Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidMajda Hadziahmetovic
    Ask Trek AI about this page

    Majda Hadziahmetovic — Billing Profile & Reimbursement Data

    NPI 1972853695 · Durham, NC · Ophthalmology Physician

    Customize your policy alerts

    Sign up for Majda Hadziahmetovic — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Majda Hadziahmetovic is a ophthalmology physician provider located in Durham, North Carolina. This profile covers 13 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMajda Hadziahmetovic
    Address2351 Erwin Rd
    CityDurham
    StateNC
    ZIP27705
    TaxonomyOphthalmology Physician
    NPI EnumeratedSeptember 11, 2012

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

    Payer SourceTotal Paid
    Medicare$2.3M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: total Medicare revenue is $2.3M while Medicaid revenue is none (no Medicaid billing on file), indicating the practice’s commercial and Medicare activity dominate its public‑payer footprint. Analysts should treat Medicaid as absent for comparative analyses and network planning.

    Revenue is highly concentrated: the precomputed top‑3 Medicare codes account for 91.5% of this provider’s Medicare revenue, driven by J0178 (56.1%), J2777 (30.7%), and 92014 (4.6%). That concentration signals that a very small set of services — primarily two injectable drug codes and established comprehensive visits — generate the vast majority of Medicare dollars.

    The code mix points to a retina‑focused, injection‑centered ophthalmology operation: J0178 (1.9K claims, $687 avg paid/claim, $1.3M revenue) and J2777 (24.1K claims, $29 avg paid/claim, $699.5K revenue) together dominate revenue, and 67028 also appears as an injection procedure. These patterns are consistent with frequent in‑office intravitreal therapies (aflibercept and faricimab) and associated procedural workflows rather than a practice driven mainly by low‑intensity office visits.

    Despite large injection volumes by dollar, the provider is a modest national participant on those drug codes: J0178 ranks #598 of 3204 providers nationally (81th percentile; typical, unremarkable volume for this code) and J2777 ranks #412 of 2039 providers nationally (80th percentile; typical, unremarkable volume for this code). In other words, the practice’s anti‑VEGF activity generates most of its revenue but does not make it a dominant national outlier on those specific code benchmarks.

    Service lines beyond injections show comparatively strong positioning: 92014 (established comprehensive ophthalmologic exam) is reported at 1.2K claims, $85 avg paid/claim, $105.7K revenue and ranks #989 of 35415 providers nationally (97th percentile; notably above typical national volume for this code). Similarly, retinal imaging codes such as 92134 (1.7K claims, $28 avg paid/claim, $47.9K revenue) and 92250 (488 claims, $26 avg paid/claim, $12.7K revenue) both rank in the 95th percentile and are labeled notably above typical national volume, indicating a robust diagnostic imaging capability that complements the injection service line.

    The payment and claim profile highlights different revenue mechanics: J0178 yields a high average paid per claim ($687) with 1.9K claims resulting in $1.3M revenue, while J2777 posts a much lower avg paid per claim ($29) but a very high claim count (24.1K) producing $699.5K revenue. This divergence suggests the practice manages both high‑value per‑claim drug reimbursements and high‑volume lower‑unit payments, which has implications for inventory, billing workflows, and revenue stability tied to drug reimbursement policies.

    The provider’s national ranking on several codes mixes typical and elevated positions: multiple procedure and imaging codes are described as typically unremarkable in volume, while key outpatient exam and imaging codes are described as notably above typical, painting a picture of a practice that is average to modest among peers for drug administration but comparatively strong for office exam and diagnostic services. These mixed competitive signals are important when assessing referral patterns, capacity, and local market share for ophthalmologic and retina services.

    The NPI enumeration date is 2012-09-11 (~14 years ago), indicating an established presence in Durham, NC with over a decade of billing history to Medicare. That tenure supports treating observed patterns as stable operational choices rather than transient or start‑up behavior when performing longitudinal or peer‑group comparisons.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,860$690$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg24,120$30$699.5K
    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$105.7K
    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.1,180$90$102.6K
    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.1,710$30$47.9K
    92250Code 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,…490$30$12.7K
    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…90$90$8.5K
    92202The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…660$10$7.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.50$90$4.5K
    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…60$60$3.7K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017825100950$690$881K
    J2777197012,990$30$503.7K
    6702842120780$90$80K
    9201419880110$80$17.7K
    J90357390140$50$13.4K
    9224271040$190$12.1K
    9201216930080$60$8.9K
    92235247060$100$8.7K
    921343479070$30$7.5K
    9200420162030$90$4.6K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Private Diagnostic Clinic, PLLCNCGeneral Practice Physician$0$46.5M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$44.4M
    Duke Health Integrated Practice, Inc.NCGeneral Practice Physician$0$36.3M
    Balboa Nephrology Medical Group, Inc.CANephrology Physician$0$25.9M
    Duke University Health System, Inc.NCGeneral Acute Care Hospital$0$11.6M
    Duke University Affiliated Physicians, Inc.NCEmergency Medicine Physician$0$11.6M
    Duke University Health System, Inc.NCParenteral & Enteral Nutrition Supplies (DME)$0$8.3M
    Duke University Health System IncNCGeneral Acute Care Hospital$0$7.9M
    Duke University Health System, Inc.NCInternal Medicine Physician$0$7.6M
    Michael AllinghamNCRetina Specialist (Ophthalmology) Physician$1.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lejla VajzovicNCOphthalmology Physician$492.9K$0
    Vanessa JohnsonNCHematology & Oncology Physician$378.8K$0
    Tyler BlackNCGastroenterology Physician$351K$0
    John RobertsNCDiagnostic Radiology Physician$337.2K$0
    Ana MeekinsNCUrogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician$292.4K$0
    Garrett BresslerNCDermatology Physician$283.3K$0
    Robert AbbottNCDiagnostic Radiology Physician$273.5K$0
    Pratap ChallaNCOphthalmology Physician$253.1K$0
    Timothy DonahueNCClinical Cardiac Electrophysiology Physician$243.2K$0
    Michael KomadaNCCardiovascular Disease Physician$233.2K$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. North Carolina Distribution
    Majda Hadziahmetovic — 2 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina