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

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

Ramana Moorthy (NPI 1902800493)

Field	Value
Entity Type	Individual
Organization	Ramana Moorthy
Address	12794 Hamilton Crossing Blvd
City	Carmel
State	IN
ZIP	46032
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

Provider is effectively a Medicare-only billing practice with Total Medicare revenue of $2.7M and no Medicaid billing on file; this makes the provider dependent on Medicare-driven volumes and reimbursement for overall revenue generation. The NPI was enumerated on 2005-06-13 (~21 years ago), indicating a long-established presence in the market that aligns with sustained Medicare billing.

Revenue concentration is heavily skewed to three injectable drug codes: the precomputed top 3 codes account for 78.7% of Medicare revenue, led by J0178 at $1.6M (60.5% of Medicare revenue), followed by J2777 at $257.5K (9.6%) and Q5128 at $228.1K (8.5%). This concentration means a large share of the provider’s Medicare revenue is driven by high-cost ophthalmologic biologics rather than a broad spread of services.

The provider’s code mix is consistent with a retina-specialist ambulatory practice focused on intravitreal biologic therapy and diagnostic retinal imaging: dominant drug codes J0178, J2777, and Q5128 plus high-volume injection procedure 67028 and retinal imaging 92134 indicate routine clinic-based injections and intensive diagnostic follow-up rather than primarily surgical throughput. The prominence of drug administration codes (for aflibercept, faricimab, and a ranibizumab biosimilar) signals that drug reimbursement is the primary revenue engine.

Competitive standing for the top drug codes is modest rather than market-leading: J0178 ranks #374 of 3204 providers nationally (88th percentile; typical, unremarkable volume), J2777 ranks #1084 of 2039 (46th percentile; typical, unremarkable volume), and Q5128 ranks #146 of 373 (61th percentile; typical, unremarkable volume). None of these ranks position the provider as a dominant national supplier of these injections, although J0178 volume is high relative to many peers.

Diagnostic and office-volume metrics show notable concentration in non-procedural work: 92134 (computerized retinal imaging) is an extreme outlier, ranking #414 of 26868 providers nationally (98th percentile; extreme outlier), and 99213 (established office visits) ranks #12766 of 457151 providers (97th percentile; notably above typical national volume). These signals indicate an unusually high throughput of retinal imaging and follow-up visits relative to the national eye-care workforce, consistent with a high-volume injection clinic model.

Procedure mix includes occasional surgical or invasive retinal procedures but at low volume: 67108 appears with 16 claims and $14.2K revenue (0.5% of Medicare revenue) and 67042 appears with 11 claims and $9.4K revenue (0.4% of Medicare revenue), both described as typical, unremarkable volume for those codes. The low claim counts and small revenue shares for these surgery-related CPTs suggest the provider performs surgery infrequently compared with outpatient injections and imaging.

Several additional CPTs point to broad retina clinic capabilities but not broad diversification of payer exposure: high-percentile usage of extended ophthalmoscopy codes (92201 and 92202 at 93th and 91th percentiles, respectively) and procedural injection code 67028 at the 91th percentile support a full-service retinal diagnostic and injection practice. However, because Medicaid billing is absent, these clinical capabilities are monetized almost entirely through Medicare encounters.

Payer-concentration and operational implications: with $2.7M in Medicare revenue and no Medicaid billing on file, the practice faces payer-concentration exposure and is likely sensitive to changes in Medicare drug reimbursement, utilization management, or beneficiary volume. The combination of long tenure (NPI enumerated 2005-06-13 (~21 years ago)), very high imaging and visit volumes, and a revenue base concentrated in a few injectable biologic codes suggests a stable, injection-centered retina clinic that could be vulnerable to shifts in biologic utilization or Medicare policy changes affecting high-cost ophthalmic drugs.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,360	$690	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	8,880	$30	$257.5K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	940	$240	$228.1K
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.	2,000	$80	$160.1K
J2778	Injection, ranibizumab, 0.1 mg	500	$180	$92K
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.	2,980	$30	$80.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	740	$60	$42.8K
99214	The provider sees an established 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…	480	$90	$40.9K
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…	260	$100	$25.6K
J3590	Unclassified biologics	370	$70	$25K

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

Claims Volume vs. Indiana Distribution

Ramana Moorthy — 3 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	60	830	$690	$868.8K
J2777	15	40	6,750	$30	$395.6K
Q5128	2	10	570	$240	$175.2K
J2778	8	10	560	$180	$150K
67028	11	80	550	$80	$78.6K
67042	14	20	20	$1,310	$47K
67108	10	20	20	$1,150	$32.2K
J3590	16	50	220	$60	$24.5K
67107	2	10	20	$1,190	$17.9K
92235	6	40	90	$100	$15.8K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rodney Bucher	IN	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Frederick Prall	IN	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Mark Kaehr	IN	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Rita Singh-parikshak	IN	Ophthalmology Physician	$1.5M	$0
Gian Paolo Giuliari Gonzalez	OH	Ophthalmology Physician	$346.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M
Landmark Recovery Of Carmel LLC	IN	Substance Abuse Rehabilitation Facility	$0	$26.2M
Little Star Center, Inc.	IN	Early Intervention Provider Agency	$0	$22.7M
Arrow Consultation Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$10.5M
Indiana University Health North Hospital Inc	IN	General Acute Care Hospital	$0	$6.9M
Option Care Enterprises, Inc.	IN	Home Infusion Therapy Pharmacy	$0	$5.2M
Impact Physician Group, Indiana LLC	IN	Internal Medicine Physician	$0	$4.2M
Westmed, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4M
Chinthala, PC	IN	Psychiatry Physician	$0	$3.9M
American Health Network Of Indiana, LLC	IN	Clinical Medical Laboratory	$2.2M	$1.6M

Ramana Moorthy — 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