Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidIuri Golubev
    Ask Trek AI about this page

    Iuri Golubev — Billing Profile & Reimbursement Data

    NPI 1861633265 · Albuquerque, NM · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Iuri Golubev — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Iuri Golubev is a ophthalmology physician provider located in Albuquerque, New Mexico. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIuri Golubev
    Address4411 The 25 Way Ne Ste 325
    CityAlbuquerque
    StateNM
    ZIP87109
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 13, 2009

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

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the dataset: Total Medicare revenue is $1.7M and there is no Medicaid billing on file, so Medicare dominates the observable payer mix and any payer‑strategy or network analysis should treat this profile as Medicare‑centric. The lack of Medicaid activity may reflect patient panel, contracting choices, or data limitations, but it is a clear operational characteristic in the available records.

    Revenue is highly concentrated in a small set of items: the precomputed top 3 Medicare codes account for 83.1% of this provider's total Medicare revenue, driven primarily by high‑cost intraocular drug codes and related intravitreal procedure coding. That concentration indicates the practice’s revenue stream is heavily dependent on a few injectable therapies and associated procedure codes rather than broad office visit volume.

    The code mix signals a retina/medical ophthalmology practice centered on intravitreal pharmacotherapy: J0178 (aflibercept), J2777 (faricimab), and 67028 (intravitreal injection as an isolated procedure) are the dominant revenue drivers, while standard E/M codes such as 99214 and 99213 represent much smaller shares of revenue. This suggests the operation is procedure‑and drug‑focused (clinic sessions for injections and retinal procedures) rather than a general eye‑care office with heavy routine exam billing.

    J0178 is the single largest revenue contributor with 1.2K claims, $688 avg paid/claim, and $832.5K revenue (48.8% of Medicare revenue); it ranks #1089 of 3204 providers nationally (66th percentile) and is described as "typical, unremarkable volume." This means the provider derives nearly half of Medicare revenue from aflibercept injections and performs at a middle‑to‑upper range of national peers for that code rather than being an extreme high‑volume outlier.

    J2777 shows a contrasting utilization pattern: 16.6K claims at $29 avg paid/claim producing $480.2K (28.2% of Medicare revenue), ranking #655 of 2039 providers nationally (68th percentile) and labeled "typical, unremarkable volume." The combination of very high claim count with low average payment per claim suggests many low‑unit payments (billing/administration units or billing detail differences) contribute substantially to revenue but with different economics than J0178.

    67028 (intravitreal injection as an isolated procedure) is the third major contributor with 1.2K claims, $88 avg paid/claim, and $104.1K revenue (6.1% of Medicare revenue); it ranks #1151 of 4255 providers nationally (73th percentile) and is characterized as "typical, unremarkable volume." Its presence reinforces that injections are often billed as separate procedures and form a meaningful, though smaller, share of the revenue mix relative to the drug codes.

    There are a few notable statistical outliers in ancillary codes: J3490 (unclassified drugs) appears with 18 claims at $2063 avg paid/claim producing $37.1K and is ranked in the 5th percentile nationally (described as "typical, unremarkable volume" in the file), indicating uncommon high dollar amounts per claim for unclassified drug billing relative to peers. Similarly, J7999 (compounded drug) appears with 387 claims and $25.2K revenue (83th percentile), showing the practice uses compounded or nonstandard drug billing at levels above many peers; both patterns warrant attention during contract or clinical review because they deviate from the dominant anti‑VEGF/injection coding mix.

    The provider has a long NPI tenure, enumerated 2009-03-13 (~17 years ago), which suggests an established clinical presence and continuity of practice. When combined with the concentrated Medicare revenue profile and absence of Medicaid billing on file, this history points to a stable, Medicare‑focused retinal practice rather than a newly started or generalized ophthalmology clinic.

    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 mg1,210$690$832.5K
    J2777Injection, faricimab‑svoa, 0.1 mg16,560$30$480.2K
    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.1,180$90$104.1K
    J2778Injection, ranibizumab, 0.1 mg470$180$84.8K
    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…460$90$38.9K
    J3490Unclassified drugs20$2,060$37.1K
    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.1,090$30$29.4K
    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…440$60$26.1K
    J7999Compounded drug, not otherwise classified390$70$25.2K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…20$950$14.2K

    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
    J01788201,100$690$816.1K
    J277792017,340$30$653.4K
    J2778910720$180$247.3K
    67028830390$90$71.6K
    6710841010$1,160$23.1K
    J7999510320$60$18.6K
    92014147180130$70$18.5K
    J3490182040$150$16.7K
    6711331020$900$14.4K
    992142152,70090$70$12.9K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    Glenn StollerNYOphthalmology Physician$4.6M$637.1K
    John PitcherNMOphthalmology Physician$5.1M$0
    Mark ChiuNMOphthalmology Physician$3.8M$0
    Christopher RoybalNMOphthalmology Physician$3.8M$0
    Ketan LaudNYOphthalmology Physician$2.7M$926.3K
    Eric SiglerNYOphthalmology Physician$3M$580.5K
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Peter BrennenNYRetina Specialist (Ophthalmology) Physician$3M$339.3K
    Christopher AdamNYOphthalmology Physician$3.1M$219.4K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presbyterian Healthcare ServicesNMInternal Medicine Physician$0$240.8M
    Heritage Home Healthcare Services, Inc.NMHome Health Agency$0$141.5M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$100M
    The New Beginnings LLCNMAdult Day Care Clinic/Center$0$85.1M
    We Care Agency, Inc.NMIn Home Supportive Care Agency$0$60.1M
    Lovelace Health System, LLCNMGeneral Acute Care Hospital$0$57.7M
    Adelante Development Center, Inc.NMPersonal Care Attendant$0$57M
    Southwest Labs LLCNMClinical Medical Laboratory$1.1M$41.5M
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Tspc-nm, LLCNMNursing Care Agency$0$28.9M

    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 Mexico Distribution
    Iuri Golubev — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico