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    OpenPayerNPI Medicare & MedicaidMark Chiu
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    Mark Chiu — Billing Profile & Reimbursement Data

    NPI 1821083932 · Albuquerque, NM · Ophthalmology Physician

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    Mark Chiu is a ophthalmology physician provider located in Albuquerque, New Mexico. This profile covers 14 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
    OrganizationMark Chiu
    Address806 Dr Martin Luther King Jr Ave Ne
    CityAlbuquerque
    StateNM
    ZIP87102
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 14, 2005

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

    Payer SourceTotal Paid
    Medicare$3.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the clear business driver: lifetime Medicare revenue is $3.8M while there is no Medicaid billing on file, so the practice is effectively single-payer in the public programs and reliant on Medicare volume and reimbursements for its public-payor revenue base. Analysts should treat Medicaid as non-contributory for payer-mix modeling and network planning for this NPI.

    Revenue concentration is very high: the precomputed top 3 Medicare codes by revenue account for 83.8% of this provider's total Medicare revenue, driven by J0178 (42.9%), J2777 (34.6%), and J2778 (6.3%). This indicates that a small set of intravitreal drug codes make up the vast majority of public-payor receipts.

    The code mix signals a retina-focused ophthalmology operation: the largest single revenue sources are intravitreal biologic administrations (J0178 – aflibercept, 2.4K claims, $1.6M revenue; J2777 – faricimab, 45.4K claims, $1.3M revenue; J2778 – ranibizumab, 1.3K claims, $238.2K revenue) and related eye injection procedures such as 67028 (2.4K claims, $212.8K revenue). The presence of high-volume imaging with 92134 (1.6K claims, $43.6K revenue) and a substantive number of intravitreal implant codes (J7312) reinforces a procedure-heavy retina practice rather than a primarily general ophthalmology office.

    Competitive standing on key injectable drugs is mixed: J0178 ranks #375 of 3204 providers nationally (88th percentile; typical, unremarkable volume for this code) and J2777 ranks #134 of 2039 providers nationally (93th percentile; typical, unremarkable volume for this code), so the provider is a solid national participant for these drugs but not an extreme outlier or market dominator. J2778 sits lower at ranks #336 of 1208 (72th percentile; typical, unremarkable volume), indicating more modest positioning for ranibizumab relative to peers.

    Several codes show volumes that are notably above typical national levels for non-drug services, which suggests a high procedural throughput: 67028 ranks #228 of 4255 providers nationally (95th percentile; notably above typical national volume for this code) and 92134 ranks #1461 of 26868 providers nationally (95th percentile; notably above typical national volume for this code). In addition, E/M code 99214 ranks #10197 of 479517 providers nationally (98th percentile; notably above typical national volume for this code), indicating the provider generates above-typical office-visit volume among Medicare peers.

    There are a few low-penetration or atypical items in the mix: J3590 (unclassified biologics) appears only 22 claims with $50.8K revenue and ranks #563 of 631 providers nationally (9th percentile; typical, unremarkable volume for this code), reflecting limited use of unclassified biologics relative to national peers. J0179 (brolucizumab) has modest presence (396 claims, $97.8K revenue) and ranks #34 of 64 providers nationally (44th percentile; typical, unremarkable volume for this code), so newer or niche injectables are used but not at scale.

    The provider’s revenue-per-claim profile underscores drug-administration dominance versus evaluation-and-management: high-revenue drug claims such as J0178 average $693 paid/claim and account for $1.6M of Medicare revenue, while a common E/M code 99214 (1K claims, $87 avg paid/claim, $91.1K revenue) contributes only 2.4% of Medicare receipts. This pattern is consistent with an infusion/injection-centric practice where drug and procedure fees drive the majority of public-payor revenue.

    This NPI has an extended tenure in the Medicare program, having been enumerated on 2005-09-14 (~21 years ago), which supports continuity of billing patterns and may aid historical trend analysis; combine that longevity with the concentration in a few high-value intravitreal codes when evaluating contract negotiations, utilization reviews, or competitive benchmarking.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,360$690$1.6M
    J2777Injection, faricimab‑svoa, 0.1 mg45,420$30$1.3M
    J2778Injection, ranibizumab, 0.1 mg1,310$180$238.2K
    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.2,360$90$212.8K
    J0179Injection, brolucizumab-dbll, 1 mg400$250$97.8K
    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…1,050$90$91.1K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg430$150$66.8K
    J3590Unclassified biologics20$2,310$50.8K
    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.1,560$30$43.6K
    J7999Compounded drug, not otherwise classified470$70$30.6K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01784201,100$690$816.1K
    J277732017,340$30$653.4K
    J2778410720$180$247.3K
    J359051030$1,420$97.9K
    J0179110340$250$84.1K
    67028230390$90$71.6K
    J7312310310$150$50.2K
    J7999210320$60$18.6K
    92014156180130$70$18.5K
    99214332,70090$70$12.9K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    John PitcherNMOphthalmology Physician$5.1M$0
    Christopher RoybalNMOphthalmology Physician$3.8M$0
    Ashok ReddyNMOphthalmology Physician$3.2M$0
    Kamalesh RamaiyaNMOphthalmology Physician$2.9M$0
    Betty KleinNMOphthalmology Physician$2.4M$0
    Rizwan ShaikhLAOphthalmology Physician$2.2M$0
    Iuri GolubevNMOphthalmology Physician$1.7M$0
    Eye Associates Of New Mexico, Ltd.NMDurable Medical Equipment & Medical Supplies$0$1.6M
    Ian ThompsonNMOphthalmology Physician$1.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tricore Reference LaboratoriesNMClinical Medical Laboratory$0$64.8M
    Bright Horizons, Inc.NMIntellectual and/or Developmental Disabilities Residential Treatment Facility$0$46.9M
    Lovelace Health System LLCNMGeneral Acute Care Hospital$0$45.2M
    Tricore Inc.NMClinical Medical Laboratory$7M$35.8M
    App Of New Mexico Ed PLLCNMEmergency Medicine Physician$0$42M
    Duke City Recovery Toolbox LLCNMCommunity/Behavioral Health Agency$108.4K$28M
    Metro Treatment Of New Mexico LPNMMethadone Clinic$220.4K$27.9M
    Enchanted Care Solutions, LLCNMHome Health Agency$0$25.8M
    Open Skies HealthcareNMCommunity/Behavioral Health Agency$0$23.8M
    Krossroads Integrative Health And Recovery Solutions IncNMMental Health Clinic/Center (Including Community Mental Health Center)$0$16.7M

    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. New Mexico Distribution
    Mark Chiu — 4 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico