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    OpenPayerNPI Medicare & MedicaidWenlan Zhang
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    Wenlan Zhang — Billing Profile & Reimbursement Data

    NPI 1982961405 · Portland, OR · Retina Specialist (Ophthalmology) Physician

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    Wenlan Zhang is a retina specialist (ophthalmology) physician provider located in Portland, Oregon. This profile covers 12 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
    OrganizationWenlan Zhang
    Address5440 Sw Westgate Dr Ste 217
    CityPortland
    StateOR
    ZIP97221
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 20, 2012

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single-payer: total Medicare revenue is $1.5M while there is no Medicaid billing on file, indicating the practice’s Medicare activity represents its entire public-payer footprint. The top three Medicare codes account for 83.4% of total Medicare revenue, underscoring heavy reliance on a narrow set of services for public reimbursement.

    Revenue is highly concentrated in intravitreal drug administration: J0178 generated $820.2K (54.6% of Medicare revenue), J2777 generated $311.5K (20.7%), and 67028 generated $122.4K (8.1%). Because those three codes together make up 83.4% of Medicare revenue, the business is materially tied to retina injections and related procedures for its Medicare caseload.

    The code mix and descriptions point to a retina-focused, office-based procedural practice. High-revenue drug codes J0178 (aflibercept) and J2777 (faricimab) plus procedure 67028 (intravitreal injection) indicate routine, repeated intravitreal anti-VEGF therapy, while diagnostic codes such as 92134, 92250 and 92235 and E/M codes (99213, 99204) show accompanying imaging and outpatient visits supporting longitudinal retinal care.

    Claim- and payment-level detail shows contrasting unit economics across injectables: J0178 has 1.2K claims with a $679 avg paid/claim producing $820.2K revenue, while J2777 shows 10.7K claims at a much lower $29 avg paid/claim for $311.5K revenue; J2778 has 440 claims at $180 avg paid/claim for $79.2K. These differences suggest the practice bills a mix of higher-reimbursed branded biologic units alongside a much larger count of lower–paid drug line items.

    On competitive standing for primary injectables and the intravitreal procedure, this provider is a modest national participant. J0178 ranks #1090 of 3204 providers nationally (66th percentile; typical, unremarkable volume), J2777 ranks #968 of 2039 (52th percentile; typical, unremarkable volume), and 67028 ranks #1067 of 4255 (75th percentile; typical, unremarkable volume), indicating volumes that are not dominant but consistent with an active retina practice.

    The provider shows above-typical national volume for diagnostic imaging and routine office E/M, suggesting a strong footprint for those service lines relative to peers. 92134 has 1.5K claims and $45.4K revenue and ranks #1504 of 26868 providers (94th percentile; notably above typical national volume), and 99213 has 587 claims with $37.6K revenue and ranks #20213 of 457151 providers (96th percentile; notably above typical national volume), reflecting concentrated imaging and follow-up visit activity.

    Compounded drug billing is notable in volume and rank: J7999 appears with 712 claims, $52K revenue and ranks #84 of 1333 providers nationally (94th percentile) yet is characterized in the source as typical, unremarkable volume. The presence of substantial J7999 billing alongside high-volume injectables suggests routine use of office-administered or billed compounded products as part of the treatment mix.

    The provider has an established tenure on file—NPI enumerated 2012-04-20 (~14 years ago)—which, combined with the concentrated injectable and imaging revenue pattern, implies a sustained retina specialty practice with continued Medicare case flow rather than a new entrant or transient billing profile.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,210$680$820.2K
    J2777Injection, faricimab‑svoa, 0.1 mg10,740$30$311.5K
    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$122.4K
    J2778Injection, ranibizumab, 0.1 mg440$180$79.2K
    J7999Compounded drug, not otherwise classified710$70$52K
    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.1,510$30$45.4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…590$60$37.6K
    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…110$120$13.1K
    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…110$100$10.8K
    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…60$110$6.3K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781960840$680$623.7K
    J2777173010,050$30$527.6K
    J2778820400$180$87.8K
    670281570580$90$72.3K
    J7999750270$70$23.4K
    92235173060$100$11.1K
    992142,3536,07080$70$10.3K
    921342539080$30$8.1K
    99213995,48060$50$5.7K
    992041722,75030$110$4.4K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Northwest P.C.OROphthalmology Physician$0$1.8M
    Michael LeeORRetina Specialist (Ophthalmology) Physician$1.7M$0
    Harpal SandhuORRetina Specialist (Ophthalmology) Physician$1.4M$4.5K
    Paul TlucekORRetina Specialist (Ophthalmology) Physician$1.2M$0
    Apurva PatelORRetina Specialist (Ophthalmology) Physician$1.2M$0
    Janani SingaraveluOROphthalmology Physician$35.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lifeworks NwORMental Health Counselor$0$57.6M
    Lifeworks NorthwestORAddiction (Substance Use Disorder) Counselor$0$14.4M

    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. Oregon Distribution
    Wenlan Zhang — 1 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon