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

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

Jeffrey Welder (NPI 1043504681)

Field	Value
Entity Type	Individual
Organization	Jeffrey Welder
Address	648 N Main St
City	Ashland
State	OR
ZIP	97520
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 31, 2011

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This provider’s Medicare business is highly concentrated: the top 3 Medicare codes (J0178, J2777, 66984) account for 75.2% of total Medicare revenue, and total Medicare revenue is $2.3M. That concentration indicates a small number of services drive the bulk of billed Medicare dollars for this clinician.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.3M and there is no Medicaid billing on file. The absence of Medicaid activity suggests this profile should be evaluated primarily through a Medicare lens for utilization and competitive comparisons.

The code mix points to a hybrid retina-and-cataract practice model: large revenue shares from J0178 and J2777 (intravitreal injections) combined with significant billing for cataract extraction (66984) and high-volume comprehensive ophthalmology visits (92014). This pattern is consistent with a practice providing frequent intravitreal therapies and surgical cataract care supported by office-based medical management.

For intravitreal therapy the provider has meaningful but not dominant market position: J0178 (aflibercept) is the top revenue driver at 52.1% of Medicare revenue and ranks #645 of 3204 providers nationally (80th percentile, labeled as typical/unremarkable volume). J2777 (faricimab) contributes 15.5% of Medicare revenue and ranks #844 of 2039 (58th percentile), also a typical volume profile relative to peers.

The provider is an extreme outlier in established comprehensive exam volume: 92014 ranks #194 of 35415 providers nationally (99th percentile; extreme outlier, far above typical national volume). This unusually high ranking for 92014 implies a very large established-patient visit volume or concentrated billing for comprehensive E/M visits compared with most ophthalmologists.

Imaging and diagnostic services skew above typical national usage: 92134 (retinal OCT) ranks #978 of 26868 providers (96th percentile; notably above typical), and 92025 (keratometry) ranks in the 95th percentile. Elevated utilization of these codes supports the clinical picture of active retina diagnostics and preoperative measurements for surgical care.

Cataract surgical throughput is steady and contributes materially to revenue: 66984 generates $178.6K (7.6% of Medicare revenue) and ranks #3160 of 15965 providers (80th percentile, typical), while 66821 (laser capsulotomy) contributes $41.7K and ranks in the 89th percentile. Together these surgical and postoperative codes indicate regular cataract case volume with routine follow-up procedures.

The provider has an established practice footprint: NPI enumerated 2011-05-31 (~15 years ago), indicating long-tenured enrollment in Medicare. That tenure, paired with concentrated Medicare revenue and little to no Medicaid activity, frames this clinician as a stable, Medicare-focused ophthalmology practice in Ashland, OR.

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	1,780	$690	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	12,480	$30	$361.9K
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…	440	$400	$178.6K
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…	2,190	$80	$177.3K
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.	1,350	$100	$136.7K
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.	2,060	$30	$63.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	170	$250	$41.6K
J7999	Compounded drug, not otherwise classified	570	$70	$38.1K
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…	530	$60	$33.3K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	180	$90	$16.6K

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. Oregon Distribution

Jeffrey Welder — 7 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	60	840	$680	$623.7K
J2777	14	30	10,050	$30	$527.6K
66984	17	260	70	$540	$82.7K
67028	13	70	580	$90	$72.3K
J7999	10	50	270	$70	$23.4K
66982	27	60	20	$720	$20.8K
92014	2	440	110	$80	$16K
66821	14	160	40	$230	$15.4K
92134	11	390	80	$30	$8.1K
92012	9	170	50	$60	$7.2K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jared Fredrickson	OR	Ophthalmology Physician	$650.8K	$0
Robert Ewing	OR	Ophthalmology Physician	$354.2K	$0
William Epstein	OR	Ophthalmology Physician	$213.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Asante Ashland Community Hospital, LLC	OR	General Acute Care Hospital	$0	$9M
Southern Oregon Chiropractic-ashland LLC	OR	Rehabilitation Chiropractor	$0	$2.7M
Christine Gonzales	OR	Ophthalmology Physician	$2.1M	$0
John Hyatt	OR	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
City Of Ashland	OR	Land Ambulance	$401.3K	$1.1M
David Dryland	OR	Rheumatology Physician	$1.4M	$0
Bear Creek Physical Therapy	OR	Physical Therapist	$0	$1.3M
Rogue Community Health	OR	Federally Qualified Health Center (FQHC)	$0	$1.3M
Ashland Surgery Center	OR	Ambulatory Surgical Clinic/Center	$1.2M	$3.2K
Robert Medeck	OR	Chiropractor	$8.2K	$1M

Jeffrey Welder — Billing Profile & Reimbursement Data

Sign up for Jeffrey Welder — Billing Profile & Reimbursement Data policy alerts

Jeffrey Welder — Billing Profile & Reimbursement Data

Sign up for Jeffrey Welder — Billing Profile & Reimbursement Data policy alerts

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