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

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

Hussein Wafapoor (NPI 1972550622)

Field	Value
Entity Type	Individual
Organization	Hussein Wafapoor
Address	1567 Hayley Ln
City	Fort Myers
State	FL
ZIP	33907
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 28, 2006

Payer Source	Total Paid
Medicare	$8.1M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: total Medicare revenue is $8.1M and there is no Medicaid billing on file. That concentration means analyses of payer exposure, reimbursement risk, and beneficiary mix should focus on Medicare claims flows rather than Medicaid contracts or access patterns.

Revenue is highly concentrated in a small set of drug administration codes: the precomputed top 3 Medicare codes by revenue account for 75.3% of this provider's total Medicare revenue. Those top three codes are J2777 ($2.4M, 29.5% of Medicare revenue), J0178 ($2.3M, 28.2% of Medicare revenue), and J3490 ($1.4M, 17.5% of Medicare revenue), indicating drugs drive the majority of dollars billed.

Clinical service mix is consistent with an office‑based retina practice that performs frequent intravitreal biologic injections and diagnostic imaging. High‑revenue drug codes J2777 and J0178 (faricimab and aflibercept) appear alongside procedure codes for intravitreal injection (67028) and retinal imaging (92134, 92250), showing the practice bundles high drug utilization with high volumes of in‑office injections and retinal diagnostics.

Several codes position this provider as a national high‑volume outlier: J2777 ranks #29 of 2039 providers nationally (99th percentile; extreme outlier) and J0178 ranks #133 of 3204 providers nationally (96th percentile; notably above typical national volume). The injection procedure 67028 is also an extreme outlier (rank #31 of 4255, 99th percentile), which together signal national‑scale volumes for retina drug administration and injection services.

Drug reimbursement intensity is notable: average paid/claim values for top drug codes are high (J0178 $695 avg paid/claim; J3490 $1455 avg paid/claim), indicating that per‑claim medication payments are a major revenue driver compared with lower paid diagnostic/E&M claims. By contrast, high‑volume visit and imaging codes such as 92014 and 92134 have much lower avg paid/claim values ($91 and $29 respectively), so volume of drug administration rather than high unit rates for visits or imaging explains most revenue.

Operational footprint shows very high throughput for both injections and imaging, consistent with a clinic workflow optimized for retina care. Example volumes include 67028 with 3.9K claims, 92134 with 5.3K claims, 92250 with 3K claims, and 92014 with 2.6K claims; those codes all rank at or near the top percentiles nationally (multiple listed as 99th–100th percentile; extreme outlier), supporting a high‑throughput, procedure‑centric practice model.

Absence of Medicaid billing constrains comparative payer strategy and population coverage analysis: with no Medicaid claims on file, the provider’s Medicare performance and national ranks should be used to evaluate competitive standing and resource needs rather than in‑state Medicaid peer comparisons. This also implies limited exposure to Medicaid population management programs or state‑level rate negotiations for this NPI.

NPI tenure is long and suggests an established local presence: the NPI was enumerated 2006‑05‑28 (~20 years ago). Combined with repeated extreme‑percentile rankings across injection, imaging, and visit codes, the pattern is consistent with a long‑standing, high‑volume retina specialist in Fort Myers that functions as a major Medicare revenue generator for retina services at a national scale.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	82,740	$30	$2.4M
J0178	Injection, aflibercept, 1 mg	3,300	$700	$2.3M
J3490	Unclassified drugs	980	$1,460	$1.4M
J2778	Injection, ranibizumab, 0.1 mg	3,540	$190	$658.4K
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.	3,950	$100	$394.9K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,350	$210	$289.5K
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…	2,620	$90	$238.2K
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.	5,280	$30	$153.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	2,960	$30	$82.7K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	250	$160	$38.7K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Hussein Wafapoor — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	16	250	800	$690	$817.6K
J2777	3	170	12,810	$30	$549.2K
J2778	10	110	660	$180	$234.1K
Q5128	15	40	770	$220	$216.3K
67028	7	300	710	$90	$91.1K
J3490	6	180	70	$280	$87.5K
J7312	14	40	230	$160	$45.5K
67042	29	80	20	$1,180	$36.5K
67036	60	70	20	$1,050	$31.4K
92014	11	2,180	160	$80	$28.5K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alexander Eaton	FL	Retina Specialist (Ophthalmology) Physician	$9.7M	$0
Veronica Kon Graversen	MS	Retina Specialist (Ophthalmology) Physician	$3.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Resource Network Of Florida, LLC	FL	In Home Supportive Care Agency	$0	$20.4M
Unlimited Home Health Services Corp	FL	Home Health Agency	$0	$14.2M
Physicians Primary Care Of Southwest Florida Pl	FL	General Practice Physician	$0	$14.2M
Community Resource Network Of Florida, LLC	FL	In Home Supportive Care Agency	$0	$13.3M
Eleven Ash Inc	FL	Home Health Agency	$0	$11.7M
Pediatric Services Of America, LLC	FL	Nursing Care Agency	$0	$9.5M
Eye Specialists Laser & Surgery Center Inc	FL	Ophthalmologic Surgery Clinic/Center	$1.9M	$0
Edward Humbert	FL	Adult Reconstructive Orthopaedic Surgery Physician	$1.7M	$0
Heart & Vascular Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.6M	$0
Ameripath Florida LLC	FL	Clinical Medical Laboratory	$988.4K	$414.6K

Hussein Wafapoor — Billing Profile & Reimbursement Data

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Hussein Wafapoor — 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