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    OpenPayerNPI Medicare & MedicaidSundeep Kasi
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    Sundeep Kasi — Billing Profile & Reimbursement Data

    NPI 1952697773 · Alexandria, VA · Retina Specialist (Ophthalmology) Physician

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    Sundeep Kasi is a retina specialist (ophthalmology) physician provider located in Alexandria, Virginia. This profile covers 23 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
    OrganizationSundeep Kasi
    Address6354 Walker Ln Fl 1
    CityAlexandria
    StateVA
    ZIP22310
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 20, 2011

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

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    This provider’s billed activity is dominated by Medicare: lifetime Medicare revenue is $4.1M while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in scale and exposure. The absence of Medicaid revenue reduces payer diversification and concentrates reimbursement risk on Medicare policy and pricing for retina services.

    Revenue is highly concentrated in a small set of drug administration codes: the precomputed top 3 Medicare codes account for 66.8% of total Medicare revenue, driven primarily by J0178 ($1.7M, 42.1%), J2777 ($683.8K, 16.7%), and J3490 ($326.9K, 8.0%). This concentration indicates the practice derives the majority of its Medicare dollars from intravitreal pharmacologic therapies and related drug billing.

    The code mix and top-line codes indicate a retina-focused, injection‑centric practice model: J0178 (aflibercept) and J2777 (faricimab) are the largest revenue contributors and 67028 (intravitreal injection) also appears among top codes, which together point to frequent outpatient intravitreal therapy. High utilization of diagnostic imaging codes such as 92134 (3.4K claims, $116.6K revenue) further supports a service line centered on active medical retina management with surveillance imaging.

    Several codes show exceptional volumes relative to national peers for non-drug services: 92014 (2.8K claims, $279.6K revenue) ranks in the 100th percentile and is labeled an “extreme outlier,” while 92134 (3.4K claims) and 92202 (1.8K claims) are 99th and 98th percentile “extreme outlier” volumes respectively. These elevated ranks for comprehensive established exams and retinal diagnostic procedures indicate the provider sees substantially more follow-up and imaging encounters per Medicare than typical peers.

    On competitive standing for high-revenue drugs, the provider ranks above many peers but is not uniquely dominant: J0178 ranks #318 of 3204 providers (90th percentile), J2777 ranks #426 of 2039 (79th percentile), and J3490 ranks #391 of 2838 (86th percentile). In plain terms, the practice is an above‑average national participant for its top drug therapies but operates among many other sizable retina providers rather than as a sole market leader.

    Unclassified and specialty biologic codes contribute meaningful, high‑cost per‑claim revenue: J3490 shows 177 claims with an $1847 avg paid/claim ($326.9K revenue, 8.0% of Medicare revenue) and J3590 shows 78 claims with a $2505 avg paid/claim ($195.4K, 4.8%). These lines suggest episodic high-dollar items beyond standard vialized anti‑VEGF billing that can materially affect revenue volatility and payer review focus.

    The provider has an established NPI tenure — enumerated 2011-06-20 (~15 years ago) — indicating a sustained clinical presence in the market. Combined with $4.1M in lifetime Medicare revenue and persistent high volumes in both injections and imaging, this tenure supports a stable, dedicated retina practice rather than a newly established entrant.

    From a business risk/opportunity perspective, heavy dependence on a small group of intravitreal drug codes (top 3 = 66.8% of Medicare revenue) creates sensitivity to shifts in drug utilization, biosimilar adoption, or Medicare reimbursement changes; conversely, the high volumes of established visits and imaging (92014, 92134, 92202 as extreme outliers) represent an operational strength that could be leveraged to expand non‑drug service lines or negotiate coverage arrangements.

    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.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,520$680$1.7M
    J2777Injection, faricimab‑svoa, 0.1 mg23,580$30$683.8K
    J3490Unclassified drugs180$1,850$326.9K
    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…2,770$100$279.6K
    J2778Injection, ranibizumab, 0.1 mg1,160$190$218.1K
    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.1,990$110$210.9K
    J3590Unclassified biologics80$2,510$195.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,080$120$129.6K
    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.3,430$30$116.6K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg300$220$63.4K

    Showing 1–10 of 23

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    23 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017820801,400$690$1.1M
    J2777166013,200$30$517.1K
    J27781040560$180$171.5K
    J359032040$2,290$126K
    6702818901,000$90$107.1K
    J2781420560$120$86.6K
    Q5128310190$220$70.7K
    J7312520240$160$42.5K
    920148870170$80$32.8K
    J3490511060$280$20.5K

    Showing 1–10 of 23

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Retina Group Of Washington, PLLCMDOphthalmology Physician$0$19.5M
    Alok BansalCAOphthalmology Physician$3M$4.7M
    David ReedMARetina Specialist (Ophthalmology) Physician$7.7M$0
    Omesh GuptaPAOphthalmology Physician$7.1M$80
    Mitchell FinemanPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Carl RegilloPAOphthalmology Physician$6.5M$0
    Allen HoPAOphthalmology Physician$6.4M$0
    James VanderPAOphthalmology Physician$6.3M$0
    Marc SpirnPAOphthalmology Physician$6.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gordon ByrnesVARetina Specialist (Ophthalmology) Physician$4.9M$0
    Reshma KatiraVARetina Specialist (Ophthalmology) Physician$2.8M$0
    Franconia-springfield Surgery Center, LLCVAAmbulatory Surgical Clinic/Center$1.6M$275.4K
    Simon FishmanVASpecialist$624K$0
    Michael AbidinVAOtolaryngology/Facial Plastic Surgery Physician$439.2K$0
    Thomas MartinelliVAOrthopaedic Surgery Physician$296.7K$0
    Peter ThomasVASurgery of the Hand (Surgery) Physician$157.7K$0
    Daniel WeingoldVAOrthopaedic Surgery Physician$154.1K$0
    Yvette AppiahVADermatology Physician$136.2K$0
    Iyad SaidiVAOtolaryngic Allergy Physician$124.6K$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. Virginia Distribution
    Sundeep Kasi — 3 of 23 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia