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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Stephanie Skolik (NPI 1033101761)

Field	Value
Entity Type	Individual
Organization	Stephanie Skolik
Address	1616 13th Ave
City	Huntington
State	WV
ZIP	25701
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 18, 2005

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s Medicare business is overwhelmingly driven by intravitreal anti-VEGF therapy: J0178 (aflibercept) accounts for $864.6K and 75.6% of the provider’s Medicare revenue, and the precomputed top-3 codes together account for 86.5% of total Medicare revenue. The code mix (high J0178 plus 67028 injections and retinal imaging codes) points to a medical-retina–focused practice model that relies on recurring, procedure-driven treatment episodes.

Revenue concentration is high: the top three Medicare codes represent 86.5% of the $1.1M in Medicare revenue, indicating material dependence on a small set of procedures and drug administration for revenue generation. That concentration creates exposure to reimbursement or utilization changes for these specific CPT/HCPCS codes.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $1.1M while Medicaid shows none on file, so the provider’s public-payer exposure is concentrated in Medicare and there is no recorded Medicaid revenue to offset Medicare risk. Analysts should treat this profile as Medicare-dependent when modeling payer sensitivity or population access.

Competitive standing varies by service line: for the primary drug J0178 the provider ranks #1034 of 3204 providers nationally (68th percentile), which is a typical, unremarkable national volume for this drug administration. By contrast, office visits coded 99214 rank #14359 of 479517 (97th percentile) and retinal imaging 92134 ranks #1612 of 26868 (94th percentile), both described as notably above typical national volume—suggesting stronger relative performance on visit and diagnostics throughput than on drug-volume leadership.

Several diagnostic and procedural codes are statistical outliers relative to peers: 92020 is an extreme outlier (rank #61 of 7581, 99th percentile) for gonioscopy-type services, and 67228 is notably above typical (rank #21 of 648, 97th percentile) for panretinal laser. These high-percentile ranks imply the provider delivers substantially more of some glaucoma- and retina-related diagnostics/therapies than most peers.

The procedural mix reinforces a retina- and glaucoma-oriented practice: alongside high-volume intravitreal therapy (J0178, 67028), the provider reports substantial activity in retinal imaging (92134), fundus photography (92250), visual field testing (92083), and laser procedures (67210, 67228). This combination of injection, imaging, field testing, and laser codes is consistent with a clinic that manages chronic retinal disease and glaucoma with both medical and interventional modalities.

Tenure in the market is long-standing: the NPI was enumerated on 2005-08-18 (~21 years ago), indicating an established billing history that could correlate with an entrenched referral base and operational stability. Analysts should consider longevity alongside current volume concentrations when assessing growth or transition risk.

Operational risk and business implications: given that J0178 alone represents $864.6K and 75.6% of Medicare revenue, any changes to anti-VEGF utilization patterns, drug choice, or reimbursement could materially affect the practice’s revenue. The strong diagnostic and visit volumes (high-percentile 99214 and 92134) may provide some revenue diversification through professional fees, but overall financial sensitivity remains concentrated in the top-coded services.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,260	$680	$864.6K
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…	910	$80	$74.9K
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.	630	$80	$50.3K
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	$37K
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…	460	$60	$28.7K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	70	$370	$27.3K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	100	$160	$16.4K
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	840	$20	$15.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	220	$40	$9.2K
99204	The provider sees a new 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 provider…	70	$100	$7.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Stephanie Skolik — 4 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	10	2,090	$690	$1.7M
67028	8	10	770	$80	$94.4K
67210	2	10	60	$380	$21.3K
99214	26	2,740	100	$70	$11.8K
99213	185	2,860	80	$50	$7.5K
67228	1	10	20	$200	$7K
66761	3	10	30	$190	$6.4K
92134	7	160	60	$30	$5.4K
99204	169	1,220	30	$100	$4.1K
92083	13	150	40	$40	$2.9K

Showing 1–10 of 13

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cabell Huntington Hospital Inc	WV	General Acute Care Hospital	$0	$94.1M
Autism Service Center	WV	Developmental Disabilities Clinic/Center	$0	$59M
University Physicians & Surgeons, Inc	WV	Internal Medicine Physician	$0	$58.3M
Tri-state Addiction Recovery Resources	WV	Community/Behavioral Health Agency	$0	$29.6M
County Of Cabell	WV	Land Ambulance	$2.6M	$23.3M
Ohio Valley Physicians Inc	WV	Community/Behavioral Health Agency	$0	$22.8M
Huntington Treatment Center, LLC	WV	Methadone Clinic	$0	$21M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$13.4M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.2M
Valley Health Systems Inc	WV	Federally Qualified Health Center (FQHC)	$0	$10.1M

Stephanie Skolik — Billing Profile & Reimbursement Data

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Stephanie Skolik — 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

Nearby Providers

Frequently Asked Questions

References