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    OpenPayerNPI Medicare & MedicaidZeina Haddad
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    Zeina Haddad — Billing Profile & Reimbursement Data

    NPI 1821251802 · Southern Pines, NC · Ophthalmology Physician

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    Zeina Haddad is a ophthalmology physician provider located in Southern Pines, North Carolina. 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.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationZeina Haddad
    Address2170 Midland Rd
    CitySouthern Pines
    StateNC
    ZIP28387
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 9, 2008

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    Practice is heavily retina-focused and driven by intravitreal therapeutics: the top three Medicare revenue codes are all injectable retinal drugs — J0178 ($1M; aflibercept), J2777 ($612.5K; faricimab), and J2778 ($545.3K; ranibizumab) — and these three codes together account for 80.8% of this provider's total Medicare revenue. Procedural and diagnostic codes that support retina care (e.g., 92134 OCT imaging and 67028 intravitreal injection procedure) also appear on the top list, consistent with a practice model centered on frequent injections and image-based monitoring.

    Revenue concentration is high: the precomputed top-3 share of 80.8% signals that the provider’s Medicare revenue is largely dependent on a small set of high-cost biologic injections (J0178, J2777, J2778). That concentration implies sensitivity of the provider’s revenue to changes in utilization or reimbursement for those specific agents and to shifts in clinical preference among anti-VEGF and related therapies.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.7M while there is no Medicaid billing on file, meaning the provider operates with virtually no Medicaid-reimbursed volume. This absence of Medicaid activity suggests a patient panel or contracting footprint that is concentrated in the Medicare population rather than dual Medicare/Medicaid practices.

    Competitive standing for individual drugs is mixed: J0178 ranks #840 of 3204 (74th percentile) and J2777 ranks #494 of 2039 (76th percentile), both described as typical, unremarkable national volumes, indicating modest market presence for aflibercept and faricimab. By contrast, J2778 (ranibizumab) ranks #116 of 1208 (90th percentile), placing the provider toward the upper tier nationally for that specific agent and reflecting relatively higher ranibizumab utilization than peers.

    Certain services are statistical outliers or notably high-volume relative to peers: 92134 (OCT imaging) is listed as an "extreme outlier, far above typical national volume" at the 98th percentile with 2.8K claims, signaling unusually heavy imaging throughput. Similarly, J7312 (dexamethasone intravitreal implant) ranks #21 of 492 (96th percentile; notably above typical national volume), indicating above-typical use of steroid implants in addition to anti-VEGF therapy.

    Office visit and follow-up volumes are above typical national levels: 99214 (640 claims) ranks #31446 of 479517 (93th percentile; notably above typical national volume) and 99213 (873 claims) ranks #8837 of 457151 (98th percentile; notably above typical national volume). Those elevated E/M percentiles are consistent with frequent follow-up visits required for ongoing retinal injection regimens and monitoring.

    The practice carries a mix of medical and some surgical retina activity but at lower volumes: procedures such as 67042 (vitrectomy; 14 claims, $11.9K) and other laser procedures (e.g., 67210, 67228) appear on the code list but represent much smaller shares of revenue compared with intravitreal drug codes. This pattern indicates primary emphasis on outpatient injection management and imaging with occasional surgical interventions.

    Established NPI tenure supports interpretation of stable practice patterns: the provider’s NPI was enumerated on 2008-07-09 (~18 years ago), consistent with a long-standing ophthalmology practice. For payers and provider network planners, the combined profile (high reliance on anti-VEGF/faricimab/ranibizumab therapies, heavy OCT use, elevated E/M volume, and no Medicaid billing on file) signals a mature, Medicare-focused retina specialty that will likely generate predictable injectable and imaging utilization.

    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 mg1,470$680$1M
    J2777Injection, faricimab‑svoa, 0.1 mg21,120$30$612.5K
    J2778Injection, ranibizumab, 0.1 mg3,000$180$545.3K
    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.1,620$90$145.6K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg630$160$99.5K
    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.2,810$30$81.6K
    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…640$90$58.2K
    99213The 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…870$60$51.5K
    92235The 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…150$100$14.5K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.30$370$12.7K

    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
    J017833100950$690$881K
    J2777277012,990$30$503.7K
    J2778350620$180$202.2K
    6702826120780$90$80K
    J7312220390$160$56.4K
    67042193020$990$23.8K
    9921493618,060110$80$15.1K
    J90353190140$50$13.4K
    92235107060$100$8.7K
    6721021010$390$8.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Arghavan AlmonyNCOphthalmology Physician$3.9M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0
    Paula PecenNCOphthalmology Physician$1.1M$0
    Neil GriffinSCOphthalmology Physician$800.4K$0
    John FrenchNCOphthalmology Physician$453.7K$0
    Tarra MillenderNCOphthalmology Physician$391.9K$0
    Anna FakadejNCOphthalmology Physician$386.1K$0
    Jeffrey WhiteNCOphthalmology Physician$385.5K$0
    Winston GarrisNCOphthalmology Physician$304.6K$0
    Robert SharpeNCOphthalmology Physician$257.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandhills PediatricsNCPediatrics Physician$0$32.8M
    Integrated Pain Solutions PLLCNCInterventional Pain Medicine Physician$0$12.7M
    Magnolia GardensNCAssisted Living Facility$0$8.3M
    The Eye Surgery Center Of The Carolinas LPNCAmbulatory Surgical Clinic/Center$3.1M$813.9K
    Brooks MaysNCEndocrinology, Diabetes & Metabolism Physician$569.7K$0
    Michol StanzioneNCInternal Medicine Physician$433.8K$0
    Scott LuneauNCInternal Medicine Physician$335.7K$0
    Robert DeucherNCInternal Medicine Physician$323.7K$0
    Andrew AppleNCOptometrist$236.3K$0
    Lisa SittersonNCOphthalmology Physician$190.8K$0

    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. North Carolina Distribution
    Zeina Haddad — 3 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina