Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Michigan for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Michigan only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Michigan (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Benjamin Nicholson (NPI 1003016916)

Field	Value
Entity Type	Individual
Organization	Benjamin Nicholson
Address	2848 Niles Rd
City	Saint Joseph
State	MI
ZIP	49085
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 19, 2007

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,770	$690	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	22,020	$30	$638.6K
67028	The 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.	2,200	$80	$184.6K
J3490	Unclassified drugs	50	$1,750	$90.8K
J2778	Injection, ranibizumab, 0.1 mg	290	$180	$51.6K
J3590	Unclassified biologics	720	$70	$50.5K
99214	The 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…	500	$90	$44.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	280	$160	$44.2K
92014	An 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…	510	$90	$43.3K
92134	The 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.	1,350	$30	$37.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Benjamin Nicholson — 2 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	18	110	680	$690	$630.2K
J2777	9	60	7,200	$30	$321K
J2778	42	50	730	$180	$240.5K
67028	5	160	440	$90	$57.6K
J7312	4	10	230	$150	$36.1K
67041	5	10	20	$1,090	$19.6K
J3590	6	80	140	$80	$19.6K
92014	99	1,080	100	$80	$14.8K
67210	10	10	30	$430	$12.9K
99214	747	15,470	80	$80	$11.4K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason So	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
David Brown	MI	Ophthalmology Physician	$1.1M	$0
Stanley Pletcher	MI	Ophthalmology Physician	$230.7K	$0
David Cooke	MI	Ophthalmology Physician	$225.5K	$0
Michael Seward	WA	Ophthalmology Physician	$146K	$0
Rikki Enzor	CA	Cornea and External Diseases Specialist Physician	$90.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Hospitals At Niles And St Joseph, Inc	MI	General Acute Care Hospital	$0	$78.1M
Region Iv Area Agency On Aging, Inc	MI	Case Management Agency	$0	$36.3M
Hsh Senior Services, LLC	MI	Home Health Agency	$0	$35.6M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Epmg Southwest Michigan PLLC	MI	Emergency Medicine Physician	$0	$11.9M
Great Lakes Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$1.3M	$51.3K
Erick Rivas	MI	Family Medicine Physician	$245.1K	$306.6K
Thomas Pow	MI	Interventional Cardiology Physician	$247.1K	$0
Muhammad Abdel Migeed	MI	Clinical Cardiac Electrophysiology Physician	$220.8K	$400
Janene Donarski	MI	Psychologist	$190.2K	$0

Benjamin Nicholson — Billing Profile & Reimbursement Data

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Benjamin Nicholson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References