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

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

Estuardo Ponce (NPI 1023213071)

Field	Value
Entity Type	Individual
Organization	Estuardo Ponce
Address	43309 Us Highway 19 N
City	Tarpon Springs
State	FL
ZIP	34689
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 19, 2007

Payer Source	Total Paid
Medicare	$3.3M
Medicaid	$0

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	1,970	$680	$1.3M
J2777	Injection, faricimab‑svoa, 0.1 mg	34,680	$30	$1M
J2778	Injection, ranibizumab, 0.1 mg	1,580	$180	$282.1K
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.	2,290	$100	$228.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	630	$160	$98.9K
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.	3,350	$30	$97.1K
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…	1,010	$60	$63.4K
J7999	Compounded drug, not otherwise classified	1,020	$60	$57K
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…	290	$90	$25.8K
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…	260	$80	$21.2K

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. Florida Distribution

Estuardo Ponce — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	53	250	800	$690	$817.6K
J2777	21	170	12,810	$30	$549.2K
J2778	22	110	660	$180	$234.1K
67028	30	300	710	$90	$91.1K
J3490	180	180	70	$280	$87.5K
J7312	3	40	230	$160	$45.5K
67042	46	80	20	$1,180	$36.5K
92014	801	2,180	160	$80	$28.5K
67113	25	30	20	$1,260	$27.7K
99214	9,977	32,760	140	$90	$25K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Phillpotts	FL	Ophthalmology Physician	$4.5M	$0
Byung-joon Ahn	FL	Ophthalmology Physician	$2.1M	$0
James Gills	FL	Ophthalmology Physician	$888.4K	$0
Jeffrey Wipfli	FL	Ophthalmology Physician	$739.3K	$0
David Sable	FL	Dermatology Physician	$557.3K	$90
Brandon Rodriguez	FL	Ophthalmology Physician	$362.5K	$0
Abayomi Fabunmi	FL	Ophthalmology Physician	$361.8K	$0
Cristobal Cruz-colon	PR	Ophthalmology Physician	$2.6K	$349.2K
Vipul Shah	NC	Ophthalmology Physician	$323K	$0
Bradley Fouraker	FL	Ophthalmology Physician	$237.4K	$11.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Lukes Surgical Center Inc	FL	Ambulatory Surgical Clinic/Center	$3.9M	$36K
David Lam	FL	Dermatology Physician	$1.3M	$0
Equbal Kalani	FL	Cardiovascular Disease Physician	$280.6K	$0
Nicolas Villanustre	FL	Plastic Surgery Physician	$184.3K	$0
John Bidelspach	FL	Foot & Ankle Surgery Podiatrist	$85.6K	$0
Karim Rebeiz	FL	Diagnostic Radiology Physician	$83.7K	$0
Jeffery Prosser	FL	Family Medicine Physician	$40.2K	$0
George Macris	FL	Internal Medicine Physician	$15.3K	$0

Estuardo Ponce — Billing Profile & Reimbursement Data

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Estuardo Ponce — 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