Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidNathan Steinle
    Ask Trek AI about this page

    Nathan Steinle — Billing Profile & Reimbursement Data

    NPI 1942455423 · Santa Barbara, CA · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Nathan Steinle — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Nathan Steinle is a retina specialist (ophthalmology) physician provider located in Santa Barbara, California. This profile covers 39 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationNathan Steinle
    Address525 E Micheltorena St Ste A
    CitySanta Barbara
    StateCA
    ZIP93103
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedNovember 25, 2008

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

    Payer SourceTotal Paid
    Medicare$9.5M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: Total Medicare revenue: $9.5M while Total Medicaid revenue: none (no Medicaid billing on file), so Medicare accounts for the entirety of recorded public‑payer activity. The NPI was enumerated on 2008-11-25 (~18 years ago), indicating an established practice likely with an enduring referral base and operational history to generate the observed volumes.

    Revenue is heavily concentrated in a small set of intravitreal drug codes: the precomputed top‑3 Medicare codes by revenue account for 56.4% of this provider's total Medicare revenue. Specifically, J0178 ($2.8M, 30.3%), Q5128 ($1.3M, 13.9%), and J2777 ($1.1M, 12.2%) together dominate the Medicare revenue mix, signaling dependence on high‑volume injectable therapeutics.

    Clinical/service‑line profile is retina‑focused: the top revenue drivers (J0178, Q5128, J2777) are intravitreal injections for agents used to treat retinal disease, and high counts for 92014 and 92134 show heavy use of comprehensive visits and retinal imaging. Combined with frequent injection procedure code 67028 ($509.6K) and other vitreoretinal surgery codes on file, the code mix is consistent with a clinic that delivers recurrent, office‑based anti‑VEGF/faricimab therapy and associated diagnostic imaging.

    Competitive standing by code shows national prominence for several items: Q5128 ranks #9 of 373 providers nationally and is labeled an extreme outlier (98th percentile), and J0178 ranks #64 of 3204 (98th percentile; notably above typical national volume for this code). In contrast, J2777 ranks #170 of 2039 (92nd percentile) and is described as typical/unremarkable volume, so the provider is especially dominant for certain biologic agents while more typical for others.

    Operational intensity is reflected in extremely high national ranks for routine ophthalmology services and retinal imaging: 92014 (6.4K claims, $649.6K) ranks #1 of 35415 providers nationally (100th percentile; extreme outlier) and 92134 (8.7K claims, $285.9K) also ranks #1 of 26868 providers (100th percentile; extreme outlier). These two items indicate an unusually large established‑patient panel and very high throughput of retinal diagnostic imaging that supports the injectable treatment volumes.

    The practice also bills sizable amounts for unclassified/high‑cost drug lines: J3490 (561 claims, $888.1K, 9.5%) carries a high avg paid/claim ($1583) and ranks #89 of 2838 providers (97th percentile; typical, unremarkable volume), while compounded drug billing (J7999) appears at lower revenue. This pattern suggests meaningful use of nonstandard or high‑unit drug administrations in addition to branded/biosimilar injectables.

    Surgical retina activity is present but represents a small share of revenue: several vitrectomy and retinal repair codes appear (for example, 67028 with $509.6K and ranks #15 of 4255, 100th percentile; extreme outlier, and 67039 $86.3K, rank #1 of 121, 100th percentile), indicating the provider performs both high‑frequency injections and a smaller volume of operative procedures. The mix implies a clinic that prioritizes office‑based retina therapeutics and imaging while maintaining capacity for surgical interventions.

    The narrow payer mix (Medicare only on file) combined with unusually high volumes for a small set of drug and visit codes (several labeled extreme outlier or notably above typical national volume) points to market concentration risk: the provider appears highly reliant on Medicare reimbursement for anti‑VEGF/faricimab administrations and associated visits, which could affect negotiating leverage or risk exposure if payer policies or drug utilization patterns shift.

    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.

    39 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg4,130$690$2.8M
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg6,020$220$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg39,420$30$1.1M
    J3490Unclassified drugs560$1,580$888.1K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg4,540$180$799K
    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…6,370$100$649.6K
    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.4,470$110$509.6K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg3,390$120$406.8K
    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.8,660$30$285.9K
    67039The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…110$800$86.3K

    Showing 1–10 of 39

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    39 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01784310570$690$647.1K
    J27771720010,740$30$459.5K
    Q5128350800$220$286.7K
    Q5124130810$170$217.3K
    J277892130700$180$196K
    J2781260480$120$95.7K
    670282470420$100$71.8K
    J34902832080$190$49.2K
    J7312240240$160$40.5K
    J799984240130$140$34.9K

    Showing 1–10 of 39

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Aaron JengCAInternal Medicine Physician$43.2M$0
    Richard ParkCAInternal Medicine Physician$31.7M$0
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Riverside Radiology And Interventional Associates IncOHDiagnostic Radiology Physician$0$30.3M
    Somc Medical Care Foundation, Inc.OHFamily Medicine Physician$0$25.3M
    Sansum ClinicCAMulti-Specialty Clinic/Center$0$24.4M
    Jack AzadCAGeneral Practice Physician$17.2M$0
    Retina And Vitreous Associates Of Kentucky PLLCKYRetina Specialist (Ophthalmology) Physician$0$13.3M
    Ravindra GautamCAInternal Medicine Physician$13M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Stephen CouvillionCARetina Specialist (Ophthalmology) Physician$6.4M$0
    Alessandro CastellarinCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Dilsher DhootCARetina Specialist (Ophthalmology) Physician$5.4M$0
    Daniel LearnedCARetina Specialist (Ophthalmology) Physician$5.1M$0
    Dante PieramiciCARetina Specialist (Ophthalmology) Physician$3.7M$0
    Ma'an NasirCARetina Specialist (Ophthalmology) Physician$3M$0
    Bedro JinCADiagnostic Radiology Physician$630.8K$0
    Steven BusselenCAFamily Medicine Physician$28.5K$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. California Distribution
    Nathan Steinle — 13 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California