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.

Carl Noble (NPI 1013255991)

Field	Value
Entity Type	Individual
Organization	Carl Noble
Address	1400 Dry Creek Dr
City	Longmont
State	CO
ZIP	80503
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 28, 2013

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only billing practice: total Medicare revenue is $1.7M and there is no Medicaid billing on file. The NPI was enumerated 2013-01-28 (~13 years ago), indicating roughly ~13 years of Medicare enrollment and an established outpatient retinal practice footprint in LONGMONT, CO.

Revenue is highly concentrated in intravitreal pharmacologic therapy: the precomputed top 3 Medicare codes account for 83.7% of this provider's total Medicare revenue. Those top contributors are J0178 with $711.7K revenue (42.6% of this provider's total Medicare revenue), J2777 with $579.4K revenue (34.7% of this provider's total Medicare revenue), and 67028 with $107.3K revenue (6.4% of this provider's total Medicare revenue), showing dependency on anti-VEGF and intravitreal injection services for the bulk of income.

The code mix and descriptions point to a retina-focused, injection-driven ambulatory model: high-volume drug administration codes J0178 (aflibercept) and J2777 (faricimab) plus the injection procedure 67028 indicate the practice’s primary service line is repeated intravitreal anti-VEGF administration and related office-based procedures. This triad of codes aligns with a retina specialist workflow that prioritizes medical retina management over high-volume surgical cases.

Diagnostic imaging and documentation are used at rates above typical peers, supporting the injection-driven model: 92134 (OCT) shows 1.4K claims and $44.1K revenue (2.6%) and ranks #1615 of 26868 providers nationally (94th percentile; notably above typical national volume for this code), while 92250 (fundus photography) shows 619 claims and $18.6K revenue (1.1%) and ranks #804 of 25087 providers nationally (97th percentile; notably above typical national volume for this code). High imaging utilization is consistent with active monitoring of retinal disease in a medical-retina practice.

Office E/M billing indicates a clinic with substantial established-patient follow-up activity: 99213 appears with 569 claims and $34.1K revenue (2.0%) and ranks #21434 of 457151 providers nationally (95th percentile; notably above typical national volume for this code), while 99214 has 353 claims and $34.2K revenue (2.1%) and ranks #82175 of 479517 providers nationally (83th percentile; typical, unremarkable volume for this code). This mix suggests frequent short to moderate complexity follow-up visits supporting ongoing injection regimens.

Surgical retinal volume appears limited relative to medical retinal care: technically complex procedures such as 67042 (pars plana vitrectomy with membrane peeling) show 13 claims and $11.8K revenue (0.7%) and rank #869 of 1087 providers nationally (13th percentile; typical, unremarkable volume for this code), and 67036 shows 12 claims and $7.8K revenue (0.5%) and ranks #708 of 832 providers nationally (7th percentile; typical, unremarkable volume for this code). Those low percentiles indicate the practice performs relatively few surgical retina cases and is primarily outpatient/injection-focused.

Competitive standing on the primary drug codes is modest rather than dominant: J0178 ranks #1249 of 3204 providers nationally (61th percentile; typical, unremarkable volume for this code) while J2777 ranks #531 of 2039 providers nationally (74th percentile; typical, unremarkable volume for this code). In contrast, imaging and basic clinic visit codes place the provider well above typical national volumes, suggesting strong local utilization of diagnostics and follow-up care even if the provider is not a national leader in anti-VEGF administration.

Operational and payer-concentration implications: reliance on a small set of high-revenue drug and injection codes (83.7% concentrated in the top 3) combined with no Medicaid billing on file creates revenue sensitivity to changes in Medicare drug coverage, reimbursement or utilization patterns. From a payer/contracting perspective, this profile signals a specialist who may be critical for outpatient anti-VEGF access in the local market but is also vulnerable to shifts in drug mix or payment policy due to limited payer diversification.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,040	$680	$711.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	19,980	$30	$579.4K
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.	1,070	$100	$107.3K
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…	490	$100	$49.8K
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.	1,420	$30	$44.1K
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…	350	$100	$34.2K
99213	The 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…	570	$60	$34.1K
J7999	Compounded drug, not otherwise classified	340	$70	$22.5K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	620	$30	$18.6K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$940	$13.2K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Carl Noble — 2 of 25 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

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	22	60	740	$690	$618.3K
J2777	11	40	8,910	$30	$456.1K
67028	26	80	670	$100	$73.3K
67036	24	30	20	$1,100	$37.3K
67042	25	30	20	$1,140	$29.6K
67108	13	20	20	$1,260	$26.5K
J7999	11	50	230	$70	$21.5K
66821	171	180	40	$240	$15.5K
92014	71	670	100	$80	$15.2K
92235	21	50	50	$110	$12.2K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Kettering Independent Medical Group Inc	OH	Orthopaedic Surgery Physician	$0	$8.4M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Philip Nelsen	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Elisha Tilton	CO	Ophthalmology Physician	$1.9M	$0
Advanced Vision Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$1.8M	$0
Justin Kanoff	CO	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Matthew Manry	CO	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Micah Rothstein	CO	Glaucoma Specialist (Ophthalmology) Physician	$283.4K	$0
Anjali Sheth	CO	Glaucoma Specialist (Ophthalmology) Physician	$234K	$0
Front Range Orthopedic Surgery Center LLC	CO	Ambulatory Surgical Clinic/Center	$190.1K	$0
William Cooney	CO	Sports Medicine (Orthopaedic Surgery) Physician	$184.2K	$0
Timothy Pater	CO	Orthopaedic Hand Surgery Physician	$183.1K	$0

Carl Noble — Billing Profile & Reimbursement Data

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Carl Noble — 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