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    OpenPayerNPI Medicare & MedicaidNauman Chaudhry
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    Nauman Chaudhry — Billing Profile & Reimbursement Data

    NPI 1770513715 · Waterford, CT · Retina Specialist (Ophthalmology) Physician

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    Nauman Chaudhry is a retina specialist (ophthalmology) physician provider located in Waterford, Connecticut. This profile covers 18 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
    OrganizationNauman Chaudhry
    Address174 Cross Rd
    CityWaterford
    StateCT
    ZIP06385
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 4, 2006

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

    Payer SourceTotal Paid
    Medicare$5.1M
    Medicaid$0

    Key Findings

    This provider's public-payer footprint is effectively Medicare-only: lifetime Medicare revenue is $5.1M while there is no Medicaid billing on file (none below), indicating the provider either does not participate in Medicaid or does not bill it for services. That payer concentration materially shapes revenue and contracting exposure for public programs.

    Revenue is highly concentrated in a few high-value intravitreal drug codes: the top 3 Medicare codes (J0178, J2777, Q5128) account for 71.8% of total Medicare revenue, with J0178 alone representing 55.3% of Medicare revenue ($2.8M). This concentration signals that anti-VEGF/anti‑angiogenic injections are the primary revenue driver for the practice.

    The CPT/HCPCS mix reflects a retina-focused, procedure-heavy operation: dominant use of intravitreal drug codes such as J0178 (aflibercept), J2777 (faricimab), and Q5128 (ranibizumab biosimilar) alongside procedure codes for injections (67028) and retinal imaging (92134, 92250, 92235). High volumes of diagnostic imaging and injection codes plus established patient eye exam codes (92012, 92014) point to an office-based retina clinic with an active injection suite and integrated imaging capabilities.

    Competitive standing for aflibercept injections is strong: J0178 ranks #66 of 3204 providers nationally (98th percentile) and 67028 also ranks in the 98th percentile (#103 of 4255), indicating this provider is a major national‑volume injector for those services. By contrast, J2777 (faricimab) ranks #585 of 2039 (71st percentile) and Q5128 ranks #92 of 373 (76th percentile), which are solid but not exceptional relative to national peers.

    Several codes are flagged as extreme outliers for diagnostic and visit volumes: 92134 (3K claims, $97.5K revenue) ranks #428 of 26868 providers (98th percentile) and is labeled an "extreme outlier, far above typical national volume," while 92012 (1.4K claims, $96.9K revenue) ranks #223 of 17177 providers (99th percentile) and is similarly an extreme outlier. These patterns indicate unusually high throughput for retinal imaging and established-patient ophthalmologic visits compared with national peers, consistent with a high-volume retina practice model.

    Operational and revenue-risk implications are evident from the reliance on high-cost biologic codes: J0178 ($693 avg paid/claim) dominates revenue and changes to reimbursement, drug supply, or clinical utilization patterns could disproportionately affect total Medicare revenue. The presence of high-average, non-specific billing codes J3590 ($2,120 avg paid/claim) and J3490 ($1,735 avg paid/claim) further suggests occasional use of unclassified biologic/drug billing, which has implications for drug procurement and claim adjudication.

    The provider has a long-tenured Medicare billing history, with NPI enumeration on 2006-07-04 (~20 years ago), supporting the view of an established practice likely to retain referral relationships and operational workflows that sustain high injection and imaging volumes. Longevity combined with concentrated service lines strengthens predictability of near-term Medicare revenue but also concentrates exposure to payer policy shifts affecting intravitreal therapies.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg4,090$690$2.8M
    J2777Injection, faricimab‑svoa, 0.1 mg18,280$30$530.2K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg1,460$220$316.2K
    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.2,990$100$296.2K
    J2778Injection, ranibizumab, 0.1 mg1,580$190$292.3K
    J3590Unclassified biologics120$2,120$245.9K
    J3490Unclassified drugs120$1,740$206.5K
    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.2,960$30$97.5K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,370$70$96.9K
    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…510$100$51.1K

    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

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178140830$690$713.1K
    J27777308,190$30$340.4K
    J359011050$2,090$127.3K
    J2778120410$180$117.8K
    Q5128110300$220$105.2K
    J349012050$1,380$76K
    67028150540$100$66.4K
    9201464580100$90$18.6K
    920121300120$70$15.2K
    9223553040$110$14.8K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Group Of New England PCCTRetina Specialist (Ophthalmology) Physician$0$8.6M
    New England Retina Associates, P.CCTRetina Specialist (Ophthalmology) Physician$0$4.4M
    Juner Colina-biscottoCTRetina Specialist (Ophthalmology) Physician$3.7M$0
    Glenn GandelmanCTCardiovascular Disease Physician$1.7M$593.4K
    Richard ScartozziCTRetina Specialist (Ophthalmology) Physician$1.7M$0
    Thomas BerenbergCTRetina Specialist (Ophthalmology) Physician$1.5M$0
    Jaime StrachanCTVascular Surgery Physician$1.5M$0
    Stephanie SuginCTRetina Specialist (Ophthalmology) Physician$1.4M$0
    Gregory HaffnerCTOphthalmology Physician$1.4M$0
    Robert SchoenCTRheumatology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Visiting Nurse Association Of Southeastern ConnecticutCTHome Health Agency$0$4.1M
    Constitution Surgery Center East LLCCTAmbulatory Surgical Clinic/Center$3M$272.2K
    Connections Counseling Center, LLCCTPsychiatry Physician$0$1.7M
    Waterford Ambulance Service, IncCTLand Ambulance$380.9K$1.1M
    Careco Medical, Inc.CTHome Health Agency$0$1.4M
    Waterford Public SchoolsCTLocal Education Agency (LEA)$0$1.2M
    Mallory DevonaCTCounselor$0$1.2M
    Brian MannCTOptometrist$8.6K$1.1M
    Connecticut Cvs Pharmacy, L.L.C.CTPharmacy$200.7K$30.4K
    Anita HwangCTOphthalmology Physician$198.1K$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. Connecticut Distribution
    Nauman Chaudhry — 11 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut