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    v1.0.28
    OpenPayerNPI Medicare & MedicaidTorsten Wiegand
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    Torsten Wiegand — Billing Profile & Reimbursement Data

    NPI 1861461402 · Boston, MA · Retina Specialist (Ophthalmology) Physician

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    Torsten Wiegand is a retina specialist (ophthalmology) physician provider located in Boston, Massachusetts. This profile covers 11 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
    OrganizationTorsten Wiegand
    Address50 Staniford St
    CityBoston
    StateMA
    ZIP02114
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 16, 2006

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

    Payer SourceTotal Paid
    Medicare$7.6M
    Medicaid$0

    Key Findings

    This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is $7.6M and there is no Medicaid billing on file, so the provider’s entire documented public payer footprint is Medicare-driven. The dataset also reports that the top 3 Medicare codes by revenue account for 89.2% of this provider's total Medicare revenue, indicating extreme concentration in a narrow set of services.

    Revenue is highly concentrated in anti‑VEGF drug administration and intravitreal procedures: J0178 accounts for $5.4M (71.6% of Medicare revenue), J2778 accounts for $872.1K (11.5%), and 67028 accounts for $465.8K (6.1%); the precomputed top‑3 share is 89.2% of Medicare revenue. This mix shows the practice’s financial exposure is overwhelmingly tied to a few high‑volume ophthalmic procedural services rather than diversified E/M or ancillary lines.

    Clinical service mix and workflow likely center on high‑volume intravitreal injection and retina imaging: the practice billed 7.9K claims for J0178 (avg paid/claim $690), 4.8K claims for J2778 (avg paid/claim $181), and 6.9K claims for 92134 (6.9K claims, $34 avg paid/claim, $235.7K revenue). Procedural and imaging codes dominate activity while typical office E/M visits generate comparatively little revenue (for example, 99213 shows 327 claims and $22.9K revenue).

    On national competitive standing the provider is an outlier for multiple retina/procedural codes: J0178 ranks #2 of 3204 providers nationally (100th percentile; extreme outlier, far above typical national volume) and 67028 ranks #20 of 4255 providers nationally (100th percentile; extreme outlier). These rankings indicate the provider operates at a scale for these services that is well above typical national peers for retina procedures.

    The provider is also a top national performer on retina imaging and comprehensive established‑patient exams: 92134 ranks #7 of 26868 providers nationally (100th percentile; extreme outlier) and 92014 ranks #32 of 35415 providers nationally (100th percentile; extreme outlier). High rankings across both diagnostic imaging and exam codes suggest an integrated retina clinic model that couples frequent imaging with procedural treatment.

    Not all billed codes are extreme outliers — several drug and ancillary codes show typical volumes: J2777 (faricimab) is reported as typical/unremarkable volume, and J9035 (bevacizumab) with 763 claims and $42K revenue is described as typical despite being at higher percentiles for some peers. This nuance shows the practice’s dominance is concentrated in a subset of agents and procedures rather than uniformly across every retina drug or ancillary service.

    Operationally, the claims and average paid per claim point to a throughput, drug‑delivery focused practice: J0178 shows 7.9K claims at $690 avg paid/claim and J2778 shows 4.8K claims at $181 avg paid/claim, indicating that high utilization of a high‑priced injectable is the principal revenue engine. The combination of very high claim counts and substantial average payments for select drugs implies a procedural site optimized for frequent in‑office injections.

    The provider has a long tenure in the dataset (NPI enumerated 2006-03-16 (~20 years ago)), consistent with sustained high volumes reported across multiple years; long enumeration combined with extreme national ranks for core retina codes suggests an established, procedure‑focused retina practice rather than a new entrant scaling rapidly.

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg7,870$690$5.4M
    J2778Injection, ranibizumab, 0.1 mg4,820$180$872.1K
    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.4,200$110$465.8K
    92014An 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…3,510$100$347.6K
    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.6,930$30$235.7K
    J2777Injection, faricimab‑svoa, 0.1 mg4,800$30$139.2K
    J9035Injection, bevacizumab, 10 mg760$60$42K
    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…330$70$22.9K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.160$120$19.1K
    92201The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…300$20$6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178190790$690$826.5K
    J277735507,080$30$343.1K
    J2778130560$180$200.7K
    670283120570$100$80.7K
    9201411,070160$90$30.1K
    J9035980250$50$19.7K
    9201242856090$70$12.4K
    92134267070$30$10.6K
    992131,51213,70070$60$8.8K
    920046089040$100$6.3K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The General Hospital CorporationMAGeneral Acute Care Hospital$0$438M
    Community Physicians Of Indiana IncINFamily Medicine Physician$0$185M
    Massachusetts General Physicians Organization IncMADermatology Physician$0$60.2M
    Boston Emergency Physician Foundation, Inc.MAEmergency Medicine Physician$0$24.3M
    Colorado Permanente Medical Group, P.C.COInternal Medicine Physician$0$23.2M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Chirag ShahMARetina Specialist (Ophthalmology) Physician$5M$0
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Miriam Englander-paschalis IliosMARetina Specialist (Ophthalmology) Physician$4.5M$0
    Babak Jian SeyedahmadiMAOphthalmology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Massachusetts Eye And Ear InfirmaryMAGeneral Acute Care Hospital$0$68.1M
    Bay Cove Human Services, IncMACommunity/Behavioral Health Agency$630.5K$36.4M
    Jewish Family & Children's ServiceMACase Management Agency$0$12.5M
    Commonwealth Of MassachusettsMACase Management Agency$0$10.4M
    Massachusetts Eye And Ear Associates, Inc.MAOphthalmology Physician$0$6.6M
    Jeffrey HeierMARetina Specialist (Ophthalmology) Physician$3.6M$0
    Adam ChinMAOphthalmology Physician$3.4M$870
    Tina ClearyMARetina Specialist (Ophthalmology) Physician$2.8M$0
    Boston Eye Surgery & Laser Center TrustMAAmbulatory Surgical Clinic/Center$2.1M$415.8K
    Marianeli RodriguezMAOphthalmology Physician$2.4M$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. Massachusetts Distribution
    Torsten Wiegand — 5 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Massachusetts