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    OpenPayerNPI Medicare & MedicaidEvelyn Fu
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    Evelyn Fu — Billing Profile & Reimbursement Data

    NPI 1881868370 · Puyallup, WA · Retina Specialist (Ophthalmology) Physician

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    Evelyn Fu is a retina specialist (ophthalmology) physician provider located in Puyallup, Washington. This profile covers 21 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
    OrganizationEvelyn Fu
    Address1703 S Meridian Ste 101
    CityPuyallup
    StateWA
    ZIP98371
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 16, 2008

    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 our data: total Medicare revenue is $1.7M while there is no Medicaid billing on file, indicating negligible or no participation in state Medicaid programs. Analysts should treat Medicare as the dominant and only meaningful payer for revenue and utilization analysis.

    Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 63.1% of this provider's total Medicare revenue. Those top three codes are J0178 ($421.7K, 24.6%), J2777 ($388K, 22.7%), and 92014 ($269.3K, 15.7%), showing the practice derives most of its Medicare dollars from a small set of procedure/drug codes.

    The code mix and volumes are consistent with an outpatient retina specialty practice focused on intravitreal therapies and diagnostic imaging. High revenue from J0178 (aflibercept), J2777 (faricimab), and procedures such as 67028 (intravitreal injection) plus strong volume in 92134 (retinal imaging) and 92250 (fundus photography) indicates routine, procedure-driven outpatient management of retinal disease with frequent follow‑up visits.

    Although injections drive substantial revenue, the provider is not a national outlier for the primary anti‑VEGF drug codes: J0178 ranks #1745 of 3204 nationally (45th percentile; typical, unremarkable volume) and J2777 ranks #775 of 2039 (62th percentile; typical, unremarkable volume). This suggests the practice has solid but not dominant national standing for those drug administrations.

    The provider shows several notable statistical outliers that affect its service footprint and competitive profile. 92014 ranks #60 of 35415 (100th percentile; extreme outlier), indicating exceptionally high volume of comprehensive established ophthalmology exams; J7999 ranks #10 of 1333 (99th percentile; extreme outlier) for compounded drugs, signaling unusually large billing for non‑standard compounded medications; and 92134 ranks #616 of 26868 (98th percentile; extreme outlier) for retinal imaging, pointing to very high imaging utilization relative to peers.

    Surgical retina codes are present but account for a smaller share of revenue: 67042 ($38K, 2.2%) and 67036 ($13.7K, 0.8%) appear at modest volumes and rank in moderate percentiles, indicating occasional vitreoretinal surgery rather than a surgery‑dominant practice. The operational model appears centered on recurring injections and diagnostics rather than primarily surgical throughput.

    Tenure in Medicare is well established: NPI enumerated 2008-04-16 (~18 years ago), supporting a sustained relationship with Medicare and suggesting historical stability in billing patterns useful for longitudinal analyses.

    From a business and risk perspective, the practice’s heavy concentration in a few high‑revenue codes (63.1% from the top three codes) creates exposure to changes in reimbursement, drug utilization, or clinical guidelines for intravitreal therapies; conversely, the combination of very high visit (92014), imaging (92134), and compounded drug (J7999) volumes may represent service strengths and potential negotiating leverage for practice lines and vendor contracts.

    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.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg620$680$421.7K
    J2777Injection, faricimab‑svoa, 0.1 mg13,380$30$388K
    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…2,990$90$269.3K
    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.2,670$80$223.9K
    J7999Compounded drug, not otherwise classified1,920$70$139.9K
    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.2,590$30$82.9K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg290$160$46.5K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…40$880$38K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.60$390$23.1K
    92235The 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…180$110$19.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J2777255012,780$30$599.7K
    J01784290470$680$597.2K
    670281110550$90$72.9K
    J7312520270$160$46K
    6704254030$1,190$39.2K
    6703692020$1,140$28.6K
    92242102050$210$19.7K
    920141790110$80$16.8K
    J7999170150$70$15.9K
    992146,78410,860100$80$13.6K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Cascade Eye & Skin Centers PCWAAmbulatory Surgical Clinic/Center$1.6M$93.8K
    Maureen MooneyWAMOHS-Micrographic Surgery Physician$1.5M$0
    June KimWAMOHS-Micrographic Surgery Physician$588.9K$0
    Erin SeefeldtWAOphthalmology Physician$418.1K$0
    Tara OetkenMTDermatology Physician$302.8K$0
    Adam BuchananWAOphthalmology Physician$268.1K$0
    Roy ParkWAOphthalmology Physician$247.5K$0
    Steven BradyWAOphthalmology Physician$237.3K$0
    Keith DahlhauserWAOphthalmology Physician$227.6K$0
    Lisa ChenWAOphthalmology Physician$204.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Multicare Health SystemWAPediatrics Physician$0$21.2M
    Kevin SakaiWAPediatric Dentistry$0$4.9M
    Western Washington Endoscopy Centers LLCWAAmbulatory Surgical Clinic/Center$305.5K$74.4K
    Zhuowei WangWANephrology Physician$226.5K$0
    Jerry DurisWAFamily Medicine Physician$184.6K$0
    Chad SmithWAFoot Surgery Podiatrist$143.4K$0
    Aimee LamWAOphthalmology Physician$109.1K$0
    Miroslava DostanWANurse Practitioner$41.9K$0
    William DukeWAOtolaryngology Physician$41.7K$0
    Nicholas SunWAGastroenterology Physician$36K$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. Washington Distribution
    Evelyn Fu — 6 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington