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

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Vinay Desai (NPI 1881668119)

Field	Value
Entity Type	Individual
Organization	Vinay Desai
Address	600 Jefferson Plz Ste 320
City	Rockville
State	MD
ZIP	20852
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider’s commercial footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $2.5M and there is no Medicaid billing on file, so Medicare drives the full documented public‑payer billing profile for VINAY DESAI in ROCKVILLE, MD. That concentration should be treated as the primary revenue source when evaluating access, utilization, or network participation risk for Medicaid populations.

Revenue is heavily concentrated in a very small set of services: the top 3 Medicare codes by revenue account for 77.8% of total Medicare revenue. The three highest‑revenue codes are J0178 ($1.5M, 58.7% of Medicare revenue), 92014 ($324.5K, 12.8%), and J2777 ($157.9K, 6.2%); this indicates a practice-level dependence on a narrow mix of injection and high-volume office exam services.

The code mix and claim counts point to a procedure- and clinic‑based retina practice centered on intravitreal therapy and follow-up visits. High utilization of anti‑VEGF and related injection codes — J0178 with 2.2K claims and J2777 with 5.6K claims, plus 67028 with 1.3K claims — shows routine, high-frequency intravitreal injections and same‑day/clinic‑based injection procedures as primary service lines.

Outpatient office visits and retinal imaging are also major drivers of throughput: 92014 has 3.1K claims ($106 avg paid/claim, $324.5K revenue) and 92134 has 3K claims ($35 avg paid/claim, $106.5K revenue). Both 92014 and 92134 are marked as extreme outliers nationally, indicating unusually high established‑patient exam and retinal imaging volume relative to peers and consistent, high patient flow through the clinic.

Competitive standing varies by service: the provider ranks as an extreme outlier for comprehensive established exams and retinal imaging (92014 ranks #51 of 35415, 100th percentile; 92134 ranks #387 of 26868, 99th percentile), signaling national‑level intensity for those services. By contrast, J0178 — while accounting for the largest revenue share ($1.5M, 58.7%) — is described as a typical, unremarkable volume nationally (rank #450 of 3204, 86th percentile), so the practice’s injection revenue is large in dollar terms but not unprecedented on a per‑code national comparison.

Several specialty and high‑cost drug codes appear but contribute smaller shares of revenue, suggesting adjunctive use of various biologics and biosimilars. Examples include J2778 (508 claims, $95K revenue, 3.8% of Medicare revenue; 39th percentile), J3590 (28 claims, $59.4K revenue, 2.3%; 15th percentile), and Q5128 (195 claims, $42.1K revenue, 1.7%; 16th percentile), indicating use of multiple therapeutic agents but not the dominant source of revenue.

The provider has long tenure on file, with NPI enumeration dated 2006-02-14 (~20 years ago), consistent with an established retina practice that has built sustained Medicare volume over time. This longevity combined with concentrated Medicare revenue and extremely high exam/imaging volumes suggests a mature, clinic‑based retina operation with predictable throughput for payers considering network participation or utilization management interventions.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,170	$680	$1.5M
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…	3,060	$110	$324.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	5,640	$30	$157.9K
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.	1,350	$100	$137.4K
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.	3,040	$40	$106.5K
J2778	Injection, ranibizumab, 0.1 mg	510	$190	$95K
J3590	Unclassified biologics	30	$2,120	$59.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	380	$110	$43.8K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	200	$220	$42.1K
92202	The 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…	2,140	$10	$27.8K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Vinay Desai — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	20	100	950	$690	$887.3K
J2777	42	70	8,520	$30	$487.3K
J2778	34	50	650	$180	$207.8K
J3590	15	20	50	$2,390	$128.9K
67028	32	120	700	$100	$101.5K
Q5128	10	20	200	$210	$78K
92014	11	620	210	$90	$44K
92235	11	90	70	$110	$19.5K
92134	23	490	110	$30	$17.3K
92202	12	60	240	$10	$11K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Virginia Oncology Associates	VA	Hematology & Oncology Physician	$0	$6.2M
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Gordon Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.9M	$0
Daniel Berinstein	MD	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Alexander Melamud	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Michael Lai	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Jordana Fein	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Eric Weichel	MD	Ophthalmology Physician	$4.1M	$0
Gayatri Reilly	MD	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mid Atlantic Pemanente Medical Group	MD	Health Maintenance Organization	$0	$317.3M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$17.5M
Montgomery County Maryland Government	MD	Local Education Agency (LEA)	$0	$12.6M
Reginald S Lourie Center For Infants & Young Children	MD	Clinic/Center	$0	$6.5M
Harcart Health Holdings, LLC	MD	Emergency Medicine Physician	$0	$5.5M
Visionary Ophthalmology LLC	MD	Ophthalmology Physician	$0	$5.2M
Jewish Social Service Agency	MD	Community Based Hospice Care Agency	$0	$4.5M
Rockville Pediatric Dental LLC	MD	Pediatric Dentistry	$0	$4.4M
Behavioral Framework, LLC	MD	Community/Behavioral Health Agency	$0	$4.3M
James Xu	MD	Hematology & Oncology Physician	$1.6M	$0

Vinay Desai — Billing Profile & Reimbursement Data

Sign up for Vinay Desai — Billing Profile & Reimbursement Data policy alerts

Vinay Desai — Billing Profile & Reimbursement Data

Sign up for Vinay Desai — Billing Profile & Reimbursement Data policy alerts

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