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    OpenPayerNPI Medicare & MedicaidArmand Daccache
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    Armand Daccache — Billing Profile & Reimbursement Data

    NPI 1902889066 · Danbury, CT · Retina Specialist (Ophthalmology) Physician

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    Armand Daccache is a retina specialist (ophthalmology) physician provider located in Danbury, Connecticut. This profile covers 18 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
    OrganizationArmand Daccache
    Address69 Sand Pit Rd
    CityDanbury
    StateCT
    ZIP06810
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedNovember 22, 2005

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file, so all billed activity in the dataset is Medicare‑driven and the practice’s payer exposure is concentrated in fee‑for‑service Medicare. Analysts should treat Medicaid strategies or state‑level Medicaid volume as not applicable for this NPI.

    Revenue concentration is high: the top three Medicare codes (J0178, J2777, 99214) account for 68.9% of total Medicare revenue, with J0178 contributing $571.6K (39.4%), J2777 contributing $320K (22.1%), and 99214 contributing $107.1K (7.4%). This indicates a heavy dependence on a small set of codes for the practice’s Medicare receipts.

    The clinical mix points to an office‑based retina practice with a procedural/injection focus: the two largest revenue drivers are intravitreal drug injections (J0178 – aflibercept and J2777 – faricimab), and the presence of high‑volume E/M (99214) and intermediate eye exams (92012) suggests frequent follow‑up visits tied to intravitreal therapy. Procedural codes such as 67028, 67036 and 67041 are present but represent smaller shares, consistent with a clinic that emphasizes medical retina injections and diagnostic imaging over high volumes of complex retinal surgery.

    Competitive standing by code is mixed. For the drug codes the provider is a modest national participant: J0178 ranks #1477 of 3204 (54th percentile) and J2777 ranks #949 of 2039 (53th percentile), both described as typical, unremarkable volume for those codes; by contrast, the provider is a major outlier on office visit and common ophthalmic exam codes — 99214 ranks #8414 of 479517 (98th percentile, extreme outlier) and 92012 ranks #253 of 17177 (99th percentile, extreme outlier) — indicating unusually high E/M and routine exam volume relative to peers.

    Imaging and diagnostic services are disproportionately high for an ophthalmology practice of this scale: 92134 (OCT) has 1.9K claims and $60.8K revenue and ranks in the 96th percentile (notably above typical national volume), while 92250 (fundus photography) has 1.1K claims, $32.6K revenue and ranks in the 99th percentile (extreme outlier). These patterns support a workflow centered on frequent imaging surveillance to guide intravitreal treatment decisions.

    Procedural diversity exists but is secondary to injections and imaging: intravitreal procedure codes (67028) and several vitreoretinal surgery codes (67036, 67041) appear in the top 25 but each represents under 6% of Medicare revenue individually, consistent with a practice that performs some surgical procedures but derives the bulk of Medicare revenue from injections and outpatient care.

    Tenure is long: the NPI was enumerated on 2005-11-22 (~21 years ago), indicating an established practice presence in the Danbury, CT market which may explain sustained referral and follow‑up volumes reflected in high E/M and imaging counts.

    For payers and network strategy, the lack of Medicaid billing means competitive assessments and contracting should focus on Medicare fee schedules and commercial/managed‑care equivalents; benchmarking against Medicare peers is most informative here because state Medicaid activity is absent for this provider.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg830$690$571.6K
    J2777Injection, faricimab‑svoa, 0.1 mg11,040$30$320K
    99214The 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…1,130$100$107.1K
    92012For 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…1,310$70$91.5K
    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.860$90$81.1K
    J3490Unclassified drugs40$1,710$73.6K
    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.1,900$30$60.8K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg290$120$34.3K
    92250Code 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,…1,090$30$32.6K
    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…190$120$22.3K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782240830$690$713.1K
    J277714308,190$30$340.4K
    J3490122050$1,380$76K
    670281750540$100$66.4K
    J27811110440$120$55.7K
    6703651020$970$18.4K
    920123300120$70$15.2K
    9223563040$110$14.8K
    99214276,48090$90$14.2K
    6704121010$850$11.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Connecticut Eye Consultants, PCCTOphthalmology Physician$0$3.1M
    Connecticut Eye Consultants, PCCTDurable Medical Equipment & Medical Supplies$0$1.9M
    Richard ScartozziCTRetina Specialist (Ophthalmology) Physician$1.7M$0
    Bruce AltmanCTGlaucoma Specialist (Ophthalmology) Physician$330.9K$0
    Anisha JangiCTCornea and External Diseases Specialist Physician$263.5K$0
    Eitan BursteinCTGlaucoma Specialist (Ophthalmology) Physician$244.5K$0
    Matthew PaulCTOphthalmology Physician$243.4K$0
    Avinash TantriCTOphthalmology Physician$240.8K$0
    Stephen ZuckermanCTCornea and External Diseases Specialist Physician$217.8K$0
    Katherine Zamecki-vedderCTOphthalmic Plastic and Reconstructive Surgery Physician$209K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Danbury HospitalCTGeneral Acute Care Hospital$0$123.8M
    Family And Children's Aid, Inc.CTAdolescent and Children Mental Health Clinic/Center$0$64M
    Midwestern Connecticut Council On Alcoholism, IncCTMental Health Clinic/Center (Including Community Mental Health Center)$0$39.9M
    Connecticut Institute For Communities IncCTFederally Qualified Health Center (FQHC)$0$32.8M
    Nuvance Health Medical Practice Ct, Inc.CTInternal Medicine Physician$0$20.2M
    Connecticut Institute For Communities IncCTFederally Qualified Health Center (FQHC)$0$14.9M
    Connecticut Counseling Centers, Inc.CTMethadone Clinic$243.5K$12.1M
    Center For Pediatric MedicineCTPediatrics Physician$0$9.4M
    Optimum Medical LLCCTPediatrics Physician$0$8.9M
    Kids Dental Specialists LLCCTPediatric Dentistry$0$7.8M

    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. Connecticut Distribution
    Armand Daccache — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut