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

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

Namrata Nandakumar (NPI 1932364817)

Field	Value
Entity Type	Individual
Organization	Namrata Nandakumar
Address	39 Cross St Ste 201
City	Peabody
State	MA
ZIP	01960
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 21, 2008

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

NAMRATA NANDAKUMAR is an ophthalmology physician with a long Medicare billing history, enumerated on 2008-07-21 (about 18 years), indicating an established practice footprint and sustained participation in Medicare over nearly two decades. This tenure supports interpretation of volume and specialty patterns as representative of a mature ophthalmology clinician rather than a new entrant.

Medicare is effectively the sole public payer on file for this provider: Total Medicare revenue is $2.2M and there is no Medicaid billing on file, so the provider operates with a single-payer public profile in these datasets and any public-reimbursement exposure is concentrated in Medicare.

Revenue concentration is extreme: the precomputed top three Medicare codes account for 92.8% of the provider's total Medicare revenue. This concentration indicates the practice is heavily dependent on a narrow set of services—primarily therapeutic intravitreal injections and retinal imaging—rather than a broad mix of ophthalmic office visits or elective procedures.

The dominant revenue driver is J0178 (aflibercept injection), which generates $1.8M and represents 80.7% of the provider’s Medicare revenue; this positions intravitreal anti-VEGF therapy as the core of the business model and suggests a high volume of retina-focused medical retina care. Nationally, the provider ranks #271 of 3204 for J0178 (92nd percentile), which the data labels as typical/unremarkable volume for this code, indicating the provider delivers substantial but not exceptional aflibercept volume relative to peers.

The second and third revenue contributors—67028 (vitreous injection as an isolated procedure) at $188.9K (8.4% of Medicare revenue) and 92134 (diagnostic retinal imaging) at $82.1K (3.6% of Medicare revenue)—reinforce a service mix centered on intravitreal procedures and posterior-segment imaging. 67028 ranks #338 of 4255 nationally (92nd percentile; notably above typical national volume) and 92134 ranks #631 of 26868 nationally (98th percentile; extreme outlier), together signaling particularly high utilization of retinal imaging and injection procedures relative to the national cohort.

Procedure-level competitive standing is mixed: for some codes the provider is a clear high-volume outlier (92134 is an extreme outlier at the 98th percentile), while for the principal drug administration code J0178 the provider’s rank is strong but described as typical (92nd percentile). This pattern suggests the practice may specialize in frequent imaging and monitoring workflows that accompany high-volume anti-VEGF treatment, even if individual drug-administration volume is not unusually high for the nation.

The broader CPT mix beyond the top three shows routine office and exam codes (92012, 92014, 92004) contributing modest shares of revenue, indicating the practice is not primarily focused on general ophthalmic outpatient visits. Several office exam codes are at or above the 90th percentile nationally (92012 at the 94th percentile, 92014 at the 78th), which suggests a steady stream of established-patient visits but still secondary to the injection/imaging-driven revenue base.

Operational implications: the practice’s heavy reliance on high-cost injectable therapy (J0178) and retinal imaging (92134) points toward a service-line optimized for medical retina management—likely age-related macular degeneration and diabetic macular edema care pathways—requiring infusion/clinic capacity, imaging infrastructure, and ongoing follow-up protocols. Payers and competitors should view this provider as a retina-focused ophthalmology source of recurring anti-VEGF utilization rather than a broad-spectrum ophthalmology clinic.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,630	$690	$1.8M
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.	2,120	$90	$188.9K
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.	2,570	$30	$82.1K
92012	For 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…	720	$70	$50K
J9035	Injection, bevacizumab, 10 mg	750	$50	$39.8K
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…	370	$90	$31.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	120	$120	$13.5K
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…	740	$10	$8.8K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	10	$760	$8.4K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	80	$50	$3.8K

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

Claims Volume vs. Massachusetts Distribution

Namrata Nandakumar — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	90	790	$690	$826.5K
67028	8	120	570	$100	$80.7K
92014	311	1,070	160	$90	$30.1K
67041	5	10	10	$1,250	$22.5K
J9035	10	80	250	$50	$19.7K
92012	28	560	90	$70	$12.4K
92134	22	670	70	$30	$10.6K
92004	114	890	40	$100	$6.3K
92083	253	670	60	$40	$5.1K
92133	334	630	70	$30	$3.6K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mohammad Suhail	RI	Internal Medicine Physician	$126.3K	$16M
Yusef Haj-darwish	MA	Emergency Medicine Physician	$744K	$5M
Andrew Lipman	FL	Medical Oncology Physician	$5.6M	$0
David Rabady	NY	Retina Specialist (Ophthalmology) Physician	$3.8M	$1.1M
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Richard Lim	RI	Internal Medicine Physician	$52.2K	$3.4M
Frankie Alvarado	PR	Pulmonary Disease Physician	$7.3K	$2.4M
Marianeli Rodriguez	MA	Ophthalmology Physician	$2.4M	$0
Lawrence Proano	RI	Emergency Medicine Physician	$48.4K	$2.3M
Emily Tierney	MA	MOHS-Micrographic Surgery Physician	$2.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Able Home Care L.L.C.	MA	Home Health Agency	$0	$42.7M
Cab Health & Recovery Services, Inc.	MA	Community/Behavioral Health Agency	$0	$30.3M
Shore Educational Collaborative	MA	Developmentally Disabled Services Day Training Agency	$0	$18.6M
Rainbow Adult Day Center Inc	MA	Adult Care Home Facility	$0	$10.6M
Vine Homecare & Staffing, Inc.	MA	Home Health Agency	$0	$9.2M
Ideal Health Care System, Inc	MA	Home Health Agency	$0	$6.6M
Massbay Home Care, Inc.	MA	In Home Supportive Care Agency	$0	$5.6M
Orthopedics Surgical Center Of The North Shore LLC	MA	Ambulatory Surgical Clinic/Center	$1.6M	$285.4K
Michael Indelicato	MA	Rheumatology Physician	$1.4M	$0
New England Pain Care Inc	MA	Ambulatory Surgical Clinic/Center	$602.4K	$0

Namrata Nandakumar — Billing Profile & Reimbursement Data

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Namrata Nandakumar — 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