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

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

Reginald Sanders (NPI 1922072198)

Field	Value
Entity Type	Individual
Organization	Reginald Sanders
Address	7501 Greenway Center Dr
City	Greenbelt
State	MD
ZIP	20770
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	February 15, 2006

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

This provider is a retina specialist whose Medicare billing profile is dominated by intravitreal injections and high-volume office visits and retinal imaging, consistent with a clinic focused on medical retina management. High-use injection codes (J0178, J2777, J2778, Q5128) and frequent retinal imaging codes (92134, 92202) together indicate routine, repeat therapies and close follow-up for chronic retinal disease rather than primarily surgical retina work.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes (J0178, 92014, 67028) account for 78.8% of this provider's total Medicare revenue. Those three codes appear as J0178 $1.8M revenue (61.5% of Medicare), 92014 $324.3K (11.4%), and 67028 $168.7K (5.9%), making injections and comprehensive office visits the core revenue drivers.

This provider is effectively single-payer from an encounter mix perspective: lifetime Medicare revenue is $2.9M and there is no Medicaid billing on file. The absence of Medicaid billing suggests the practice’s Medicare activity is the dominant — and in available data the sole — public payer footprint.

Office evaluation volume is unusually high: 92014 shows 3.1K claims, $104 avg paid/claim, $324.3K revenue and is described as an "extreme outlier, far above typical national volume for this code" (ranks #49 of 35415 providers nationally, 100th percentile). That elevated 92014 activity implies a very large established-patient panel or frequent follow-up cadence relative to national peers.

Intravitreal anti-VEGF therapy is the single largest revenue line: J0178 (aflibercept) alone is 2.5K claims, $689 avg paid/claim, $1.8M revenue and represents 61.5% of the provider’s Medicare revenue, even though that code is labeled as "typical, unremarkable volume for this code" at rank #306 of 3204 (90th percentile). The presence of multiple biologic and biosimilar injection codes (J2777, J2778, Q5128, J3590) indicates use of several agents and formulations in routine treatment.

Retinal diagnostic imaging and ophthalmoscopy are markedly elevated and support a monitoring-heavy practice: 92134 has 3K claims, $35 avg paid/claim, $105.5K revenue and is an "extreme outlier, far above typical national volume for this code" (rank #398 of 26868, 99th percentile), while 92202 has 2.5K claims, $13 avg paid/claim, $31.9K revenue and is also an "extreme outlier, far above typical national volume for this code" (rank #21 of 2327, 99th percentile). These patterns point to routine imaging-driven management of retinal disease.

Use of intravitreal implants and corticosteroid treatment is a notable secondary line: J7312 shows 616 claims, $158 avg paid/claim, $97.3K revenue and is "notably above typical national volume for this code" (rank #23 of 492, 95th percentile). Smaller-volume but high-paid miscellaneous biologic and compound drug codes (J3590: 15 claims, $2685 avg, $40.3K; J7999: 150 claims, $76 avg, $11.4K) further diversify therapeutic options provided.

The provider has long tenure in Medicare billing, with NPI enumerated 2006-02-15 (~20 years ago), and the lifetime Medicare revenue total of $2.9M reflects an established specialty practice with concentrated revenue in injections, comprehensive visits, and retinal imaging. Combined with the lack of Medicaid activity, this profile suggests a mature, Medicare-centric retina practice focused on high-frequency outpatient treatment and monitoring.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,550	$690	$1.8M
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…	3,120	$100	$324.3K
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.	1,560	$110	$168.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,920	$30	$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.	3,010	$40	$105.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	620	$160	$97.3K
J2778	Injection, ranibizumab, 0.1 mg	540	$180	$97.2K
J3590	Unclassified biologics	20	$2,690	$40.3K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	2,450	$10	$31.9K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	140	$220	$30.1K

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

Claims Volume vs. Maryland Distribution

Reginald Sanders — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	100	950	$690	$887.3K
J2777	49	70	8,520	$30	$487.3K
J2778	32	50	650	$180	$207.8K
J3590	20	20	50	$2,390	$128.9K
67028	30	120	700	$100	$101.5K
Q5128	16	20	200	$210	$78K
J7312	3	20	270	$160	$53.1K
92014	9	620	210	$90	$44K
92235	56	90	70	$110	$19.5K
92134	24	490	110	$30	$17.3K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital	DC	Children's Hospital	$0	$243.1M
Children's Hospital	DC	Pediatrics Physician	$0	$115.3M
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Children's Pediatricians & Associates, LLC	MD	Pediatrics Physician	$0	$17.5M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Virginia Oncology Associates	VA	Hematology & Oncology Physician	$0	$6.2M
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Gordon Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.9M	$0
Daniel Berinstein	MD	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Alexander Melamud	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pm Pediatrics Of Maryland	MD	Urgent Care Clinic/Center	$0	$33.5M
Medstar Health Visiting Nurse Association, Inc.	MD	Home Health Agency	$0	$21.6M
Advanced Behavioral Health, Inc.	MD	Child & Adolescent Psychiatry Physician	$0	$20.2M
Families First Counseling And Psychiatry, LLC	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.9M
Maxim Healthcare Services, Inc.	MD	Home Health Agency	$0	$19.2M
Volunteers Of America Chesapeake & Carolinas, Inc	MD	Voluntary or Charitable Agency	$0	$16.4M
Capital Hospice	MD	Community Based Hospice Care Agency	$0	$15.8M
Maryland Health Alliance, Inc.	MD	Mental Health Counselor	$0	$13.1M
Elites Care LLC	MD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.7M
Neurological Medicine, P.A.	MD	Neurology Physician	$0	$9.2M

Reginald Sanders — 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