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

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

Wayne Larrison (NPI 1033105929)

Field	Value
Entity Type	Individual
Organization	Wayne Larrison
Address	46 Prince St
City	New Haven
State	CT
ZIP	06519
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 26, 2005

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

Practice profile and service mix: WAYNE LARRISON is an Ophthalmology Physician whose Medicare billing is heavily weighted toward intravitreal pharmaceutical therapy and retina-focused diagnostics, with large revenue lines from injectable drugs (J2777, J0178, J3490) and retinal imaging/diagnostic codes (92134, 92250). The presence of 67028 and 67145 further signals procedural retina work (injections and laser) rather than predominantly refractive or general ophthalmology office visits. These code choices indicate the operation functions largely as a retina treatment practice delivering frequent intravitreal injections and associated imaging follow-up.

Revenue concentration risk: This provider’s top three Medicare codes account for 83.7% of total Medicare revenue, indicating a high concentration of income in a very small set of services. The single largest revenue driver is J2777, which alone represents $861.3K or 46.1% of Medicare revenue, followed by J0178 at $589.2K (31.6%) and 67028 at $111K (5.9%), so changes in reimbursement or utilization of these specific therapies would materially affect overall revenue.

Payer mix and scale: The provider’s lifetime Medicare revenue is $1.9M while Medicaid shows none (no Medicaid billing on file), making this effectively a single-payer (Medicare) revenue profile. That absence of Medicaid activity suggests the provider’s current patient panel or contracting does not include Medicaid populations, which has implications for network participation and access to state-subsidized care pathways.

Competitive standing on primary drugs: For the top injectable, J2777 (faricimab), the provider ranks #303 of 2039 nationally (85th percentile) and is characterized in the data as typical, unremarkable volume for the code; this positions the provider as an above-average but not market-leading participant in faricimab administration. Aflibercept billing (J0178) is more modest in national standing at rank #1433 of 3204 (55th percentile, typical), indicating ordinary market participation rather than specialty dominance for that drug.

Diagnostic and imaging intensity: The provider’s 92134 activity is notable — 1.6K claims producing $49.7K in revenue and ranking #1468 of 26868 providers (95th percentile) with the label notably above typical national volume. This elevated OCT imaging volume is consistent with a retina-focused practice and suggests strong follow-up and monitoring throughput for patients undergoing intravitreal therapy.

Ambulatory visit mix and new patient referrals: Evaluation-and-management code 99204 appears at notably above-typical national volume (rank #14801 of 227068, 93rd percentile) with $17.2K revenue, implying the practice receives a measurable stream of new patients requiring moderate-complexity visits. Routine established-visit codes (92014, 92012, 99213) are present but represent much smaller revenue shares, reinforcing that sustained revenue is driven by procedures and injectables rather than high volumes of routine office visits.

Use of unclassified drug billing and varied injectables: J3490 (Unclassified drugs) generates $92.6K (5.0% of Medicare revenue) and ranks #1560 of 2838 providers (44th percentile), while other injectable codes like J2781 and J9035 appear in the mix at smaller shares. The presence of J3490 alongside multiple specific injectable codes suggests occasional billing for drugs not captured by single HCPCS entries and a diversified, if still injection-centric, pharmaceutical portfolio.

Tenure and provider stability: The NPI was enumerated on 2005-09-26 (~21 years ago), indicating long-standing Medicare enrollment and likely established referral relationships. That tenure, combined with concentrated high-revenue procedural lines, points to a stable, mature retina practice rather than a newly opened clinic or occasional procedural provider.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	29,700	$30	$861.3K
J0178	Injection, aflibercept, 1 mg	860	$680	$589.2K
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.	1,100	$100	$111K
J3490	Unclassified drugs	50	$1,780	$92.6K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	480	$120	$57.6K
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.	1,550	$30	$49.7K
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…	280	$100	$26.5K
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…	250	$70	$18.4K
J9035	Injection, bevacizumab, 10 mg	320	$60	$17.4K
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…	130	$130	$17.2K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Wayne Larrison — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	20	40	830	$690	$713.1K
J2777	2	30	8,190	$30	$340.4K
J3490	10	20	50	$1,380	$76K
67028	11	50	540	$100	$66.4K
J2781	5	10	440	$120	$55.7K
92014	133	580	100	$90	$18.6K
92012	84	300	120	$70	$15.2K
J9035	6	30	130	$50	$10.4K
99213	1,142	6,440	70	$60	$8.1K
92134	13	320	60	$30	$7.7K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Retina Consultants LLC	CT	Ophthalmology Physician	$0	$8.3M
Nancy Miller-rivero	NY	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
James Weisz	CT	Ophthalmology Physician	$1.3M	$0
Matthew Dombrow	CT	Ophthalmology Physician	$1M	$0
Meredith Gershon	CT	Ophthalmology Physician	$834.7K	$0
Richard Kaplan	CT	Ophthalmology Physician	$800.1K	$0
Aaron Steen	CT	Dermatology Physician	$364.3K	$0
Andrew Herbst	CT	MOHS-Micrographic Surgery Physician	$333.9K	$0
Jason Mayo	CT	Diagnostic Radiology Physician	$267.4K	$0
Christopher Lynch	CT	Adult Reconstructive Orthopaedic Surgery Physician	$264K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cornell Scott Hill Health Corporation	CT	Federally Qualified Health Center (FQHC)	$338.5K	$294.2M
Apt Foundation, Inc	CT	Methadone Clinic	$0	$28.6M
Yale Univ School Of Medicine	CT	Adolescent and Children Mental Health Clinic/Center	$0	$13.2M
New Haven Board Of Education	CT	Local Education Agency (LEA)	$0	$12.2M
Continuum Of Care, Inc.	CT	Adult Mental Health Clinic/Center	$0	$4.9M
Connecticut Pulmonary Specialists, PC	CT	Pulmonary Disease Physician	$0	$2.3M
Rachel Collins	CT	Professional Counselor	$0	$1.7M
Amir Cohen	CT	Ophthalmology Physician	$1.1M	$0
Robert Wiznia	CT	Ophthalmology Physician	$228.5K	$644.2K
Michael Imevbore	CT	Pulmonary Disease Physician	$412.4K	$0

Wayne Larrison — 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