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    OpenPayerNPI Medicare & MedicaidAntonio Aragon
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    Antonio Aragon — Billing Profile & Reimbursement Data

    NPI 1992774590 · Amarillo, TX · Ophthalmology Physician

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    Antonio Aragon is a ophthalmology physician provider located in Amarillo, Texas. This profile covers 27 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
    OrganizationAntonio Aragon
    Address7411 Wallace Blvd
    CityAmarillo
    StateTX
    ZIP79106
    TaxonomyOphthalmology Physician
    NPI EnumeratedMarch 16, 2006

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

    Payer SourceTotal Paid
    Medicare$7.3M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in scope: total Medicare revenue is $7.3M while there is no Medicaid billing on file ("none below"), indicating the practice’s Medicare business dominates its public-payer mix and patient population. The absence of Medicaid claims suggests limited exposure to low-income or non-Medicare populations through state programs and may affect contracting and network leverage with payers that emphasize dual-eligibles or Medicaid populations.

    Revenue is highly concentrated: the precomputed top 3 codes (J2777, J3490, 99214) account for 77.6% of this provider's total Medicare revenue. Those three codes individually include J2777 with $3.9M (52.9% of Medicare revenue), J3490 with $1.4M (19.6%), and 99214 with $375.4K (5.1%), which together create a concentration risk if utilization or coverage of these services changes.

    The code mix identifies a high-volume retinal/intravitreal injection practice supported by intensive diagnostics: J2777 (faricimab) shows 133.4K claims and $3.9M revenue, and other intravitreal drugs and injection codes (J2781, J2778, J0178, J9035, and 67028) appear throughout the top codes. Diagnostic angiography and imaging are also prominent — 92235 has 3.1K claims and $312.8K and 92134 shows 4.2K claims and $123.1K — indicating the practice pairs frequent drug administration with multimodal retinal imaging and interpretation.

    Several codes show national standing as outliers, signaling this provider operates at unusually high volume for specific retinal services: J2777 ranks #9 of 2039 providers nationally (100th percentile; extreme outlier), 92235 ranks #2 of 2192 (100th percentile; extreme outlier), and 99214 ranks #51 of 479517 (100th percentile; extreme outlier). By contrast, J3490 ranks #54 of 2838 (98th percentile; typical, unremarkable volume) and some drug codes like J0178 rank lower (2632 of 3204, 18th percentile), illustrating that dominance is concentrated in a few specific products and services rather than across all drug codes.

    Operational intensity is reflected in outpatient visit and procedure volumes: 99214 appears with 4.2K claims at $89 avg paid/claim and $375.4K revenue (5.1% of Medicare revenue), while procedural injection codes such as 67028 show 3.6K claims and $304K revenue (4.2%). This mix of frequent moderate-complexity E/M visits plus large counts of injection procedures is consistent with a practice model that schedules regular follow-up visits tied to serial intravitreal therapy.

    Although injections and imaging dominate, there is evidence of surgical retina capability at lower volumes: 67042 reports 37 claims and $31.5K revenue and 67036 reports 27 claims and $16.3K revenue, indicating occasional vitreoretinal surgeries. These surgical codes are present but do not materially drive revenue compared with the dominant drug and imaging codes, suggesting surgery is a secondary line of service rather than the primary revenue engine.

    The provider’s tenure suggests an established practice footprint: NPI enumeration date is 2006-03-16 (~20 years ago), which aligns with sustained Medicare billing patterns and the development of high-volume service lines over time. Long tenure combined with extreme-outlier volumes on select codes implies organizational experience in retinal drug delivery and related imaging that likely supports current high utilization.

    From a competitive and contracting perspective, this profile identifies a clinician who is a national high-volume outlier on a narrow set of retinal drug and imaging codes, making the practice a major player for faricimab administration (J2777) and related diagnostics regionally and nationally. Payers and network managers should note the concentration around a few drugs and services (77.6% from the top three codes) when modeling reimbursement risk, formulary impacts, or negotiating site-of-care policies for intravitreal therapies.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg133,380$30$3.9M
    J3490Unclassified drugs820$1,740$1.4M
    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…4,220$90$375.4K
    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…3,100$100$312.8K
    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.3,580$90$304K
    J2778Injection, ranibizumab, 0.1 mg1,230$180$221.9K
    92240The provider uses a special dye, indocyanine–green (ICG), to take photographs of the vessels of the inner eye similar to that done for codes 92230/92235, which use fluorescein dye. He interprets the…1,070$140$151.4K
    J0178Injection, aflibercept, 1 mg190$680$128.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,070$120$127.8K
    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.4,240$30$123.1K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178175210610$690$694.9K
    J277741407,470$30$479.2K
    J27783180630$180$345.3K
    J27811750720$120$131.9K
    670286290510$90$73K
    92240210230$140$66.9K
    J3490735060$480$54.4K
    67042229020$1,150$41.3K
    67113183020$1,230$29.4K
    67036187020$1,000$29.1K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason YsasagaTXOphthalmology Physician$9.9M$0
    Ryan RushTXOphthalmology Physician$9.7M$0
    Christopher FisherOKInternal Medicine Physician$7.6M$0
    Brian PhelpsOKRetina Specialist (Ophthalmology) Physician$4.1M$0
    Christopher FullerTXOphthalmology Physician$3.6M$0
    Constantine SaadehTXRheumatology Physician$3.6M$0
    Michael HoodOKRetina Specialist (Ophthalmology) Physician$3.5M$0
    Jim LuILAnatomic Pathology Physician$2.7M$584.1K
    Ashok ReddyNMOphthalmology Physician$3.2M$0
    Joseph WolcottTXUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$3.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Northwest Texas Healthcare System IncTXGeneral Acute Care Hospital$0$44.8M
    Amarillo Independent School DistrictTXLocal Education Agency (LEA)$0$17.5M
    Epic Health Services, Inc.TXHome Health Agency$0$13.8M
    Britkare Home Medical Of Texas LtdTXDurable Medical Equipment & Medical Supplies$0$12.6M
    Texas Panhandle Mental Health Mental RetardationTXIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$11.6M
    Apc-amarillo Surgical Operating Company, LLCTXAmbulatory Surgical Clinic/Center$4.8M$380
    Amarillo Cataract And Eye Surgery Center LtdTXOphthalmologic Surgery Clinic/Center$3.8M$77.7K
    Janet SchwartzenbergTXRheumatology Physician$2.6M$0
    James StaffordTXRadiation Oncology Physician$1.5M$0
    Psg Surgery Center LLCTXAmbulatory Surgical Clinic/Center$1.3M$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. Texas Distribution
    Antonio Aragon — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas