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NPI 1770711889 · Marshall, MN · Ophthalmology Physician
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Ajay Shalwala is a ophthalmology physician provider located in Marshall, Minnesota. This profile covers 8 Medicare and 11 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 | Ajay Shalwala |
| Address | 300 S Bruce St |
| City | Marshall |
| State | MN |
| ZIP | 56258 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | June 26, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $222.3K |
| Medicaid | $44.2K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
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The CPT/HCPCS codes generating the most Medicare revenue for this provider.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 220 | $650 | $144.3K |
| 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. | 310 | $100 | $31.7K |
| 92014 | An 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… | 130 | $90 | $11.7K |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 30 | $340 | $11.7K |
| 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. | 360 | $30 | $10.7K |
| J9035 | Injection, bevacizumab, 10 mg | 110 | $50 | $5.9K |
| 92012 | For 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… | 50 | $70 | $3.4K |
| J7999 | Compounded drug, not otherwise classified | 60 | $50 | $2.7K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.
View: State1 / 2
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.
11 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 240 | $70 | $15.8K |
| V2020 | Frames, purchases | 480 | $30 | $13.4K |
| 92014 | An 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… | 40 | $120 | $5.1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 160 | $30 | $4.9K |
| 92012 | For 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… | 40 | $80 | $2.8K |
| 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… | 10 | $100 | $1.2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 30 | $40 | $1.1K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 10 | $0 | $0 |
| S0620 | Routine ophthalmological examination including refraction; new patient | 80 | $0 | $0 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 20 | $0 | $0 |
Showing 1–10 of 11
How this provider's Medicaid billing volume and revenue compare to other Minnesota providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Minnesota median
11 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… | 1,164 | 1,180 | 1,150 | $80 | $605.7K |
| 92014 | An 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… | 374 | 430 | 560 | $70 | $134K |
| V2020 | Frames, purchases | 205 | 380 | 620 | $30 | $74.9K |
| 92012 | For 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… | 67 | 80 | 250 | $50 | $61.4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 262 | 290 | 550 | $20 | $53.1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 189 | 200 | 420 | $20 | $44.2K |
| 92015 | The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced. | 482 | 500 | 920 | $10 | $35.5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 104 | 190 | 250 | $20 | $35.2K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1 | 10 | 50 | $50 | $5.1K |
| V2799 | Vision item or service, miscellaneous | 7 | 10 | 80 | $10 | $1.2K |
Showing 1–10 of 11
Other providers in the same ZIP code as Ajay Shalwala, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Western Mental Health Center, Inc. | MN | Mental Health Counselor | $0 | $16.7M |
| Rural Health Care, Inc | MN | Federally Qualified Health Center (FQHC) | $0 | $10.1M |
| Southwest Health And Human Services | MN | Case Management Agency | $0 | $7.8M |
| Advance Opportunities | MN | Developmentally Disabled Services Day Training Agency | $0 | $5.9M |
| Hy-vee Inc | MN | Community/Retail Pharmacy | $199.7K | $8.1K |
| Curtis Louwagie | MN | Ophthalmology Physician | $190.7K | $0 |
| Walmart Inc. | MN | Community/Retail Pharmacy | $84K | $0 |
| Kirsten Verly | MN | Physical Therapist | $62.1K | $0 |
| Dean Bruns | MN | Chiropractor | $46.8K | $0 |
| Kelly Dvorak | MN | Chiropractor | $30.7K | $0 |
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