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    OpenPayerNPI Medicare & MedicaidAnita Shane
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    Anita Shane — Billing Profile & Reimbursement Data

    NPI 1992998207 · Venice, FL · Ophthalmology Physician

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    Anita Shane is a ophthalmology physician provider located in Venice, Florida. This profile covers 15 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
    OrganizationAnita Shane
    Address871 Venetia Bay Blvd Ste 115
    CityVenice
    StateFL
    ZIP34285
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 20, 2007

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

    Payer SourceTotal Paid
    Medicare$1.6M
    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,220$680$830.8K
    J2777Injection, faricimab‑svoa, 0.1 mg13,380$30$388K
    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.880$90$74.6K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg500$120$59.4K
    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…590$80$49.1K
    J3490Unclassified drugs90$480$45K
    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$40.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.380$100$35.9K
    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…500$60$32.2K
    92201The 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…950$20$16.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178105250800$690$817.6K
    J27777817012,810$30$549.2K
    J27812450500$120$102K
    67028136300710$90$91.1K
    J34906818070$280$87.5K
    920143912,180160$80$28.5K
    992132,93330,01080$60$12K
    921341301,610110$30$11.9K
    92004331,73050$100$7.8K
    992048,61519,04040$110$7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Icare Health Solutions LLCFLExclusive Provider Organization$0$80.3M
    Tanuj BankerFLRetina Specialist (Ophthalmology) Physician$7.7M$0
    Thomas ShaneFLOphthalmology Physician$6.5M$0
    Michael ParrottFLRetina Specialist (Ophthalmology) Physician$4.4M$0
    Selina LinFLOphthalmology Physician$4.1M$0
    Philip AmesFLOphthalmology Physician$3.5M$350
    James StamanFLOphthalmology Physician$3.3M$210
    Veronica Kon GraversenMSRetina Specialist (Ophthalmology) Physician$3.1M$0
    Ahmed AlkalibyFLOphthalmology Physician$2.6M$0
    Jesse MccannFLRetina Specialist (Ophthalmology) Physician$2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tony KurianFLMedical Oncology Physician$2.5M$0
    Surgicare Of St Andrews LtdFLAmbulatory Surgical Clinic/Center$2.1M$0
    Mariuxi Viteri MaloneFLMedical Oncology Physician$1.9M$0
    Gulf Coast Endoscopy Center Of Venice LLCFLAmbulatory Surgical Clinic/Center$1.7M$0
    Gary WrightFLDiagnostic Radiology Physician$1.2M$0
    Lindsey JobFLInterventional Pain Medicine Physician$937.5K$0
    Phillip MihmFLDiagnostic Radiology Physician$889.9K$0
    Omar HenriquezFLInterventional Pain Medicine Physician$837.2K$0
    Joshua KimFLOphthalmology Physician$788K$0
    Josiah BancroftFLVascular & Interventional Radiology Physician$712.6K$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. Florida Distribution
    Anita Shane — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Florida