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 Colorado for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Colorado 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. Colorado (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.

Stanford Taylor (NPI 1013250240)

Field	Value
Entity Type	Individual
Organization	Stanford Taylor
Address	2770 N Union Blvd Ste 140
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 6, 2013

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

STANFORD TAYLOR is a Retina Specialist (Ophthalmology) physician in COLORADO SPRINGS with an NPI enumerated on 2013-04-06 (~13 years ago) and $2.7M in lifetime Medicare revenue; there is no Medicaid billing on file, making this essentially a Medicare-only profile to evaluate. This tenure and single-payer footprint suggest a practice whose scale and payer exposure are concentrated in the Medicare population.

Revenue is highly concentrated in a small set of intravitreal drug codes: the precomputed top three Medicare codes account for 78.4% of total Medicare revenue, driven by J0178 (44.1%), J2777 (25.2%), and J2778 (9.0%). That concentration indicates the bulk of billings and cash flow come from anti-VEGF and related biologic injections rather than from a broad mix of unrelated services.

The code mix and descriptions point to a procedure-heavy retina practice model: large volumes on drug-injection codes (J0178, J2777, J2778) combined with high volumes of retinal imaging (92134) and intravitreal injection procedure code 67028 indicate a clinic oriented toward repeated intravitreal therapies and monitoring of retinal disease. Lower-frequency surgical codes (67036, 67042, 67108) appear but represent a minor share of revenue, consistent with a practice that performs occasional surgical cases while deriving most revenue from in-office injections and imaging.

Payer mix is effectively single-payer: Medicare accounts for all recorded public-payer revenue ($2.7M) while Medicaid shows none, so analyses of access, utilization trends, and financial risk should treat this provider as predominantly Medicare-dependent. The absence of Medicaid billing limits comparisons to state Medicaid patterns and suggests referral/coverage patterns skew toward Medicare-eligible patients.

Competitive standing on the top drug codes is modest-national: J0178 ranks #657 of 3204 providers (79th percentile, labeled typical), J2777 ranks #422 of 2039 providers (79th percentile, typical), and J2778 ranks #321 of 1208 providers (73th percentile, typical). Those percentiles indicate higher-than-median activity but not dominance nationally for these biologic injection codes — the provider is a solid, above-average contributor for anti-VEGF delivery rather than an extreme national outlier.

There are clear statistical outliers in diagnostic and visit-level services: 92134 ranks #506 of 26868 providers (98th percentile; extreme outlier, far above typical national volume), and 99204 ranks #3841 of 227068 providers (98th percentile; extreme outlier, far above typical national volume). The extreme-volume 92134 suggests unusually intensive use of computerized retinal imaging relative to peers, while the high 99204 volume suggests an elevated rate of moderate-complexity new-patient E/M visits compared with the national peer set.

Several follow-up and diagnostic visit codes are notably above typical national volume — 92014 ranks in the 94th percentile and 92012 in the 95th percentile — which, together with the high 92134 activity, supports a pattern of sustained follow-up care for chronic retinal conditions. This combination (frequent established-patient visits plus heavy imaging) is consistent with ongoing management of diseases like wet AMD that require repeated evaluation and treatment.

Non-drug procedure and ancillary-service activity is present but not dominant: 67028 (intravitreal injection procedure) appears prominently with typical, unremarkable national volume (rank #562 of 4255, 87th percentile), and compounded drug billing (J7999) is present at ranks consistent with above-average but not extreme use (#196 of 1333, 85th percentile). Together these data indicate a practice that relies on in-office procedural throughput and some compounded agents, but still centers economically on the named biologic drug codes.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,770	$680	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	23,640	$30	$685.6K
J2778	Injection, ranibizumab, 0.1 mg	1,370	$180	$244.3K
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.	1,750	$100	$174.6K
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.	2,770	$30	$88.5K
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…	920	$100	$87.7K
92012	For 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…	730	$70	$51K
92235	The 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…	470	$110	$50.9K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	50	$710	$32.1K
J7999	Compounded drug, not otherwise classified	440	$70	$31.9K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Stanford Taylor — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	60	740	$690	$618.3K
J2777	7	40	8,910	$30	$456.1K
J2778	6	20	600	$180	$199.7K
67028	6	80	670	$100	$73.3K
67036	7	30	20	$1,100	$37.3K
67042	19	30	20	$1,140	$29.6K
67108	12	20	20	$1,260	$26.5K
J7999	7	50	230	$70	$21.5K
92014	14	670	100	$80	$15.2K
92235	4	50	50	$110	$12.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants Of Southern Colorado P C	CO	Ophthalmology Physician	$0	$9M
James Luu	CO	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Ramin Sarrafizadeh	CO	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Adam Martidis	CO	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ryan Rich	CO	Ophthalmology Physician	$3.1M	$0
Cecinio Ronquillo	CO	Ophthalmology Physician	$2.1M	$0
Steven Christiansen	CO	Ophthalmology Physician	$302.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Rocky Mountain Health Care Services	CO	PACE Provider Organization	$0	$38.5M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Akvc Central LLC	CO	Pediatric Optometrist	$0	$8.8M

Stanford Taylor — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References