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    OpenPayerNPI Medicare & MedicaidOksana Demediuk
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    Oksana Demediuk — Billing Profile & Reimbursement Data

    NPI 1972599496 · Augusta, GA · Retina Specialist (Ophthalmology) Physician

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    Oksana Demediuk is a retina specialist (ophthalmology) physician provider located in Augusta, Georgia. This profile covers 18 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
    OrganizationOksana Demediuk
    Address3520 Walton Way Ext
    CityAugusta
    StateGA
    ZIP30909
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedSeptember 20, 2005

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer: Total Medicare revenue is $2.9M while there is no Medicaid billing on file, so the practice’s revenue exposure is concentrated in Medicare reimbursement and drug payments rather than a mix of Medicaid and Medicare. Analysts should treat this profile as Medicare‑driven when assessing payer risk and network negotiations.

    Revenue is highly concentrated in a small number of injectable drug codes: the precomputed top 3 codes account for 78.6% of Medicare revenue, with J0178 alone representing 54.4% of total Medicare revenue. That concentration signals that anti‑VEGF/biologic drug administration is the core revenue engine for this provider.

    The code mix and top line items indicate a retina‑focused, office‑based intravitreal injection practice: J0178 (aflibercept) has 2.3K claims and $1.6M revenue, J2777 (faricimab) and J3490 (Unclassified drugs) are the other major contributors, and 67028 (intravitreal injection procedure) appears with 1.8K claims and $143.3K revenue. This combination of high‑volume drug J‑codes plus 67028 supports a workflow centered on repeated in‑office injections rather than surgical retina procedures.

    Imaging and diagnostic codes are also prominent and relatively high volume for the specialty: 92134 (computerized retinal imaging) shows 2.1K claims, $60K revenue and is described as "notably above typical national volume," suggesting the practice performs frequent OCT imaging to support injection decision‑making and follow‑up. High imaging throughput could drive ancillary revenue and reflects typical retina care patterns.

    The provider is using a mix of branded biologics and biosimilars: Q5128 (ranibizumab biosimilar) appears with 788 claims and $171K revenue, Q5124 with 100 claims and $16.5K, and J2778 (ranibizumab) with 467 claims and $84.1K. This code mix indicates adoption of both originator and biosimilar agents, which may affect average drug cost per claim and payer spend comparisons.

    J3490 (Unclassified drugs) is a material revenue item with 189 claims, $2115 avg paid/claim and $399.7K revenue (13.9% of Medicare revenue); the high avg paid/claim for an unclassified drug entry suggests significant use of non‑specific drug billing lines that deserve review when reconciling drug costs and ensuring correct coding. Analysts should flag J3490 for clinical/billing validation given its outsized share.

    Competitive standing is mixed: for primary injectable codes the provider generally ranks in the upper national percentiles but is described as "typical, unremarkable volume" for those codes (J0178 at the 87th percentile, J3490 at the 87th percentile, J2777 at the 51th percentile), while 92134 is at the 97th percentile and labeled "notably above typical national volume." In aggregate this suggests the provider is a solid regional contributor with particularly high imaging throughput, but not a dominant national outlier for anti‑VEGF administrations.

    The NPI has been enumerated since 2005‑09‑20 (~21 years ago), indicating a long tenure which typically corresponds to an established referral base and stable clinical operations. For payers and analysts, that longevity combined with Medicare‑only billing suggests a mature, Medicare‑centric retina practice whose financial metrics will be sensitive to changes in Medicare drug reimbursement and utilization patterns.

    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.

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,260$690$1.6M
    J3490Unclassified drugs190$2,120$399.7K
    J2777Injection, faricimab‑svoa, 0.1 mg10,260$30$297.5K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg790$220$171K
    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.1,810$80$143.3K
    J2778Injection, ranibizumab, 0.1 mg470$180$84.1K
    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.2,140$30$60K
    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…590$80$48.6K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…260$100$24.9K
    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…220$80$16.6K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178570970$680$700.6K
    J2777294014,100$30$524.3K
    J277820301,170$180$286.2K
    Q5128110390$220$98.6K
    67028680720$90$71.9K
    J349015050$320$19.8K
    92014292850130$80$19.7K
    992141,16413,640120$80$17.8K
    Q5124110100$160$16.5K
    992133,28213,36080$60$9.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    William ClarkSCOphthalmology Physician$3.3M$0
    Barron FishburneSCRetina Specialist (Ophthalmology) Physician$3.3M$0
    Jeffrey GrossSCRetina Specialist (Ophthalmology) Physician$3M$0
    David JohnsonSCRetina Specialist (Ophthalmology) Physician$3M$0
    Daniel WillSCRetina Specialist (Ophthalmology) Physician$2.8M$0
    Eugene LongGAHematology & Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Faircloth Bakeman PartnershipGAOral and Maxillofacial Surgery (Dentist)$0$4M
    Augusta Obstetrics And Gynecology Specialists, LLCGAObstetrics & Gynecology Physician$0$3.7M
    Eye Surgery Center Of Augusta, LLCGAAmbulatory Surgical Clinic/Center$3.2M$0
    Pediatricare PmGAPediatrics Physician$0$2.8M
    Doctors Hospital Of Augusta LLCGAGeneral Acute Care Hospital$0$2.2M
    Joseph M Still Burn Centers, IncGASpecialist$0$2M
    Ranjit DhaliwalGARetina Specialist (Ophthalmology) Physician$1.9M$0
    Dennis MarcusGAOphthalmology Physician$1.8M$0
    David SquiresGAHematology & Oncology Physician$1.6M$0
    Aos Surgery Center LLCGAAmbulatory Surgical Clinic/Center$1.1M$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. Georgia Distribution
    Oksana Demediuk — 5 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Georgia