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    OpenPayerNPI Medicare & MedicaidJohn Huang
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    John Huang — Billing Profile & Reimbursement Data

    NPI 1801822754 · Hartford, CT · Ophthalmology Physician

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    John Huang is a ophthalmology physician provider located in Hartford, Connecticut. 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
    OrganizationJohn Huang
    Address85 Seymour St
    CityHartford
    StateCT
    ZIP06106
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 23, 2006

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

    Payer SourceTotal Paid
    Medicare$2M
    Medicaid$0

    Key Findings

    This provider’s Medicare billing is concentrated in retina-focused, procedural ophthalmology: J0178 (Injection, aflibercept) alone accounts for $1.1M in revenue and 1.6K claims (54.9% of Medicare revenue), and other high-volume procedure and imaging codes such as 67028 (intravitreal injection) with $140.9K and 1.3K claims and 92134 (retinal imaging/OCT) with $87.9K and 2.6K claims together reflect a practice model organized around frequent intravitreal therapy and serial retinal assessment. The presence of high-volume therapeutic injections plus diagnostic OCT is consistent with a retina clinic treating chronic retinal disease requiring repeated visits.

    Top-line revenue concentration is pronounced: the precomputed top-3 codes account for 70.5% of this provider's total Medicare revenue, driven by J0178 ($1.1M, 54.9%), J2777 ($175.7K, 8.6%), and 99214 ($141.8K, 7.0%). This concentration indicates that a small number of drug and evaluation codes dominate Medicare dollars for this provider, creating material dependence on intravitreal drug administration and associated follow-up visits.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2M while there is no Medicaid billing on file. The absence of Medicaid activity suggests limited exposure to that payer and that any analyses of access, utilization, or financial risk should be centered on Medicare experience.

    Competitive standing is mixed by code: J0178 ranks #736 of 3204 providers nationally (77th percentile; typical, unremarkable volume for this code) and 67028 ranks #992 of 4255 (77th percentile; typical, unremarkable volume), indicating typical national participation in aflibercept administration and intravitreal procedures, while 99214 is a notable outlier—ranking #5178 of 479517 providers nationally (99th percentile; extreme outlier, far above typical national volume). This suggests the provider operates a higher-than-typical office visit volume relative to most Medicare ophthalmologists even while their drug-administration volumes are within a more typical range.

    Several codes are statistical outliers on utilization: 99214 (1.3K claims, $141.8K) is labeled an "extreme outlier, far above typical national volume," and 92134 (2.6K claims, $87.9K) is also labeled an "extreme outlier, far above typical national volume." Those elevated E/M and OCT volumes imply a workflow that generates frequent, moderate-complexity visits and high-throughput imaging, consistent with management of chronic retinal conditions.

    The provider’s drug mix shows use of multiple intravitreal agents and biosimilars: beyond J0178 ($1.1M) the file includes J2777 ($175.7K), J2778 ($66.2K), J2781 ($39.7K), Q5128 ($27.7K) and J9035 ($27.5K). This spread of revenue across branded agents, biosimilars, and other injected drugs indicates a clinically diverse therapeutic approach rather than exclusive reliance on a single agent.

    Operationally, the practice appears to run a high-throughput injection clinic: 1.3K claims for 67028 (intravitreal injection) and 1.3K claims for 99214 (moderate-complexity established patient visits) point to frequent procedure episodes paired with same-day or serial evaluation visits. That combination supports a workflow optimized for recurring procedures and follow-up care rather than episodic surgical retina or low-frequency subspecialty work.

    The provider has a long tenure in the NPI registry (NPI enumerated 2006-06-23 (~20 years ago)), signaling an established clinical presence. Given the long enumeration and the concentrated, repeat-care revenue profile, the practice model appears to be a sustained retina-focused outpatient operation with mature referral and follow-up patterns.

    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 mg1,630$690$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg6,060$30$175.7K
    99214The 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…1,340$110$141.8K
    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.1,320$110$140.9K
    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…1,010$100$102.4K
    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.2,590$30$87.9K
    J3490Unclassified drugs40$1,890$69.9K
    J2778Injection, ranibizumab, 0.1 mg360$180$66.2K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg330$120$39.7K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg130$220$27.7K

    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
    J0178740830$690$713.1K
    J277721308,190$30$340.4K
    J2778920410$180$117.8K
    Q5128510300$220$105.2K
    J3490162050$1,380$76K
    67028850540$100$66.4K
    J27811010440$120$55.7K
    9201410580100$90$18.6K
    92012272300120$70$15.2K
    92235203040$110$14.8K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Refocus Eye Health Of Central Connecticut, P.C.CTOphthalmology Physician$0$8.2M
    David TomCTOphthalmology Physician$2.5M$0
    Jerry TsongCTOphthalmology Physician$1.9M$0
    Erol VerterCTOphthalmology Physician$1.7M$0
    Gregory HaffnerCTOphthalmology Physician$1.4M$0
    Neil KalbagCTOphthalmology Physician$1.1M$0
    Edward FitzpatrickCTOphthalmology Physician$757.6K$0
    Patrick CoadyNJOphthalmology Physician$728.9K$0
    Rebecca ShieldsNYOphthalmology Physician$319.3K$331.6K
    Neal AdamsMDOphthalmology Physician$497.9K$5.3K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connecticut Children's Medical CenterCTChildren's Hospital$0$248.8M
    Hartford DispensaryCTSubstance Use Disorder Rehabilitation Clinic/Center$1.6M$122.8M
    Connecticut Children's Specialty Group, Inc.CTPediatrics Physician$0$59.8M
    Hartford Healthcare Medical Group Specialists, PLLCCTSurgery Physician$0$46M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$42.5M
    Hartford DispensaryCTMental Health Clinic/Center (Including Community Mental Health Center)$0$26.1M
    Aetna Ambulance Service, IncCTLand Ambulance$2.9M$22.2M
    Home Care Vna, LLCCTHome Health Agency$0$12.4M
    Connecticut Gi PLLCCTGastroenterology Physician$0$12M
    Charter Oak Health Center, Inc.CTFederally Qualified Health Center (FQHC)$0$8M

    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
    John Huang — 4 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut