Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Ravi Pandit (NPI 1831469881)

Field	Value
Entity Type	Individual
Organization	Ravi Pandit
Address	608 Stanton L Young Blvd
City	Oklahoma City
State	OK
ZIP	73104
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 9, 2012

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider is operating as a retina-focused ophthalmology practice whose revenue mix is dominated by outpatient intravitreal drug therapy and retina procedures. The top three Medicare revenue drivers are J2777 (46.7%), J0178 (32.1%), and 67028 (5.2%), which together account for 84.1% of the provider's Medicare revenue and reflect a practice built around intravitreal injections and related retina care. The presence of retinal imaging codes (e.g., 92134) and procedural codes for vitreal injections and vitrectomy reinforces an injection- and procedure-centric retina service line rather than a general ophthalmology mix.

Revenue concentration is very high: the provider reports Total Medicare revenue of $2.5M and the precomputed top-3 codes account for 84.1% of that Medicare total. That level of concentration indicates the practice derives most public-payer revenue from a small set of high-value retinal drug and injection services, making overall Medicare revenue sensitive to utilization or pricing changes in those specific drug codes. This concentration should be evaluated when modeling revenue risk or negotiating drug-related reimbursement terms.

The provider is effectively single-payer within public programs: Medicare revenue is $2.5M while there is no Medicaid billing on file. Absence of Medicaid activity means the practice has minimal direct exposure to Medicaid payer rules or rates and will be seen by payers as relying primarily on Medicare for its public-payer patient base. For network or access analyses, treat the provider as Medicare-centric with no recorded Medicaid footprint.

Competitive standing across its leading codes is mixed but generally above median for retina services. J2777 ranks #147 of 2039 nationally (93th percentile; typical, unremarkable volume for this code), J0178 ranks #1086 of 3204 (66th percentile; typical, unremarkable volume), and 67028 ranks #925 of 4255 (78th percentile; typical, unremarkable volume), so the provider is not a dominant national outlier on the top drug codes but performs above the median for several retina procedures. These percentile positions imply the clinic has stronger-than-average activity in certain retina treatments while remaining a modest to mid-level participant nationally in drug administration volume.

There are notable statistical outliers in ancillary service mix that signal operational emphasis on imaging and new-patient evaluation. Code 92134 ranks #1383 of 26868 providers (95th percentile; notably above typical national volume), indicating high retinal imaging throughput relative to peers, and 99204 ranks #1795 of 227068 providers (99th percentile; extreme outlier, far above typical national volume), which suggests an unusually large number of higher-complexity new outpatient evaluations for an ophthalmology practice. These outlier patterns point to substantial diagnostic imaging capacity and a significant inflow of new, moderately complex patients.

Drug-unit economics are divergent across the top injectables and shape the practice's revenue profile. J2777 shows 43.1K claims at $27 avg paid/claim producing $1.2M in revenue, while J0178 shows 1.2K claims at $661 avg paid/claim producing $801.1K in revenue; the two drugs deliver similar absolute revenue contributions through very different combinations of volume and per-claim payment. This mix creates different operational drivers—high-volume, low-unit-payment administration for J2777 versus lower-volume, higher-unit-payment administration for J0178—which has implications for inventory management, billing complexity, and payer-contract sensitivity.

Tenure data show the provider's NPI was enumerated on 2012-01-09 (~14 years ago), indicating an established practice presence. This duration of enrollment supports the observed sustained, injection-focused service pattern and suggests the provider has had time to build referral relationships and procedural workflows that align with a retina subspecialty practice.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	43,140	$30	$1.2M
J0178	Injection, aflibercept, 1 mg	1,210	$660	$801.1K
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.	1,380	$90	$129.5K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	830	$120	$99K
J3490	Unclassified drugs	60	$1,040	$58.4K
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.	1,640	$30	$49.3K
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…	380	$90	$35.3K
99204	The provider sees a new 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 provider…	270	$120	$33.6K
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…	350	$70	$23.7K
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…	210	$100	$20.1K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oklahoma Distribution

Ravi Pandit — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	30	790	$690	$801.2K
J2777	12	20	23,040	$30	$781.1K
67028	15	40	720	$80	$88.9K
J2781	1	10	380	$120	$67.4K
67042	11	10	30	$980	$37.1K
J3490	14	30	70	$320	$24.6K
92235	2	20	60	$100	$19.5K
99214	1,412	5,560	130	$70	$18.4K
92014	127	550	130	$70	$16.6K
J7999	3	20	170	$70	$14.5K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Health Partners, Inc	OK	Multi-Specialty Clinic/Center	$0	$118.5M
Board Of Regents Of The University Of Oklahoma - Ou Physicians	OK	Multi-Specialty Clinic/Center	$0	$96.6M
Geisinger Clinic	PA	Surgery Physician	$0	$74.6M
Jefferson University Physicians	PA	General Practice Physician	$0	$30.8M
Geisinger Pharmacy LLC	PA	Pharmacy	$0	$26.7M
The Milton S. Hershey Medical Center Physicians Group	PA	Sports Medicine (Neuromusculoskeletal Medicine) Physician	$0	$26.6M
Geisinger Clinic - Outpatient Psych	PA	Counselor	$0	$19.6M
Geisinger Clinic	PA	Diagnostic Radiology Physician	$0	$14.9M
Geisinger Clinic	PA	Family Medicine Physician	$0	$13.4M
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ou Medicine Inc.	OK	General Acute Care Hospital	$0	$63M
Oklahoma Allergy & Asthma Clinic	OK	Specialist	$0	$13.7M
University Of Oklahoma Heal Sci Ctr College Of Medicine Ophthalmology	OK	Ophthalmology Physician	$0	$9.5M
Emergency Physicians Of Midwest City, LLC	OK	Emergency Medicine Physician	$0	$8.1M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$5.4M
Mcgee Eye Surgery Center LLC	OK	Ambulatory Surgical Clinic/Center	$2.8M	$2M
Questcare Em Oklahoma LLC	OK	Emergency Medicine Physician	$0	$4M
Dianon Systems Inc	OK	Clinical Medical Laboratory	$2.5M	$1.3M
Board Of Regents Of The University Of Oklahoma-ou Physicians	OK	Clinic/Center	$0	$3.1M
Plw Anesthesia LLC	OK	Certified Registered Nurse Anesthetist	$0	$2.5M

Ravi Pandit — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References