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    OpenPayerNPI Medicare & MedicaidChad Bouchard
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    Chad Bouchard — Billing Profile & Reimbursement Data

    NPI 1831328053 · Slingerlands, NY · Retina Specialist (Ophthalmology) Physician

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    Chad Bouchard is a retina specialist (ophthalmology) physician provider located in Slingerlands, New York. This profile covers 32 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
    OrganizationChad Bouchard
    Address1220 New Scotland Rd Ste 201
    CitySlingerlands
    StateNY
    ZIP12159
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 9, 2009

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

    Payer SourceTotal Paid
    Medicare$3.1M
    Medicaid$0

    Key Findings

    This provider’s revenue is effectively single‑payer Medicare: lifetime Medicare revenue is $3.1M and there is no Medicaid billing on file. Absence of any Medicaid claims means the provider’s public-payor exposure is concentrated entirely in Medicare rather than split across both programs.

    Revenue concentration is high: the precomputed top 3 Medicare codes (J0178, J2777, 67028) account for 74.4% of this provider’s total Medicare revenue. Those three codes are dominated by high-value intravitreal drug administration and the isolated intravitreal injection procedure, indicating a narrow set of revenue drivers.

    The code mix is classic for a retina specialty focused on pharmacologic retinal therapies and high-throughput clinic care: J0178 (aflibercept) and J2777 (faricimab) are the two largest revenue contributors ($1.1M and $1M revenue respectively), and 67028 (intravitreal injection as a separate procedure) also appears in the top three. Additional drug codes (J2781, J2778, J9035) and implant codes (J7312) in the top 25 further confirm an intravitreal injection–centric practice model combined with in‑clinic imaging and follow up.

    Competitive standing across leading codes is mixed: J0178 (1.5K claims, $1.1M revenue) ranks #806 of 3204 providers nationally (75th percentile; typical, unremarkable volume for this code), while J2777 (36.1K claims, $1M revenue) ranks #199 of 2039 providers nationally (90th percentile; typical, unremarkable volume for this code). These ranks suggest a solid national presence for anti‑VEGF/anti‑angiogenic administration with above‑median activity on J2777 and a mid‑to‑upper decile position on J0178, but not dominance across the entire specialty.

    Two utilization measures are statistical outliers nationally and point to unusually high diagnostic and office throughput: 92134 (2.8K claims, $102.5K revenue) ranks #502 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), and 99213 (1.1K claims, $89.4K revenue) ranks #4898 of 457151 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). High volume of retinal imaging and frequent established‑patient office visits imply a busy clinic workflow that likely supports frequent injection visits and monitoring.

    The practice performs some surgical and procedure work beyond injections, though these codes contribute relatively small shares of Medicare revenue: examples include 66984 (141 claims, $65.8K revenue) and several vitrectomy/retinal repair codes (67036, 67108, 67113) appearing in the top 25 with modest revenue. This mix indicates the provider offers a continuum from in‑office injections and imaging to occasional cataract and retinal surgeries, but those surgical services are secondary to the pharmacologic treatment volume.

    Provider tenure is long enough to indicate an established practice footprint: the NPI was enumerated 2009-07-09 (~17 years ago). Combined with the concentrated, repeatable revenue streams from intravitreal drugs and high imaging/visit volumes, this suggests a stable, mature retina practice rather than a new entrant.

    Operational and payer implications: reliance on a small set of drug/office codes (top 3 = 74.4% of Medicare revenue) and the absence of Medicaid revenue mean the provider is exposed to changes in Medicare drug coverage, reimbursement policy, or utilization patterns without Medicaid diversification to offset shifts. For payers and network planners, these patterns flag a high‑volume injection/imaging site that could be important for managing retinal drug utilization and access, but that also carries concentrated revenue risk if utilization or coverage for the dominant codes changes.

    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.

    32 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,520$690$1.1M
    J2777Injection, faricimab‑svoa, 0.1 mg36,130$30$1M
    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.1,680$120$198K
    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.2,770$40$102.5K
    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…1,120$80$89.4K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg500$160$80.1K
    J3490Unclassified drugs40$1,650$70.7K
    66984The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…140$470$65.8K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg500$120$59.4K
    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…450$120$54.2K

    Showing 1–10 of 32

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 32 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    32 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017854230560$690$693K
    J277761207,740$30$364.9K
    J27786970510$180$131.6K
    6698422868090$430$104.3K
    J27812140520$120$75.1K
    6702828300400$100$65.9K
    J34907312060$470$50.8K
    J7312320270$160$48K
    920148732,220160$100$29.3K
    67036185020$940$23.5K

    Showing 1–10 of 32

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Albany Medical Center HospitalNYGeneral Acute Care Hospital$0$79.8M
    Alaska Retinal ConsultantsAKOphthalmology Physician$0$4.5M
    Scott LimstromAKOphthalmology Physician$3.2M$0
    Matthew GuessOHOphthalmology Physician$2.8M$0
    Jonathan HuzNYRetina Specialist (Ophthalmology) Physician$1.9M$40.1K
    George LinPAAnatomic Pathology & Clinical Pathology Physician$1.2M$0
    Ping LuNYNuclear Medicine Physician$404.1K$0
    David SteckmanNYClinical Cardiac Electrophysiology Physician$350K$0
    Shirish ParikhNYDiagnostic Radiology Physician$298.7K$1.1K
    Sasi CheruvuNYDiagnostic Radiology Physician$241.7K$590

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Naomi FalkNYRetina Specialist (Ophthalmology) Physician$1.6M$9.5K
    Pawan BhatnagarNYRetina Specialist (Ophthalmology) Physician$1.5M$16.4K
    Sabah ShahNYOphthalmology Physician$1.3M$35.5K
    Robert SchultzeNYOphthalmology Physician$253.2K$0
    George SoryalNYNephrology Physician$238.3K$0
    Matthew HabibNYRetina Specialist (Ophthalmology) Physician$233.3K$160
    Robert EdenNYSpecialist$221.6K$0
    Edward WladisNYOphthalmic Plastic and Reconstructive Surgery Physician$187.3K$0
    Michael RothschildNYOphthalmic Plastic and Reconstructive Surgery Physician$106.1K$0
    David FoytNYOtolaryngology Physician$55.8K$150

    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 York Distribution
    Chad Bouchard — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York