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

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

Eric Scripture (NPI 1013367119)

Field	Value
Entity Type	Individual
Organization	Eric Scripture
Address	1049 State Road 229
City	Batesville
State	IN
ZIP	47006
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 20, 2016

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

ERIC SCRIPTURE’s Medicare billing is concentrated in outpatient ophthalmology and medical-retina services, with high use of intravitreal biologic injections and diagnostic imaging. The largest single code is J0178 (Injection, aflibercept, 1 mg) with 835 claims and $576.2K revenue (41.1% of this provider's total Medicare revenue), and procedure codes for cataract surgery such as 66984 and complex lens insertion 66982 also appear on the top list, indicating a mixed practice that delivers both medical retina therapy and surgical cataract care.

Top-line revenue concentration is heavy: the precomputed top 3 Medicare codes account for 61.2% of this provider's total Medicare revenue, with J0178 alone contributing $576.2K (41.1%), 66984 contributing $148.2K (10.6%), and Q5128 contributing $135.2K (9.6%). This level of concentration signals that a small set of drug and procedure codes drives the majority of billed Medicare dollars.

Payer mix is effectively single-payer Medicare: Total Medicare revenue is $1.4M and there is no Medicaid billing on file. The absence of Medicaid activity means analyses of patient mix, access, or reimbursement variability should treat the provider as Medicare-centric.

Competitive standing by code is mixed: 66984 ranks #3128 of 15965 providers nationally (80th percentile), indicating relatively strong cataract surgery volume versus peers, while J0178 ranks #1468 of 3204 (54th percentile) and Q5128 ranks #230 of 373 (38th percentile), both characterized as typical volumes. In short, the provider shows above-typical cataract procedure activity but only modest-to-typical national positioning on its top anti-VEGF drug codes.

Several codes appear as statistical outliers or notably high-volume areas, suggesting localized service intensity. 92134 is an extreme outlier (97th percentile) with 2.3K claims and $65.5K revenue, 99204 is an extreme outlier (99th percentile) with 272 claims and $28K revenue, and 99214 is notably above typical (96th percentile) with 802 claims and $67.4K revenue, together indicating unusually high diagnostic imaging and time-intensive office visit activity relative to national peers.

The code mix shows a clear operational profile: frequent intravitreal injections (J0178, Q5128, J2778) and separate injection entries (67028) indicate a practice workflow organized around recurrent patient visits for retinal injections, while cataract codes (66984, 66982, 66821) and biometric services (92136) point to concurrent surgical services. This combination is consistent with an ophthalmology group that manages both chronic retinal disease and a surgical cataract practice.

Tenure in Medicare billing is established but not long-standing: NPI enumerated 2016-06-20 (~10 years ago), so the provider has about a decade of Medicare activity to evaluate for trend analysis and peer comparisons. The consistent concentration in a few high-revenue codes across that period suggests stable service lines rather than transient coding patterns.

Operational competitiveness shows pockets of strength rather than broad dominance: codes like J3590 are notably above typical national volume (95th percentile, 771 claims, $30.8K revenue) and 66821 is in the 94th percentile (258 claims, $57K revenue), while the large anti-VEGF revenue is not nationally dominant by percentile. Analysts should interpret this as a provider with high local intensity in specific diagnostics and visits and comparatively solid cataract surgery throughput, but not a national leader in the single largest revenue-driving drug code.

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	840	$690	$576.1K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	450	$330	$148.2K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	500	$270	$135.2K
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.	1,580	$80	$126K
J2778	Injection, ranibizumab, 0.1 mg	480	$180	$84.3K
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…	800	$80	$67.4K
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.	2,340	$30	$65.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	260	$220	$57K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	70	$490	$34.7K
J3590	Unclassified biologics	770	$40	$30.8K

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. Indiana Distribution

Eric Scripture — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	30	60	830	$690	$868.8K
Q5128	6	10	570	$240	$175.2K
J2778	10	10	560	$180	$150K
66984	48	450	50	$480	$87.5K
67028	17	80	550	$80	$78.6K
66982	24	120	30	$600	$29.4K
J3590	9	50	220	$60	$24.5K
66821	26	240	60	$200	$23.1K
92235	15	40	90	$100	$15.8K
99214	311	10,540	110	$80	$15.5K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bryan Hainline	IN	Ophthalmology Physician	$3.7M	$0
Michael Bloom	OH	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$50.1K	$1.5M
Kevin Scripture	IN	Ophthalmology Physician	$557.1K	$0
Hui Bae Lee	IN	Ophthalmic Plastic and Reconstructive Surgery Physician	$193.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Margaret Mary Community Hospital Inc	IN	Critical Access Hospital	$0	$8M
Margaret Mary Community Hospital, Inc	IN	Internal Medicine Physician	$0	$4.7M
Andrew Dubois	IN	Dermatology Physician	$330.2K	$0
Ira Younger	IN	Ophthalmology Physician	$256.1K	$0
Olivia Eckstein	IN	Medical Physician Assistant	$157.6K	$0
Sarah Ferrell	IN	Physician Assistant	$128K	$0
Douglas Bruns	IN	Diagnostic Radiology Physician	$106.6K	$0
Kimberly Kick	IN	Family Medicine Physician	$94.7K	$0
Kroger Limited Partnership I	IN	Community/Retail Pharmacy	$92.4K	$0
James Browne	IN	Diagnostic Radiology Physician	$86.1K	$0

Eric Scripture — 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