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 Florida for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Florida 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. Florida (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.

Randy Katz (NPI 1861455529)

Field	Value
Entity Type	Individual
Organization	Randy Katz
Address	1717 W Woolbright Rd
City	Boynton Beach
State	FL
ZIP	33426
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 11, 2006

Payer Source	Total Paid
Medicare	$5.1M
Medicaid	$0

Key Findings

This provider’s Medicare footprint dominates the record: lifetime Medicare revenue is $5.1M and there is no Medicaid billing on file, so the available payer data show an effectively single-payer (Medicare) practice profile. The NPI was enumerated 2006-04-11 (~20 years ago), indicating long tenure that aligns with sustained billing activity in Medicare.

Revenue is highly concentrated in a small set of services: the precomputed top-3 Medicare codes by revenue account for 77.9% of this provider's total Medicare revenue. Those top three are J0178 ($3.4M, 4.9K claims, $693 avg paid/claim, 67.7% of Medicare revenue), J3490 ($266.4K, 153 claims, $1741 avg paid/claim, 5.3%), and 67028 ($249.1K, 2.4K claims, $104 avg paid/claim, 4.9%).

J0178 (aflibercept) is the dominant single revenue driver: $3.4M in revenue from 4.9K claims with a $693 avg paid/claim, and it ranks #27 of 3204 providers nationally (99th percentile; extreme outlier). This places the provider far above typical national volume for aflibercept administration and indicates operational emphasis on delivering high volumes of this intravitreal biologic.

The clinical mix aligns with a high-volume retinal/intravitreal-injection practice: high counts for injection and retina follow-up codes include 67028 (2.4K claims, $249.1K revenue; ranks #215 of 4255, 95th percentile; notably above typical), 92134 (4.1K claims, $122.1K revenue; ranks #123 of 26868, 100th percentile; extreme outlier), and frequent established patient exams 92014 (2K claims, $179.7K revenue; ranks #245 of 35415, 99th percentile; extreme outlier) and 92012 (2K claims, $131K revenue; ranks #81 of 17177, 100th percentile; extreme outlier). Together these patterns point to routine, repeated injection visits coupled with imaging and E/M follow-up.

The drug portfolio shows multiple intravitreal biologics in use but with much lower shares compared with aflibercept: J2778 (ranibizumab) accounts for $189.5K (1K claims, $184 avg paid/claim; ranks #425 of 1208, 65th percentile; typical), J2781 (pegcetacoplan) accounts for $93.6K (780 claims; ranks #170 of 490, 65th percentile; typical), and J2777 (faricimab-svoa) shows 6.5K claims for $187.9K (ranks #1338 of 2039, 34th percentile; typical). This indicates clinical use of multiple agents but financial dependence on a single high-revenue agent.

Several other procedure and diagnostic codes also register as statistical outliers, reinforcing the retina-focused profile: 92201 (1.6K claims, $30.9K revenue; ranks #37 of 2619, 99th percentile; extreme outlier) and diagnostic imaging/photography codes such as 92235 (269 claims, $29.1K revenue; ranks #208 of 2192, 91st percentile; typical) appear in the top codes. At the same time, some commonly billed drug and supply codes (e.g., J3490 at $266.4K, rank #457 of 2838, 84th percentile; J3590 at $76.3K, rank #453 of 631, 27th percentile) fall into typical or unremarkable national volume bands, suggesting mix of routine and specialty services.

The business and payer risks are concentrated: heavy reliance on J0178 and related injection procedure volume creates sensitivity to changes in drug pricing, reimbursement policy, or treatment patterns for retinal disease. Coupled with the absence of Medicaid revenue (no Medicaid billing on file), the provider’s revenue stream lacks payer diversification in the available dataset, which concentrates financial exposure to Medicare policy and patient mix shifts.

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,940	$690	$3.4M
J3490	Unclassified drugs	150	$1,740	$266.4K
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.	2,400	$100	$249.1K
J2778	Injection, ranibizumab, 0.1 mg	1,030	$180	$189.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,480	$30	$187.9K
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…	2,000	$90	$179.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1,960	$70	$131K
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.	4,070	$30	$122.1K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	780	$120	$93.6K
J3590	Unclassified biologics	40	$1,860	$76.3K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Randy Katz — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	250	800	$690	$817.6K
J2777	132	170	12,810	$30	$549.2K
J2778	36	110	660	$180	$234.1K
J2781	15	50	500	$120	$102K
67028	27	300	710	$90	$91.1K
J3490	48	180	70	$280	$87.5K
J3590	7	20	30	$1,360	$50.3K
92014	27	2,180	160	$80	$28.5K
67210	26	30	30	$410	$24.6K
66821	402	740	60	$230	$24.1K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Nezgoda	FL	Retina Specialist (Ophthalmology) Physician	$1M	$0
Alexander Katz	FL	Ophthalmology Physician	$1M	$0
Barry Schechter	FL	Ophthalmology Physician	$818.2K	$0
Anup Kubal	FL	Ophthalmology Physician	$626.7K	$0
Alan Mitchell	FL	Ophthalmology Physician	$477.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York University	FL	Cardiovascular Disease Physician	$0	$162.4M
Vitas Healthcare Corporation Of Florida	FL	Community Based Hospice Care Agency	$0	$47.1M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$17.4M
New York University	FL	Anesthesiology Physician	$0	$7.4M
Thomas Niederman	FL	Specialist	$3.8M	$0
Boynton Beach Asc, LLC	FL	Ambulatory Surgical Clinic/Center	$1M	$0
Michael Hart	FL	Physical Therapist	$459.7K	$0
Sunket Ahkee	FL	Infectious Disease Physician	$418.2K	$0
Maged Habib	FL	Specialist	$368.8K	$0
Steven Nadel	FL	Dentist	$310.7K	$0

Randy Katz — 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