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    OpenPayerNPI Medicare & MedicaidAditya Rali
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    Aditya Rali — Billing Profile & Reimbursement Data

    NPI 1972009827 · Washington, DC · Retina Specialist (Ophthalmology) Physician

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    Aditya Rali is a retina specialist (ophthalmology) physician provider located in Washington, District of Columbia. This profile covers 11 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
    OrganizationAditya Rali
    Address660 Pennsylvania Ave Se Ste 200
    CityWashington
    StateDC
    ZIP20003
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMarch 31, 2018

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

    Payer SourceTotal Paid
    Medicare$49.1K
    Medicaid$0

    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.

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    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…100$100$10.8K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.40$160$6.7K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…20$310$4.9K
    67042In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…20$200$4.7K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…30$170$4.5K
    67041In 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…30$160$4.4K
    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.40$90$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.120$30$3.6K
    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…30$110$3.5K
    67040The 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…10$150$1.6K

    Showing 1–10 of 11

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    11 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920144050100$90$26.2K
    670281010170$100$25K
    992146201,40090$100$15.3K
    921342550120$30$8.3K
    6711311020$310$4.9K
    6704211020$200$4.7K
    6710811030$170$4.5K
    6703611030$150$4.4K
    6704111030$160$4.4K
    9220121020$20$1.8K

    Showing 1–10 of 11

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Retina Group Of Washington, PLLCMDOphthalmology Physician$0$19.5M
    Virginia Oncology AssociatesVAHematology & Oncology Physician$0$6.2M
    Rohit LakhanpalMDRetina Specialist (Ophthalmology) Physician$6.1M$0
    Gordon ByrnesVARetina Specialist (Ophthalmology) Physician$4.9M$0
    Daniel BerinsteinMDRetina Specialist (Ophthalmology) Physician$4.3M$0
    Alexander MelamudVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Michael LaiMDRetina Specialist (Ophthalmology) Physician$4.2M$0
    Jordana FeinVARetina Specialist (Ophthalmology) Physician$4.2M$0
    Stephanie VanderveldtGAOphthalmology Physician$4.1M$0
    Eric WeichelMDOphthalmology Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Universal Home Healthcare Inc.DCHome Health Agency$0$69.8M
    Community Connections IncDCMental Health Clinic/Center (Including Community Mental Health Center)$0$69.4M
    Iya Homes And Community Solutions, LLCDCCommunity/Behavioral Health Agency$0$11.3M
    Psi Services 111 Inc.DCDevelopmentally Disabled Services Day Training Agency$0$5.4M
    Husband TherapeuticsDCHome Health Agency$0$2.7M
    Juanita BryantDCRetina Specialist (Ophthalmology) Physician$1.9M$239.4K
    Accent On Health, LLCDCInternal Medicine Physician$0$1.3M
    Grubbs Pharmacy Of Dc IncDCCommunity/Retail Pharmacy$106.5K$935.3K
    Alfred BurrisDCCardiovascular Disease Physician$469.2K$356.3K
    Christopher BurrisDCOphthalmology Physician$127.7K$642.6K

    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. District of Columbia Distribution
    Aditya Rali — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — District of Columbia