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    OpenPayerNPI Medicare & MedicaidAdam Weiner
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    Adam Weiner — Billing Profile & Reimbursement Data

    NPI 1922488246 · Royal Oak, MI · Retina Specialist (Ophthalmology) Physician

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    Adam Weiner is a retina specialist (ophthalmology) physician provider located in Royal Oak, Michigan. 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
    OrganizationAdam Weiner
    Address3555 W 13 Mile Rd Ste Ll-20
    CityRoyal Oak
    StateMI
    ZIP48073
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 2, 2015

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

    Payer SourceTotal Paid
    Medicare$1.8M
    Medicaid$0

    Key Findings

    ADAM WEINER is a retina-focused ophthalmology physician with an NPI enumerated on 2015-06-02 (~11 years ago), indicating roughly a decade of Medicare participation and an established clinical presence in ROYAL OAK, MI.

    This provider is effectively single‑payer in the dataset: total Medicare revenue is $1.8M while there is no Medicaid billing on file, signaling Medicare as the sole captured public-payer revenue stream for this practice.

    Revenue is highly concentrated in intravitreal anti-VEGF and related injections: J0178, J2778, and J2777 together account for 84.5% of Medicare revenue, with J0178 alone representing $1.2M (68.2% of the provider's Medicare revenue). This mix indicates a service line focused on pharmacologic retinal therapies rather than broad multispecialty outpatient care.

    The provider’s volume for J0178 (aflibercept injection) is typical relative to national peers (80th percentile, ranks #651 of 3204), meaning the practice performs a substantial but not dominant national share for this high-revenue drug code. Similarly, J2778 (ranibizumab) ranks in the 64th percentile and 67028 (intravitreal injection procedure) ranks in the 67th percentile, both reflecting customary retina practice volumes rather than market leadership.

    Despite the drug/procedure mix being typical, the provider is a pronounced outlier in office evaluation services: 99214 reports 1.1K claims and $110.2K revenue (6.1% of Medicare revenue) and is labeled an "extreme outlier, far above typical national volume" (98th percentile, ranks #8033 of 479517). This suggests an unusually high volume of moderate-complexity established-patient E/M visits relative to peers.

    Other diagnostic imaging and retinal specialty services (92134, 92235, 92250) appear at typical to high relative volumes—92134 is in the 93th percentile and 92250 and 92134 both contribute to outpatient retinal diagnostic throughput—supporting a workflow that pairs frequent injections with imaging and follow-up visits common to retina practices.

    Low or modest activity is recorded for a range of ancillary ophthalmic procedures (B-scan codes 76512/76510/76513 and extended ophthalmoscopy 92201/92202), each comprising a very small share of revenue; their national percentiles are generally mid- to low-range, indicating these services are not primary revenue drivers for this clinician.

    Given the heavy dependence on high-cost injectable drugs (notably J0178 at $1.2M) and the absence of Medicaid claims, payer mix risk should be considered: changes in Medicare drug reimbursement or referral patterns could materially affect this provider's revenue base because there is no Medicaid offset reflected in the data.

    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 mg1,770$690$1.2M
    J2778Injection, ranibizumab, 0.1 mg1,000$180$183.3K
    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…1,150$100$110.2K
    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.990$100$98.5K
    J2777Injection, faricimab‑svoa, 0.1 mg2,220$30$64.4K
    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.1,260$30$37.9K
    99204The provider sees a new 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 provider…180$120$21.7K
    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…130$110$14.5K
    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,…390$30$10.1K
    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…100$70$7.3K

    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
    J017819110680$690$630.2K
    J277756607,200$30$321K
    J27782150730$180$240.5K
    6702836160440$90$57.6K
    J35906080140$80$19.6K
    920145261,080100$80$14.8K
    76510410150$50$11.9K
    992148415,47080$80$11.4K
    922351610040$100$7.8K
    921344982060$30$7.1K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    William Beaumont HospitalMIHospitalist Physician$0$167.9M
    Oakwood Healthcare, Inc.MIGeneral Acute Care Hospital$0$165.3M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$162.4M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$84.8M
    Oakwood Ambulatory LLCMIInternal Medicine Physician$0$66.9M
    William Beaumont HospitalMIGeneral Acute Care Hospital$0$61.5M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Wellstreet Urgent Care Of MichiganMIUrgent Care Clinic/Center$0$37.5M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Associated Retinal Consultants, PCMIOphthalmology Physician$0$21.1M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Judson Center, Inc.MICommunity/Behavioral Health Agency$0$21.2M
    Allergy & Asthma Associates Of Mi PCMIAllergy & Immunology Physician$0$15.9M
    Community Homes, Inc.MIIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$7.5M
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0
    American Anesthesiology Of Michigan PCMIAnesthesiology Physician$0$5.7M
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0
    George WilliamsMIRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kimberly DrenserMIRetina Specialist (Ophthalmology) Physician$2.7M$0

    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. Michigan Distribution
    Adam Weiner — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan