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NPI 1811939101 · East Setauket, NY · Retina Specialist (Ophthalmology) Physician
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Fadi El-baba is a retina specialist (ophthalmology) physician provider located in East Setauket, New York. This profile covers 15 Medicare and 6 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 | Fadi El-baba |
| Address | 4 Technology Dr Ste 150 |
| City | East Setauket |
| State | NY |
| ZIP | 11733 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | June 12, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2M |
| Medicaid | $18K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,290 | $690 | $895.4K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 16,860 | $30 | $488.9K |
| 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… | 1,200 | $110 | $130K |
| 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. | 1,120 | $110 | $122.9K |
| 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… | 1,080 | $110 | $122.4K |
| 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. | 2,300 | $40 | $85.1K |
| J2778 | Injection, ranibizumab, 0.1 mg | 270 | $180 | $49.7K |
| 92235 | The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken… | 140 | $130 | $18.3K |
| 99213 | The 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… | 160 | $80 | $12.7K |
| J9035 | Injection, bevacizumab, 10 mg | 180 | $60 | $9.8K |
Showing 1–10 of 15
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
15 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 65 | 230 | 560 | $690 | $693K |
| J2777 | 26 | 120 | 7,740 | $30 | $364.9K |
| J2778 | 59 | 70 | 510 | $180 | $131.6K |
| 67028 | 61 | 300 | 400 | $100 | $65.9K |
| 92014 | 95 | 2,220 | 160 | $100 | $29.3K |
| 99214 | 603 | 30,450 | 90 | $100 | $19K |
| 92235 | 39 | 190 | 60 | $120 | $14.1K |
| 99213 | 9,343 | 31,440 | 80 | $70 | $12.1K |
| 92134 | 54 | 1,580 | 90 | $30 | $11.2K |
| J9035 | 68 | 190 | 120 | $50 | $10K |
Showing 1–10 of 15
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.
6 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 150 | $50 | $7.5K |
| 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. | 840 | $10 | $5.9K |
| 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… | 220 | $10 | $3K |
| 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… | 50 | $20 | $1.2K |
| 92226 | N/A | 90 | $1 | $260 |
| 92202 | The 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… | 30 | $1 | $70 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
6 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… | 12,171 | 16,550 | 220 | $90 | $186.8K |
| 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… | 1,393 | 2,440 | 330 | $70 | $92.6K |
| 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. | 181 | 260 | 420 | $70 | $65.6K |
| 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. | 256 | 730 | 370 | $20 | $30K |
| 92226 | N/A | 296 | 400 | 270 | $20 | $12.6K |
| 92202 | The 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… | 400 | 530 | 210 | $10 | $9.8K |
Other providers in the same ZIP code as Fadi El-baba, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Eric Berkowitz | NY | Vascular & Interventional Radiology Physician | $2.6M | $1.2M |
| Steven Montana | NY | Hematology & Oncology Physician | $2.2M | $28.3K |
| Joseph Cirrone | NY | Radiation Oncology Physician | $1.7M | $0 |
| Mark Borek | NY | Cardiovascular Disease Physician | $1.5M | $0 |
| Martin Silverstein | NY | Radiation Oncology Physician | $1.2M | $17.5K |
| Gurmohan Syali | NY | Medical Oncology Physician | $1.1M | $69.2K |
| Emanuel Chryssos | NY | Cardiovascular Disease Physician | $1M | $30 |
| Rocco Caruso | NY | Hematology & Oncology Physician | $1M | $4.6K |
| Khurram Chaudhary | NY | Retina Specialist (Ophthalmology) Physician | $910.4K | $66.8K |
| Chirayu Gor | NY | Cardiovascular Disease Physician | $838.3K | $0 |
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