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

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

Marianeli Rodriguez (NPI 1881955284)

Field	Value
Entity Type	Individual
Organization	Marianeli Rodriguez
Address	243 Charles St
City	Boston
State	MA
ZIP	02114
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 1, 2012

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the clear revenue engine: total Medicare revenue is $2.4M and there is no Medicaid billing on file, so the practice operates effectively as a Medicare-centric provider rather than a dual‑payer clinic. The absence of any Medicaid claims suggests either minimal participation in state Medicaid or that Medicaid patients do not form a measurable part of the billing mix for this NPI.

Revenue is highly concentrated in a small set of injectables and related procedures: the precomputed top‑3 Medicare codes account for 85.7% of total Medicare revenue. Those top three are J0178 ($1.3M; 55.4%), J2777 ($553.3K; 23.6%), and 67028 ($158.6K; 6.7%), indicating the practice depends heavily on a limited number of high‑revenue services.

The code mix and descriptions point to a procedure‑driven retinal/medical‑retina operation: large volumes and dollars in J0178 (aflibercept) and J2777 (faricimab) together with 67028 (intravitreal injection procedure) show the practice’s core activity is intravitreal pharmacologic therapy. Supporting codes such as J2778 (ranibizumab) and J9035 (bevacizumab) further reinforce that anti‑VEGF injections are the primary service line.

While the provider reports high dollar concentration in injectable drugs, national rank and percentile data show they are a typical-volume participant rather than a dominant national outlier for those drugs. For example, J0178 ranks #587 of 3204 (82th percentile; typical, unremarkable volume) and J2777 ranks #561 of 2039 (73th percentile; typical, unremarkable volume), so the practice’s injection volumes are in line with many peers rather than uniquely large.

Imaging and diagnostic coding are a relative strength: 92134 (retinal computerized diagnostic imaging) appears at 2.2K claims with $67.2K revenue, and it ranks #836 of 26868 (97th percentile; notably above typical national volume). This notably above‑typical imaging throughput suggests a high imaging intensity per patient and supports the interventional retinal workup and follow‑up that accompany frequent intravitreal injections.

Office exam codes and other ophthalmology services are present but represent substantially smaller shares of revenue, indicating the practice is not primarily a general ophthalmology clinic. Examples include 92014 (494 claims, $47.4K; ranks #5513 of 35415, 84th percentile) and 92012 (404 claims, $25.9K; ranks #2401 of 17177, 86th percentile), which reflect steady established‑patient exam volumes but limited revenue contribution relative to injection drugs.

The provider’s NPI tenure (enumerated on 2012-06-01, ~14 years ago) indicates an established practice history; combined with the high concentration in injectables and above‑typical imaging volume, this suggests a mature retinal-focused operation rather than a new or general ophthalmology solo practice. Longevity paired with procedure-driven revenue typically implies stable referral patterns and operational workflows oriented around injections and imaging.

From a business risk and planning perspective, the heavy dependence on a few high-revenue drug codes means changes in drug pricing, reimbursement policy, supply, or utilization patterns for J0178 and J2777 — or shifts in clinical preference between agents — could materially affect practice revenue. Given the precomputed fact that the top three codes contribute 85.7% of Medicare revenue, payers and analysts should flag reimbursement or utilization changes for these codes as high‑impact for this provider.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,890	$690	$1.3M
J2777	Injection, faricimab‑svoa, 0.1 mg	19,080	$30	$553.3K
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.	1,670	$100	$158.6K
J2778	Injection, ranibizumab, 0.1 mg	790	$180	$142.7K
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.	2,240	$30	$67.2K
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…	490	$100	$47.4K
92012	For 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…	400	$60	$25.9K
J9035	Injection, bevacizumab, 10 mg	470	$50	$24.8K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	150	$110	$16.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	260	$30	$7.6K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

Marianeli Rodriguez — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	90	790	$690	$826.5K
J2777	12	50	7,080	$30	$343.1K
J2778	9	30	560	$180	$200.7K
67028	18	120	570	$100	$80.7K
92014	236	1,070	160	$90	$30.1K
J9035	17	80	250	$50	$19.7K
92012	76	560	90	$70	$12.4K
92134	27	670	70	$30	$10.6K
92004	68	890	40	$100	$6.3K
67145	18	20	20	$170	$4.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Yusef Haj-darwish	MA	Emergency Medicine Physician	$744K	$5M
Andrew Lipman	FL	Medical Oncology Physician	$5.6M	$0
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Bryan Hong	MA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Brad Baker	MA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M
Lawrence Proano	RI	Emergency Medicine Physician	$48.4K	$2.3M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The General Hospital Corporation	MA	General Acute Care Hospital	$0	$438M
Massachusetts Eye And Ear Infirmary	MA	General Acute Care Hospital	$0	$68.1M
Massachusetts General Physicians Organization Inc	MA	Dermatology Physician	$0	$60.2M
Bay Cove Human Services, Inc	MA	Community/Behavioral Health Agency	$630.5K	$36.4M
Jewish Family & Children's Service	MA	Case Management Agency	$0	$12.5M
Commonwealth Of Massachusetts	MA	Case Management Agency	$0	$10.4M
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Massachusetts Eye And Ear Associates, Inc.	MA	Ophthalmology Physician	$0	$6.6M
Chirag Shah	MA	Retina Specialist (Ophthalmology) Physician	$5M	$0
Miriam Englander-paschalis Ilios	MA	Retina Specialist (Ophthalmology) Physician	$4.5M	$0

Marianeli Rodriguez — 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