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

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

Shawn Lewis (NPI 1023336476)

Field	Value
Entity Type	Individual
Organization	Shawn Lewis
Address	24075 Commerce Park
City	Beachwood
State	OH
ZIP	44122
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 10, 2010

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This provider's Medicare billing is the clear revenue source for the practice, with total Medicare revenue of $2.8M and no Medicaid billing on file; the profile is effectively single-payer (Medicare) at scale. Precomputed analysis shows the top 3 Medicare codes by revenue account for 80.6% of total Medicare revenue, indicating a concentrated revenue base.

Clinical and service mix are consistent with a retina-focused outpatient practice centered on intravitreal therapeutics and high-volume retinal imaging. The largest single revenue driver is J0178 ($1.5M, 54.2% of Medicare revenue), and other primary drug codes J2777 ($598.6K, 21.3%) and J2781 ($124.2K, 4.4%) reinforce a drug-heavy medical retina model that also bills procedural intravitreal code 67028 (1.6K claims, $143K, 5.1%).

Revenue concentration around a few high-impact codes (top 3 = 80.6%) means the practice is heavily dependent on intravitreal drug administration and related retina procedures for Medicare revenue. This concentration implies financial exposure to changes in reimbursement or utilization patterns for those specific drugs and therapies, and operational emphasis on drug procurement, injection clinics, and monitoring services.

Competitive standing on the primary drugs is mixed: J0178 (2.2K claims, $691 avg, $1.5M) ranks #436 of 3204 providers nationally (86th percentile; described as typical, unremarkable volume for this code), while J2777 (20.6K claims, $29 avg, $598.6K) ranks #502 of 2039 (75th percentile; typical, unremarkable volume). These rankings place the provider above median activity for these drugs but not among a small group of dominant national super-providers for anti-VEGF and related injections.

Retinal imaging appears unusually prominent: 92134 has 2.8K claims and $74.4K revenue (2.7% of Medicare revenue) and ranks #515 of 26868 providers nationally (98th percentile), labeled an extreme outlier, far above typical national volume for this code. This elevated imaging throughput suggests robust in-office diagnostic capacity and frequent monitoring of retinal disease, supporting the high injection volumes.

Office evaluation volumes show above-typical follow-up activity: 92012 (923 claims, $55.4K, 2.0%) ranks #572 of 17177 (97th percentile; notably above typical national volume for this code), and 92014 (690 claims, $55.9K, 2.0%) ranks #3401 of 35415 (90th percentile; typical, unremarkable volume). These patterns are consistent with a practice managing many established retina patients rather than a referral-only surgical center.

Surgical retina interventions are present but represent a small share of revenue relative to injections and imaging. Code 67028 (1.6K claims, $143K, 5.1%) ranks #645 of 4255 (85th percentile; typical, unremarkable volume), and other surgical codes (e.g., 67042, 67108, 67036) appear at low claim counts and modest revenue, indicating the provider maintains some operative capability but operates primarily as a medical retina clinic.

Tenure and operational stability are notable: the NPI was enumerated 2010-05-10 (~16 years ago), consistent with an established practice presence in BEACHWOOD, OH. Given the absence of Medicaid billing and the $2.8M Medicare concentration, payer contracting, network inclusion, and Medicare reimbursement policy will be the primary drivers of revenue performance for this provider going forward.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,200	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	20,640	$30	$598.6K
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.	1,640	$90	$143K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,040	$120	$124.2K
J3490	Unclassified drugs	50	$1,730	$86.7K
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.	2,760	$30	$74.4K
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…	690	$80	$55.9K
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…	920	$60	$55.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	300	$160	$47.6K
J3590	Unclassified biologics	380	$50	$20K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Shawn Lewis — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	100	840	$680	$729K
J2777	11	70	9,480	$30	$353.3K
J2781	9	20	1,040	$120	$152.4K
J3490	45	50	100	$560	$73.1K
67028	17	150	470	$90	$64K
J7312	8	20	240	$160	$41.7K
J3590	31	100	200	$100	$30K
67042	32	50	20	$960	$29.7K
67108	22	30	20	$1,020	$26.5K
67036	27	50	20	$870	$21K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
David Miller	OH	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Coney	OH	Retina Specialist (Ophthalmology) Physician	$3.2M	$140
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Thomas Hull	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Michael Novak	OH	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Jerome Schartman	OH	Retina Specialist (Ophthalmology) Physician	$2.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Primary Care Practices Inc	OH	Internal Medicine Physician	$0	$78.7M
Pearl's Hope, LLC	OH	Home Health Agency	$0	$47.8M
Health Care Bridge, Inc	OH	Home Health Agency	$0	$32.3M
Cleveland Clinic Health System - East Region	OH	General Acute Care Hospital	$0	$31.5M
Altimate Care LLC	OH	Home Health Agency	$0	$24M
Signature Health, Inc	OH	Federally Qualified Health Center (FQHC)	$0	$23M
University Hospitals Ahuja Medical Center, Inc	OH	General Acute Care Hospital	$0	$21.1M
Shaker Clinic, LLC	OH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.5M
Psychological & Behavioral Consultants, LLC	OH	Psychiatry Physician	$0	$14.9M
Northeast Home Health Services	OH	Home Health Agency	$0	$11.9M

Shawn Lewis — Billing Profile & Reimbursement Data

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Shawn Lewis — 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