadone Clinic$127.5K$11.5M
    Children's Dentistry Of Charlottesville, P.C.VADentist$0$11M
    Scott ChirichettiVAPain Medicine Physician$1.1M$0
    Stephen VanceVAMOHS-Micrographic Surgery Physician$924.6K$0
    Vandana NandaVAMOHS-Micrographic Surgery Physician$912.2K$0
    Richard MessingerVAPain Medicine Physician$489.7K$0
    Rasheed SiddiquiVAPain Medicine (Anesthesiology) Physician$449.1K$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. Virginia Distribution
    Mohit Nanda — 5 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia