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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Oscar Kuruvilla (NPI 1861711558)

Field	Value
Entity Type	Individual
Organization	Oscar Kuruvilla
Address	1240 Colonial Commons Ct
City	Lancaster
State	SC
ZIP	29720
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 20, 2010

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This provider’s revenue is effectively single‑payer: Medicare lifetime revenue is $2.7M and there is no Medicaid billing on file. The absence of Medicaid activity means payer mix is concentrated in Medicare and the practice’s financial profile and patient panel should be interpreted primarily through a Medicare lens.

Revenue is highly concentrated in a small set of injection and procedural codes: the top 3 Medicare codes by revenue account for 85.7% of this provider's total Medicare revenue. Specifically, J2777 accounts for $1.4M (53.2%), J0178 accounts for $753.4K (28.2%), and 67028 accounts for $116.7K (4.4%), showing the bulk of income is tied to intravitreal drug delivery and related isolated injection procedures.

The CPT/HCPCS mix indicates a retina‑focused, procedure‑driven practice model: high volumes and dollars in J2777 (faricimab) and J0178 (aflibercept) together with 67028 (isolated intravitreal injection) point to routine, frequent intravitreal pharmacologic therapy as the core service line. Complementary codes such as 92134 (retinal imaging) and 92014 (comprehensive established exams) support an operational workflow centered on injection visits plus imaging and follow‑up management.

Clinically and operationally this provider appears set up for high injection throughput: J2777 has 49.1K claims and an average paid/claim of $29, while J0178 shows 1.1K claims with an average paid/claim of $695. The large claim count for J2777 paired with the high dollar share ($1.4M) implies frequent administration of that drug, whereas the higher per‑claim payment for J0178 but lower claim volume suggests a mixed drug utilization pattern within intravitreal services.

Competitive standing varies by code: for J2777 the provider ranks #110 of 2039 providers nationally (95th percentile; notably above typical national volume), indicating they are a relatively high‑volume national participant for faricimab injections. By contrast, J0178 ranks #1208 of 3204 providers nationally (62th percentile; typical, unremarkable volume), so the provider is not a top national aflibercept biller.

Diagnostic and evaluation codes are also above typical volume nationally, reinforcing the injection‑plus‑imaging business model: 92134 has 1.8K claims, $52.8K revenue and ranks #1200 of 26868 providers (96th percentile; notably above typical national volume), and 92014 has 1.2K claims, $100.3K revenue and ranks #1101 of 35415 providers (97th percentile; notably above typical national volume). These high percentiles for imaging and comprehensive established exams suggest strong follow‑up and monitoring capacity that supports the injection service line.

Surgical cataract procedures and minor ocular procedures are present but not dominant: 66984 accounts for $97.9K (3.7% of Medicare revenue) with 261 claims and ranks #4445 of 15965 providers (72th percentile; typical, unremarkable volume), and 66821 (YAG capsulotomy) contributes $24.7K (0.9%). This pattern indicates the provider performs some surgically oriented ophthalmology but that surgical revenue is a secondary component relative to intravitreal therapeutics.

The provider has an established enrollment history, enumerated on 2010-05-20 (~16 years ago), which aligns with the sustained Medicare revenue stream. Given the combination of long tenure, concentrated dependence on anti‑VEGF/faricimab injections, and above‑typical imaging and exam volumes, the practice appears operationally mature with a business model heavily weighted toward retinal therapeutics and monitoring services.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	49,080	$30	$1.4M
J0178	Injection, aflibercept, 1 mg	1,080	$700	$753.4K
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.	1,270	$90	$116.7K
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…	1,190	$80	$100.3K
66984	The 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…	260	$380	$97.9K
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.	1,820	$30	$52.8K
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…	480	$90	$42.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	100	$240	$24.7K
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…	260	$60	$16.5K
J9035	Injection, bevacizumab, 10 mg	180	$60	$9.6K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Oscar Kuruvilla — 1 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	23	50	970	$690	$1.1M
J2777	4	40	15,960	$30	$594.7K
66984	109	270	210	$170	$141.3K
67028	22	50	1,140	$90	$110.3K
J9035	25	40	200	$50	$26.1K
66821	64	170	70	$100	$25.3K
92014	27	540	160	$80	$24.3K
99214	1,509	7,860	160	$80	$23.2K
92235	13	30	50	$100	$11K
99213	1,615	7,690	100	$60	$10.8K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kevin Nusz	SC	Ophthalmology Physician	$325K	$0
Charles Blotnick	NC	Ophthalmology Physician	$218.5K	$0
Robert Edwards	SC	Specialist	$214.1K	$0
Timothy Owens	SC	Ophthalmology Physician	$139.8K	$400

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chester-lancaster Disabilties & Special Needs Board	SC	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$13M
Medical University Hospital Authority	SC	General Acute Care Hospital	$0	$12.1M
The Children's Clinic	SC	Clinic/Center	$0	$8.4M
Golden Care Inc	SC	Home Health Agency	$0	$7.1M
Mante Pediatrics LLC	SC	Pediatrics Physician	$0	$7M
Carolina Family Care, Inc	SC	Internal Medicine Physician	$0	$6.9M
Morphis Pediatric Group Of Lancaster, P.A.	SC	Rural Health Clinic/Center	$0	$4.8M
Medical University Hospital Authority	SC	Rural Health Clinic/Center	$0	$4.5M
Lancaster County School District	SC	Local Education Agency (LEA)	$0	$2.9M
County Of Lancaster	SC	Land Ambulance	$963.3K	$1.5M

Oscar Kuruvilla — 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