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    OpenPayerNPI Medicare & MedicaidAmador Subong
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    Amador Subong — Billing Profile & Reimbursement Data

    NPI 1982782710 · Bellingham, WA · Ophthalmology Physician

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    Amador Subong is a ophthalmology physician provider located in Bellingham, Washington. This profile covers 20 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
    OrganizationAmador Subong
    Address200 Westerly Rd
    CityBellingham
    StateWA
    ZIP98226
    TaxonomyOphthalmology Physician
    NPI EnumeratedNovember 1, 2006

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: total Medicare revenue is $2.5M and there is no Medicaid billing on file, so payer exposure is concentrated entirely in the Medicare program. The NPI was enumerated on 2006-11-01 (~20 years ago), indicating long tenure on the Medicare rolls which supports an established referral and billing pattern.

    Revenue is highly concentrated in intravitreal biologic injections: J2777 accounts for 43.2% of Medicare revenue, J0178 accounts for 25.8%, and J2778 accounts for 9.7% — together the top three codes account for 78.7% of this provider's total Medicare revenue. This concentration means most Medicare payments are driven by a small set of high-cost retinal therapeutics rather than broad outpatient E&M or surgical case mix.

    Clinical mix and service line evidence point to a retina-focused ophthalmology practice: the dominant codes are J2777, J0178 and J2778 (anti‑VEGF/faricimab/ranibizumab injections) complemented by retinal imaging codes such as 92134 and angiography codes 92242/92235, plus isolated intravitreal injection code 67028. The presence of these diagnostic and injection codes together indicates routine in-office management of retinal disease (e.g., wet AMD, diabetic macular edema) with on‑site imaging and frequent injection visits.

    Competitive standing on the top injectable therapies is mixed: J2777 ranks #183 of 2039 providers (91th percentile) indicating a relatively high national standing for faricimab use, while J0178 ranks #1337 of 3204 (58th percentile) and J2778 ranks #322 of 1208 (73th percentile), both characterized as typical or unremarkable national volumes. In short, the provider is a prominent user of J2777 by national percentile but a more modest participant for the other leading biologics.

    This provider shows substantially elevated outpatient evaluation and management and imaging volumes relative to peers: 92012 is at the 98th percentile and labeled an "extreme outlier, far above typical national volume," 99204 is at the 98th percentile and "notably above typical national volume," and 92134 is at the 95th percentile and "notably above typical national volume." Those high percentiles suggest a heavy throughput of established‑patient visits and retina imaging that supports the frequent injection regimen reflected in the revenue mix.

    Surgical and invasive procedure volume is low: 67042 (vitrectomy with internal limiting membrane procedures) appears only 14 claims for $12.5K revenue (0.5% of Medicare revenue) and ranks #818 of 1087 providers (20th percentile) which is characterized as typical, unremarkable volume. This pattern indicates the practice is focused primarily on medical retina and office-based treatments rather than on surgical retina.

    A small portion of revenue comes from less common billing lines: J3590 (unclassified biologics) generated $48.8K (1.9% of Medicare revenue) across 23 claims and ranks #556 of 631 providers (11th percentile). The presence of J3590 alongside the named biologics suggests occasional use of nonstandard or miscellaneous biologic products, but at low overall contribution to revenue.

    From a business risk perspective, the combination of $2.5M in Medicare revenue and heavy dependence on a few high-cost injectable codes (top three codes = 78.7% of Medicare revenue) means the practice’s revenue is sensitive to changes in coverage, reimbursement rates, or utilization patterns for those agents. Analysts should treat formulary shifts, prior authorization policy updates, or price adjustments for J2777/J0178/J2778 as material potential drivers of future revenue variability.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg37,680$30$1.1M
    J0178Injection, aflibercept, 1 mg950$690$651.8K
    J2778Injection, ranibizumab, 0.1 mg1,360$180$245K
    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.1,250$100$126.7K
    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…1,170$70$79.8K
    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…780$90$71.9K
    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.1,700$30$52.6K
    J3590Unclassified biologics20$2,120$48.8K
    92242The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…220$210$46.4K
    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…240$110$26.2K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277795012,780$30$599.7K
    J01783390470$680$597.2K
    J2778230510$180$117.1K
    6702827110550$90$72.9K
    67042334030$1,190$39.2K
    J359041020$980$24.4K
    9224232050$210$19.7K
    9201434790110$80$16.8K
    J79994370150$70$15.9K
    92012522070$70$12.9K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eric SubongWAOphthalmology Physician$4.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lummi Indian Business CouncilWARecovery Care Clinic/Center$0$26.1M
    Lummi Indian Business CouncilWAClinic/Center$0$23.3M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$8.6M
    Lummi Indian Business CouncilWADental Clinic/Center$0$8.5M
    Infusion Solutions IncWAHome Infusion Agency$73.8K$8.3M
    Lummi Indian Business CouncilWACounselor$0$7.8M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$6.4M
    Sea Mar Community Health CentersWAFederally Qualified Health Center (FQHC)$0$4.8M
    Bellingham Oral Surgery And Dental ImplantsWASpecialist$0$4M
    North Whatcom Fire & Rescue ServicesWALand Ambulance$204.5K$2.8M

    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. Washington Distribution
    Amador Subong — 7 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Washington