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    OpenPayerNPI Medicare & MedicaidRichard Bazarian
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    Richard Bazarian — Billing Profile & Reimbursement Data

    NPI 1891791455 · Portland, ME · Retina Specialist (Ophthalmology) Physician

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    Richard Bazarian is a retina specialist (ophthalmology) physician provider located in Portland, Maine. This profile covers 14 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
    OrganizationRichard Bazarian
    Address161 Marginal Way
    CityPortland
    StateME
    ZIP04101
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 28, 2005

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider's billed population is effectively single‑payer: total Medicare revenue is $2.3M while there is no Medicaid billing on file, indicating the practice derives revenue almost exclusively from Medicare beneficiaries and may focus on an older patient mix. The absence of Medicaid suggests limited exposure to state-managed care and that payer negotiations and utilization reviews will be Medicare‑centric.

    Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 82.5% of total Medicare revenue, driven primarily by J0178 at $1.5M (65.4% of Medicare revenue), followed by J2777 at $285.4K (12.2%) and 67028 at $114.9K (4.9%). This concentration makes overall revenue sensitive to utilization or reimbursement changes for those few codes.

    Clinical mix and service line are consistent with a retina/intravitreal injection practice: the dominant code J0178 (aflibercept injection), plus substantial billing for J2777 (faricimab), J2778 (ranibizumab), J2781 (pegcetacoplan) and procedure code 67028 (intravitreal injection), indicate routine anti‑VEGF and other intravitreal therapeutics as the primary service. Ancillary retinal imaging (92134) and routine ophthalmology visit codes (92014, 92004) appear as supporting services, consistent with a medical retina outpatient model rather than a surgical retina focus.

    Competitive standing on the top drug code shows above‑median national placement: J0178 ranks #426 of 3204 providers nationally (87th percentile) and is described in the source as having typical, unremarkable volume; this suggests the provider is a higher‑volume deliverer of aflibercept relative to the national cohort but not an extreme outlier. Other high‑revenue drug codes such as J2777 (rank #1022 of 2039, 50th percentile) and J2781 (rank #213 of 490, 55th percentile) sit near median volumes, indicating the practice’s drug mix is similar to many retinal specialists rather than being atypical.

    Diagnostic imaging volume is a notable strength for this practice: 92134 shows 1.3K claims and $37.3K revenue (1.6% of Medicare revenue) and ranks #1767 of 26868 providers nationally (93rd percentile), a characterization in the source as notably above typical national volume. High OCT/retinal imaging throughput supports frequent intravitreal treatment regimens and implies operational capacity for same‑day diagnostics and treatment.

    The provider performs very little complex retinal surgery: 67113 appears only 12 claims for $12.5K (0.5% of Medicare revenue) and ranks #267 of 297 providers nationally (5th percentile), indicating surgical detachment repair is not a major part of the practice and the business is centered on in‑office medical retina care. This reduces revenue diversification into operative services and reinforces the practice's exposure to shifts in intravitreal drug utilization.

    There are occasional high‑cost, low‑volume billing patterns: J3490 (unclassified drugs) accounts for 45 claims and $81.4K revenue with an average paid/claim of $1808, suggesting intermittent use of expensive or miscoded pharmaceuticals billed under an unclassified code. These low‑frequency, high‑unit‑cost items can materially affect per‑claim averages and should be reviewed for coding clarity when evaluating drug spend and utilization.

    The provider has an established tenure with an NPI enumerated 2005-06-28 (~21 years ago), which supports an interpretation of sustained practice presence and likely stable referral relationships. Combined with the near‑exclusive Medicare revenue stream and the concentrated dependence on intravitreal therapeutics, this tenure suggests a mature retina practice with predictable Medicare utilization patterns rather than a newly established or rapidly shifting business model.

    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.

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,220$690$1.5M
    J2777Injection, faricimab‑svoa, 0.1 mg9,840$30$285.4K
    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.1,200$100$114.9K
    J2778Injection, ranibizumab, 0.1 mg620$180$110.1K
    J3490Unclassified drugs50$1,810$81.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg650$120$77.4K
    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…820$90$73.5K
    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.1,290$30$37.3K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…10$1,050$12.5K
    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…40$110$4.2K

    Showing 1–10 of 14

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    14 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178120990$690$652.2K
    J27776109,840$30$407.6K
    J2778510690$180$155.6K
    J2781210650$120$92.7K
    67028530410$90$51.1K
    J349061070$390$29.1K
    6711331020$1,320$23.7K
    920144240150$80$14.7K
    9223571050$90$7.5K
    92134718050$30$4.5K

    Showing 1–10 of 14

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maine Eye Center, PAMEOphthalmology Physician$0$6.1M
    Jeffrey MooreMERetina Specialist (Ophthalmology) Physician$2.9M$0
    Maine Eye Center, PAMEAmbulatory Surgical Clinic/Center$1.2M$578.7K
    Robert CadyMEGlaucoma Specialist (Ophthalmology) Physician$256.4K$0
    Sara BozorgNHOphthalmology Physician$218.8K$0
    Jessica WatsonMEOphthalmology Physician$202.3K$0
    David WeinbergNHOphthalmic Plastic and Reconstructive Surgery Physician$192K$0
    Curtis LibbyMEGlaucoma Specialist (Ophthalmology) Physician$190.4K$0
    Nathaniel GelinasMNOphthalmology Physician$158.6K$0
    Brynn WajdaMEOphthalmic Plastic and Reconstructive Surgery Physician$133.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    MainehealthMECommunity/Behavioral Health Agency$0$115M
    Goodwill Industries Of Northern New EnglandMEComprehensive Outpatient Rehabilitation Facility (CORF)$0$106M
    Maine Vocational Associates, Inc.MEDevelopmentally Disabled Services Day Training Agency$0$34.3M
    Catholic Charities MaineMEClinical Social Worker$0$17.7M
    Spurwink Services IncorporatedMEMental Health Clinic/Center (Including Community Mental Health Center)$0$16.8M
    Milestone RecoveryMESubstance Abuse Rehabilitation Facility$0$8.8M
    Portland Community Health CenterMEFederally Qualified Health Center (FQHC)$0$7.4M
    Black Bear Medical, Inc.MECustomized Equipment (DME)$0$7.4M
    Usa Family Well Being Services LLCMECommunity/Behavioral Health Agency$0$6.3M
    City Of PortlandMELand Ambulance$740.2K$5.4M

    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. Maine Distribution
    Richard Bazarian — 3 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Maine