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    OpenPayerNPI Medicare & MedicaidMichael Ammar
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    Michael Ammar — Billing Profile & Reimbursement Data

    NPI 1982099115 · Poway, CA · Retina Specialist (Ophthalmology) Physician

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    Michael Ammar is a retina specialist (ophthalmology) physician provider located in Poway, California. This profile covers 24 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
    OrganizationMichael Ammar
    Address12630 Monte Vista Rd Ste 104
    CityPoway
    StateCA
    ZIP92064
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 3, 2015

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

    Payer SourceTotal Paid
    Medicare$1.8M
    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.

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg29,880$30$866.5K
    J0178Injection, aflibercept, 1 mg700$700$483.7K
    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.860$100$85.8K
    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.1,870$30$61.7K
    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…800$70$59.5K
    J3490Unclassified drugs20$1,790$39.4K
    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…370$100$37K
    99204The provider sees a new 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 provider…250$120$30.1K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg170$120$19.8K
    99205The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…90$170$15.5K

    Showing 1–10 of 24

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    24 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178142310570$690$647.1K
    J27773120010,740$30$459.5K
    J27815560480$120$95.7K
    67028156470420$100$71.8K
    J349030132080$190$49.2K
    67039112020$1,190$30.9K
    920147132,890110$100$28.7K
    920121861,620150$70$23.6K
    9921421,47037,970120$90$23.2K
    66986142020$760$17.5K

    Showing 1–10 of 24

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Harbinder BrarCAMaternal & Fetal Medicine Physician$0$31.3M
    Omesh GuptaPAOphthalmology Physician$7.1M$80
    Mitchell FinemanPAOphthalmology Physician$7M$0
    Michael KlufasPAOphthalmology Physician$7M$0
    Richard KaiserPAOphthalmology Physician$6.6M$0
    Allen ChiangPAOphthalmology Physician$6.6M$0
    Carl RegilloPAOphthalmology Physician$6.5M$0
    Allen HoPAOphthalmology Physician$6.4M$0
    Nikolas LondonCAOphthalmology Physician$6.4M$0
    Yoshihiro YonekawaPAOphthalmology Physician$6.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palomar HealthCAGeneral Acute Care Hospital$0$46.7M
    Shafi KhalidCAInterventional Pain Medicine Physician$444.6K$290.3K
    Mark VierraCASpecialist$425.7K$0
    Kevin OwsleyCASports Medicine (Orthopaedic Surgery) Physician$296.2K$0
    Smitha ReddyCARheumatology Physician$196.4K$0
    Michael CutlerCAAdult Medicine Physician$159.6K$0
    Ashish WadhwaCAOtolaryngology Physician$158.9K$0
    Philip BalikianCAOrthopaedic Surgery Physician$138.5K$0
    Michael LinCADiagnostic Radiology Physician$118.9K$0
    Akber SafiCAInternal Medicine Physician$96.3K$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. California Distribution
    Michael Ammar — 1 of 24 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — California