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    OpenPayerNPI Medicare & MedicaidRichard Sievers
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    Richard Sievers — Billing Profile & Reimbursement Data

    NPI 1962407791 · Memphis, TN · Ophthalmology Physician

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    Richard Sievers is a ophthalmology physician provider located in Memphis, Tennessee. This profile covers 15 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
    OrganizationRichard Sievers
    Address6005 Park Ave
    CityMemphis
    StateTN
    ZIP38119
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 17, 2005

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    RICHARD SIEVERS is a long-tenured ophthalmology physician, with an NPI enumerated on 2005-06-17 (approximately 21 years ago), indicating sustained participation in Medicare billing and likely an established clinical practice in MEMPHIS, TN. The longevity supports continuity of care and experience in delivering ophthalmic services to the Medicare population.

    This provider’s billed Medicare revenue totals $2.5M with no Medicaid billing on file, making his practice effectively single-payer (Medicare) in the available claims data. The absence of Medicaid activity on file suggests either no Medicaid panel, subcontracting arrangements, or billing under a different NPI/group for non-Medicare payers; analysts should treat this profile as Medicare-dominant.

    Revenue concentration is heavily weighted toward intravitreal anti-VEGF therapy: the top 3 Medicare codes by revenue account for 83.6% of the provider’s total Medicare revenue, signaling that a small set of injection/drug administration codes are the primary business drivers for this practice. This concentration implies the operation is primarily procedural and treatment-focused around retinal injections rather than general ophthalmic office visits or diverse surgical procedures.

    J0178 (aflibercept) is the single largest revenue generator at $1.3M (51.2% of Medicare revenue), with 1.8K claims and an average paid/claim of $692; this shows the provider treats a substantial volume of aflibercept injections. Nationally this provider ranks #618 of 3204 (81st percentile) for J0178, which the data describe as typical/unremarkable volume — i.e., solid utilization but not an extreme outlier compared with peers.

    J2777 (faricimab) is the second top driver with $631.6K (25.6% of Medicare revenue) across 21.8K claims and an average paid/claim of $29; the provider ranks #471 of 2039 nationally (77th percentile) and is likewise characterized as typical/unremarkable volume. Together with J0178, the prominence of these high-cost and high-volume intravitreal drug codes confirms a service-line focus on retinal pharmacologic therapy.

    67028 (intravitreal injection procedure) contributes $168.1K (6.8% of Medicare revenue) with 2.1K claims and a paid/claim of $81, ranking #365 of 4255 (91st percentile) and labeled as typical/unremarkable volume. The combination of high procedure counts for 67028 and high drug revenue reflects a practice workflow centered on frequent, procedure-driven injection visits rather than mostly diagnostic or infrequent surgical cases.

    Several diagnostic eye exam and imaging codes appear but represent much smaller shares of revenue: 92014 accounts for $106.8K (4.3% of Medicare revenue) and ranks in the 97th percentile nationally as notably above typical national volume, while 92134 (retinal imaging) is an extreme outlier at 3.4% of revenue with a 99th percentile ranking. These patterns suggest the provider maintains substantial diagnostic imaging capacity and a high follow-up/monitoring volume that complements the injection-focused practice.

    Other injectable agents and related procedures (Q5128, J9035, 92235, and select laser codes) appear at much lower revenue shares but show mixed national standings — for example, Q5128 is mid-range at the 44th percentile, while J9035 (bevacizumab) is at the 94th percentile despite representing only 1.7% of revenue. This indicates the provider uses a mix of biologic agents with relative specialization in aflibercept and faricimab, but still occasionally uses alternative drugs and ancillary procedures.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,820$690$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg21,780$30$631.6K
    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.2,080$80$168.1K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg570$210$121.3K
    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…1,240$90$106.8K
    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.3,270$30$85K
    J9035Injection, bevacizumab, 10 mg820$50$42.5K
    92012For 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…320$60$19.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.180$100$17.9K
    67228In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…10$250$3.5K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781780790$680$769.8K
    J2777175015,060$30$592.1K
    Q512817201,190$210$394K
    6702812801,130$90$98.5K
    9201419810120$80$19.2K
    J9035670140$50$17.1K
    92134560060$30$8.2K
    920123239060$50$6.3K
    92235274050$100$5.7K
    67228111020$220$5K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tawan KhamapiradTNOphthalmology Physician$3.4M$4.2K
    William PriesterTNOphthalmology Physician$3.2M$0
    Lawrence GordonTNOphthalmology Physician$2.9M$0
    Steven WilliamsTNRetina Specialist (Ophthalmology) Physician$2.1M$0
    Calvin BrownMSOphthalmology Physician$1.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ut Medical Group IncTNMulti-Specialty Clinic/Center$0$53.1M
    Amisub (sfh), Inc.TNGeneral Acute Care Hospital$0$20.2M
    Maxim Healthcare Services, Inc.TNHome Health Agency$0$18.5M
    Mid-south Maternal Fetal Medicine PCTNMaternal & Fetal Medicine Physician$0$8.1M
    Elect Home Care, LLCTNIn Home Supportive Care Agency$0$7.6M
    First Choice Community Services, IncTNIn Home Supportive Care Agency$0$7.5M
    Tennessee Emergency Physicians, PLLCTNEmergency Medicine Physician$0$6.3M
    Dar Salud Care PLLCTNFamily Medicine Physician$0$5.2M
    Silver Angels Of Tennessee - Shelby, LLCTNIn Home Supportive Care Agency$0$5.1M
    Abundant Care LLCTNIn Home Supportive Care Agency$0$4.1M

    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. Tennessee Distribution
    Richard Sievers — 3 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee