Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJohn Christoforidis
    Ask Trek AI about this page

    John Christoforidis — Billing Profile & Reimbursement Data

    NPI 1801833447 · Tucson, AZ · Ophthalmology Physician

    Customize your policy alerts

    Sign up for John Christoforidis — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    John Christoforidis is a ophthalmology physician provider located in Tucson, Arizona. This profile covers 16 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Christoforidis
    Address3172 N Swan Rd
    CityTucson
    StateAZ
    ZIP85712
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 1, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare revenue totals $2.8M and there is no Medicaid billing on file, so the practice effectively operates as a single-payer (Medicare-focused) billing profile with no Medicaid contribution reported. Analysts should treat this entity as Medicare-dependent for public payer volumes and consider other commercial or self-pay channels outside this dataset.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 83.3% of the provider’s total Medicare revenue. The dominance of a very small set of codes indicates a narrow procedure mix driving most Medicare receipts rather than a broadly diversified service portfolio.

    Clinical mix and service line implications point to a retina/medical retina focus: J0178 (aflibercept) and J2777 (faricimab) together represent a majority of Medicare revenue (J0178 alone is $1.5M, 54.6% of Medicare revenue), indicating repeated intravitreal anti-VEGF injections as the core revenue stream, supported by related diagnostic imaging codes such as 92134. This pattern is consistent with an ophthalmology practice organized around pharmacologic retina therapy and imaging follow-up.

    Competitive standing by code shows mixed placement: for the highest-revenue drug J0178 the provider ranks #432 of 3204 (87th percentile), and for J2777 ranks #454 of 2039 (78th percentile), signaling typical-to-strong participation nationally but not top-tier dominance in injection volumes. By contrast, some office visit and imaging codes are extreme outliers: 92012 ranks #106 of 17177 (99th percentile) and 92134 ranks #369 of 26868 (99th percentile), indicating unusually high volumes of intermediate eye exams and retinal imaging relative to peers. These outlier exam and imaging volumes suggest the practice manages a large follow-up/monitoring population.

    Service intensity and procedure mix: high volumes of intermediate exams (92012) and retinal OCT imaging (92134) combined with very large counts of intravitreal injection claims (J0178: 2.2K claims, J2777: 22.4K claims) imply a workflow centered on frequent monitoring and repeat injections rather than high-volume surgical procedures. Surgical codes such as 67036 and 67028 appear but contribute much smaller shares of revenue, indicating surgery is a minor component of billed Medicare activity.

    Tenure is long-standing: the provider’s NPI was enumerated around 2006-06-01 (~20 years ago), which supports interpretation of the high monitoring and injection volumes as the output of an established practice with mature referral and follow-up processes. Long tenure can correlate with stable patient panels and established treatment pathways for chronic retinal conditions.

    Several codes show typical or unremarkable national volumes despite contributing meaningful revenue: for example J2778 (ranibizumab) ranks #753 of 1208 (38th percentile) and J7312 (dexamethasone implant) ranks #375 of 492 (22nd percentile). These placements indicate a reliance on certain branded biologics (aflibercept and faricimab) while other injectable therapies are used less frequently compared with national peers.

    Given the lack of Medicaid claims, payer-mix implications include potential exposure to Medicare reimbursement trends for ophthalmologic pharmaceuticals and imaging. With no Medicaid billing on file, analysts should not rely on state Medicaid behavior to infer this provider’s low-income or dual-eligible patient activity, and should instead consider Medicare policy and commercial coverage for retina drugs when modeling revenue risk or utilization trends.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,210$680$1.5M
    J2777Injection, faricimab‑svoa, 0.1 mg22,420$30$650.2K
    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.1,510$100$144.8K
    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…1,790$70$121.9K
    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$92.3K
    J2778Injection, ranibizumab, 0.1 mg490$180$87.1K
    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…880$90$74.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.340$100$33.3K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg180$160$27.1K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$680$11.5K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781650780$690$734.8K
    J27779509,000$30$525.8K
    J2778530550$180$198K
    6702827601,240$90$119K
    J73121620270$160$48.9K
    67036223030$1,030$37.9K
    J90351020210$50$22.5K
    9201423650140$80$21.5K
    922356640120$100$14.3K
    92012126080$60$10.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Banner - University Medical Center Tucson Campus LLCAZGeneral Acute Care Hospital$0$194.2M
    Banner-university Medical GroupAZMulti-Specialty Clinic/Center$0$133.7M
    Iftikhar AhmadNYDiagnostic Radiology Physician$3.8M$650.3K
    Hani BabikerFLHematology & Oncology Physician$1.3M$0
    Ayad AghaAZDiagnostic Radiology Physician$1M$0
    Jasmit MinhasWAInternal Medicine Physician$965.4K$0
    Tamara LundeenAZDiagnostic Radiology Physician$802.6K$0
    Roscoe ChanAZRadiation Oncology Physician$738.6K$0
    Caroline CranfordAZDiagnostic Radiology Physician$724.7K$0
    Catherine AzarAZHematology & Oncology Physician$698K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tucson Medical CenterAZGeneral Acute Care Hospital$0$127.3M
    Codac Health Recovery And WellnessAZCommunity/Behavioral Health Agency$0$97.8M
    Children's Clinics For Rehabilitative ServicesAZMulti-Specialty Clinic/Center$0$58.8M
    Nsi-nursing Service Inc.AZHome Health Agency$0$29.8M
    Tmc Medical NetworkAZMulti-Specialty Clinic/Center$0$20.3M
    Arlene BautistaAZFamily Nurse Practitioner$16.8M$0
    I-groupsmedicaltransportaion@wheelchairAZNon-emergency Medical Transport (VAN)$0$15.5M
    Bodycentral Physical Therapy P CAZPhysical Therapy Clinic/Center$0$14.5M
    Arizona Oncology Associates PCAZSpecialist$0$13.9M
    Child & Family Support Services, IncAZCommunity/Behavioral Health Agency$0$13.4M

    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. Arizona Distribution
    John Christoforidis — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Arizona