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    OpenPayerNPI Medicare & MedicaidSara Haug
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    Sara Haug — Billing Profile & Reimbursement Data

    NPI 1871820837 · Durango, CO · Retina Specialist (Ophthalmology) Physician

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    Sara Haug is a retina specialist (ophthalmology) physician provider located in Durango, Colorado. This profile covers 25 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
    OrganizationSara Haug
    Address1266 Escalante Dr Ste 301
    CityDurango
    StateCO
    ZIP81303
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedNovember 12, 2009

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

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$0

    Key Findings

    SARA HAUG’s Medicare revenue profile is driven overwhelmingly by intravitreal biologic therapy: J2777 (49.4K claims, $29 avg paid/claim, $1.4M revenue, 37.1% of this provider's total Medicare revenue), J0178 (1.8K claims, $688 avg paid/claim, $1.2M revenue, 31.3%), and J2778 (2.3K claims, $174 avg paid/claim, $402.8K revenue, 10.4%). These three medications reflect a practice built around high-volume anti‑VEGF and related retinal injections and together account for the majority of Medicare receipts, consistent with a retina specialist whose primary service line is office-based intravitreal therapy.

    The precomputed concentration metric confirms revenue concentration: the top 3 Medicare codes by revenue account for 78.8% of this provider's total Medicare revenue. That level of concentration signals material dependence on a small set of high-revenue drug codes for Medicare earnings and suggests payer or utilization shifts in those products would meaningfully affect overall revenue.

    Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $3.9M while there is no Medicaid billing on file. The absence of Medicaid activity indicates this provider’s outpatient revenue and patient panel—at least in the claims data—operate almost entirely through Medicare rather than a mixed Medicaid/Medicare practice.

    Competitive standing varies by product: J2777 ranks #107 of 2039 providers nationally (95th percentile) and is described as notably above typical national volume, indicating a strong national placement for faricimab administration. By contrast, J0178 (rank #662 of 3204, 79th percentile) and J2778 (rank #179 of 1208, 85th percentile) are in respectable but not extreme percentiles and are characterized as typical or unremarkable volumes for those agents, suggesting leadership in one newer agent with routine volumes for others.

    Imaging volume is an outlier that supports high clinical throughput: 92134 shows 2.5K claims, $31 avg paid/claim, $78.3K revenue and ranks #650 of 26868 providers nationally (98th percentile; extreme outlier). This unusually high OCT imaging volume aligns with the heavy injection practice and indicates frequent diagnostic monitoring consistent with chronic retinal disease management.

    The practice also bills a mix of procedure and surgical codes beyond injections—67028 has 1.9K claims, $104 avg paid/claim, $195.5K revenue (5.1% of Medicare revenue) and the record includes vitrectomy and retinal surgery codes such as 67042 (22 claims, $906 avg paid/claim, $19.9K revenue) and 67036 (22 claims, $687 avg paid/claim, $15.1K revenue). These entries show the provider delivers both office-based therapeutic injections and occasional operative retinal care, indicating a comprehensive retinal service offering rather than purely procedural or purely diagnostic work.

    There is a meaningful contribution from unclassified drug billing and implants that may warrant review when modeling payer budgets: J3490 appears with 152 claims, $1753 avg paid/claim, $266.5K revenue (6.9% of Medicare revenue) and J7312 (308 claims, $158 avg paid/claim, $48.7K revenue; 1.3%). The presence of J3490 at this scale highlights that a nontrivial share of drug dollars are routed through unclassified drug codes, which can complicate claim-level cost attribution and forecasting.

    The provider has an established billing tenure—NPI enumerated on 2009-11-12 (~17 years ago)—which supports interpretation of these patterns as the output of a sustained retina practice rather than a transient or newly opened clinic. The longevity combined with the high percentile positions for specific codes suggests an experienced retinal specialist with an entrenched clinical workflow focused on frequent imaging and high-volume intravitreal therapy.

    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.

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg49,380$30$1.4M
    J0178Injection, aflibercept, 1 mg1,750$690$1.2M
    J2778Injection, ranibizumab, 0.1 mg2,320$170$402.8K
    J3490Unclassified drugs150$1,750$266.5K
    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.1,880$100$195.5K
    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.2,530$30$78.3K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg560$120$66.6K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg310$160$48.7K
    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…430$90$38.1K
    92012For 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…320$70$21.3K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178660740$690$618.3K
    J27772408,910$30$456.1K
    J2778320600$180$199.7K
    J2781210470$120$79.4K
    67028680670$100$73.3K
    J7312410220$160$37.4K
    6703633020$1,100$37.3K
    6704263020$1,140$29.6K
    6710822020$1,260$26.5K
    J349046050$290$23.1K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Roger GoldbergCARetina Specialist (Ophthalmology) Physician$4.6M$0
    Tuow TingCARetina Specialist (Ophthalmology) Physician$2.6M$0
    J JumperCARetina Specialist (Ophthalmology) Physician$2.6M$0
    Moss FenbergCORetina Specialist (Ophthalmology) Physician$2.3M$0
    Judy ChenCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Anita AgarwalCARetina Specialist (Ophthalmology) Physician$2.2M$0
    Robert JohnsonCARetina Specialist (Ophthalmology) Physician$2.1M$0
    Steven WilliamsTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    H. McdonaldCASpecialist$1.8M$0
    Caesar LuoCARetina Specialist (Ophthalmology) Physician$1.8M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Connections Inc.COIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$21.5M
    Southwest Colorado Mental Health Center, IncCOMental Health Clinic/Center (Including Community Mental Health Center)$0$13.5M
    Justin CurtisCOPodiatrist$7.7M$0
    Durango Fire Protection DistrictCOLand Ambulance$434.9K$1.7M
    Victoria KnaufCOFoot & Ankle Surgery Podiatrist$1.7M$0
    Kayse LakeCOPodiatrist$1.3M$790
    Grant GebhardCOOphthalmology Physician$706.5K$0
    Mark GaughanCODermatology Physician$480.5K$0
    Carmen JulianCODermatology Physician$420.6K$0
    Kristin PogueCOPhysician Assistant$191K$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. Colorado Distribution
    Sara Haug — 3 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Colorado