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    OpenPayerNPI Medicare & MedicaidGagan Singh
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    Gagan Singh — Billing Profile & Reimbursement Data

    NPI 1881651743 · Ranson, WV · Ophthalmology Physician

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    Gagan Singh is a ophthalmology physician provider located in Ranson, West Virginia. This profile covers 24 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
    OrganizationGagan Singh
    Address201 E 5th Ave
    CityRanson
    StateWV
    ZIP25438
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 26, 2006

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

    Payer SourceTotal Paid
    Medicare$449K
    Medicaid$0

    Key Findings

    This provider’s service mix is focused on specialty ophthalmology with a strong combination of diagnostic electrophysiology, cataract surgery, and comprehensive office care. The top Medicare codes are 92273 (electrophysiologic retinal testing), 66984 (cataract extraction with IOL), and 92014 (comprehensive established eye exam), and the presence of high-volume imaging and biometry codes (92134, 92136, 76519) indicates an operation that performs both advanced diagnostic testing and supports surgical workflows. Such a mix is typical of a practice that handles pre‑op evaluation, intraoperative procedures, and post‑op management rather than only routine refractive or optometry visits.

    Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes (92273, 66984, 92014) account for 56.6% of this provider’s total Medicare revenue. Individually those codes represent $104.2K (23.2%), $88.1K (19.7%), and $61.4K (13.7%) respectively, so changes in utilization or reimbursement for these specific services would materially affect overall Medicare revenue. This concentration points to strategic dependence on a few high-value services.

    This provider is effectively single‑payer with respect to public programs: lifetime Medicare revenue is $449K and there is no Medicaid billing on file. The absence of Medicaid activity means the practice’s public‑payer exposure is concentrated entirely in Medicare, which reduces diversification of government payer mix and makes Medicare reimbursement and utilization trends particularly consequential for financial planning.

    92273 is a standout national outlier for this provider: the code generates $104.2K in revenue from 2.4K claims and the provider ranks #1 of 1106 nationally (100th percentile; extreme outlier). That standing indicates a nationally exceptional throughput for electrophysiologic retinal testing relative to peers and suggests either a local referral base for ffERG/VEP services or specialized testing capacity not common among typical ophthalmology practices.

    Several diagnostic and pre‑operative codes show notably above‑typical or extreme volumes, consistent with a practice that performs substantial cataract planning and retinal imaging. For example, 76519 (A‑scan biometry) produced $12.1K and ranks #23 of 1232 providers (98th percentile; extreme outlier), 92133 produced $8.1K and ranks in the 99th percentile (extreme outlier), and 92134 produced $26.5K and ranks in the 95th percentile (notably above typical). These elevated diagnostic volumes align with the provider’s cataract procedural activity and support a workflow that processes many pre‑op measurements and posterior‑segment imaging.

    Cataract surgical activity (66984) is present but not extreme: the code produced $88.1K from 222 claims and the provider ranks #5045 of 15965 (68th percentile; typical, unremarkable volume). That places the provider above the median for national peers but not among the highest-volume surgical centers, indicating a steady but moderate surgical caseload that is supported by the high diagnostic throughput.

    Tenure and enrollment data show long‑standing Medicare participation: the NPI was enumerated 2006-04-26 (~20 years ago). This duration of enrollment suggests an established practice with a sustained presence in the market, which can support consistent referral relationships for specialized testing and surgical cases.

    From an operational risk perspective, the provider’s Medicare revenue concentration combined with no Medicaid billing on file creates vulnerability to shifts in utilization or reimbursement for a few high‑revenue services. Because the top three codes account for 56.6% of Medicare revenue, strategic decisions or external changes affecting electrophysiology, cataract procedures, or comprehensive visits would have outsized financial impact, and the lack of Medicaid activity limits public‑payer diversification as a mitigating factor.

    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92273The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…2,420$40$104.2K
    66984The 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…220$400$88.1K
    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…710$90$61.4K
    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…480$60$29.1K
    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.1,770$20$26.5K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.80$260$21.1K
    99204The provider sees a new 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 provider…140$110$15.3K
    92136The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…740$20$13.3K
    76519The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.550$20$12.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$100$11.2K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    669844590210$70$60.7K
    9227311040$50$16.7K
    9201412180120$70$16.3K
    66821185050$190$16.2K
    992141,7122,740100$70$11.8K
    6617411020$440$8.3K
    992131,8442,86080$50$7.5K
    9201258070$50$7.2K
    92136440160$20$6.1K
    92134616060$30$5.4K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David YehMDOphthalmology Physician$158.7K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jefferson Memorial HospitalWVCritical Access Hospital$0$21.6M
    East Mountain Health Physicians, Inc.WVUrgent Care Clinic/Center$0$5.1M
    Jmh Emergency PhysiciansWVEmergency Medicine Physician$0$2.6M
    Jefferson Pharmacy IncWVPharmacy$13.8K$2.1M
    City Hospital, Inc.WVInternal Medicine Physician$0$1.9M
    Jefferson County Council On AgingWVHome Health Agency$0$1.5M
    Jefferson County Emergency Services AgencyWVLand Ambulance$336.8K$638.2K
    Jefferson Memorial HospitalWVInternal Medicine Physician$0$941.1K
    Said SanaWVFamily Medicine Physician$424.4K$0
    Eric IngersollWVOrthopaedic Surgery Physician$18.1K$69.8K

    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. West Virginia Distribution
    Gagan Singh — 8 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia