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

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

Anthony Parendo (NPI 1043690233)

Field	Value
Entity Type	Individual
Organization	Anthony Parendo
Address	442 N Westhill Blvd Ste A
City	Appleton
State	WI
ZIP	54914
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 3, 2015

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

Anthony Parendo’s billing footprint is essentially single‑payer: total Medicare revenue is $1.2M while there is no Medicaid billing on file, so Medicare accounts for the entirety of reported public‑payer revenue. This concentration means payer negotiations, access and patient mix will be driven by Medicare reimbursement patterns rather than Medicaid volume.

Revenue is highly concentrated in a small set of retinal treatment codes: the precomputed top 3 Medicare codes (J0178, J2777, 67028) account for 89.2% of this provider’s total Medicare revenue. Specifically, J0178 represents 67.0% of Medicare revenue, J2777 14.3%, and 67028 7.9%, indicating the practice’s economics are driven by intravitreal drug therapy and associated injection procedures.

The code mix confirms a retina‑focused, procedure‑driven practice model: J0178 (aflibercept) and J2777 (faricimab) are anti‑VEGF/anti‑angiogenic injections and 67028 is the separate intravitreal injection procedure, together dominating revenue. Supportive diagnostic codes such as 92134 (retinal imaging/OCT) and lower counts for E&M and comprehensive eye exams suggest the workflow centers on recurring injection visits and imaging rather than high volumes of general ophthalmology office visits.

Competitive standing on the top drug code is modest rather than dominant: J0178 shows $823.5K revenue and ranks #1100 of 3204 providers nationally (66th percentile) with the label provided as “typical, unremarkable volume for this code.” J2777 ($175.7K) ranks #1380 of 2039 (32th percentile) and 67028 ($96.9K) ranks #1306 of 4255 (69th percentile), both also described as “typical, unremarkable volume,” indicating the provider operates at peer‑typical volumes for these injections rather than as a top national outlier.

There are notable deviations in diagnostic imaging intensity: 92134 has 1.5K claims, $43.7K revenue (3.6% of Medicare revenue), and ranks #1517 of 26868 providers nationally (94th percentile) with the label “notably above typical national volume for this code.” This suggests above‑average use of retinal imaging/OCT relative to national peers, consistent with a retina practice that pairs frequent injections with comprehensive posterior‑segment imaging. Lower‑volume diagnostic and ancillary codes (92235, 76512, 92250) appear minor by revenue and rank at or below typical peer levels.

Evaluation & management services contribute only a small share of Medicare revenue, reinforcing the procedure focus: 99213 generated $18.5K (1.5% of Medicare revenue) with 284 claims and ranks #64274 of 457151 (86th percentile) described as “typical, unremarkable volume for this code.” More comprehensive exam codes (92014, 92004) are present but account for a combined small percentage of revenue, indicating the practice bills more for procedural and imaging services than episodic office‑based visits.

The provider’s NPI was enumerated on 2015-06-03 (~11 years ago), signaling an established practice tenure. This length of active enrollment supports the interpretation that current billing patterns are not transient and likely reflect a stable retina specialty practice model with ongoing utilization of high‑cost intravitreal therapies.

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
J0178	Injection, aflibercept, 1 mg	1,200	$690	$823.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,060	$30	$175.7K
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.	1,070	$90	$96.9K
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.	1,510	$30	$43.7K
J9035	Injection, bevacizumab, 10 mg	570	$50	$29.7K
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…	280	$70	$18.5K
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…	200	$80	$14.9K
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.	100	$100	$10K
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…	70	$90	$6K
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…	30	$90	$3K

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. Wisconsin Distribution

Anthony Parendo — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	60	440	$690	$488.1K
J2777	16	30	7,290	$30	$332K
67028	12	110	310	$80	$43.7K
J9035	13	70	110	$50	$14.5K
92014	235	720	120	$70	$12.9K
99214	5,364	9,800	80	$70	$9.2K
92012	161	160	50	$60	$5.1K
92134	12	600	60	$30	$4.7K
99213	458	9,380	60	$50	$4.7K
92235	25	30	50	$70	$4.5K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Physician Group	MI	Internal Medicine Physician	$0	$87.4M
Asheesh Tewari	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Northeast Wisconsin Retina Associates Sc	WI	Retina Specialist (Ophthalmology) Physician	$0	$2.4M
Khalid Kahook	WI	Retina Specialist (Ophthalmology) Physician	$1.8M	$390
Michael Possin	WI	Retina Specialist (Ophthalmology) Physician	$1.7M	$360
University Physician Group	MI	Counselor	$57.7K	$1.4M
Rajeev Buddi	WI	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Benjamin Ernst	WI	Retina Specialist (Ophthalmology) Physician	$909.7K	$0
Charles Hejny	WI	Retina Specialist (Ophthalmology) Physician	$834.4K	$0
Patrick Murphy	MI	Ophthalmology Physician	$581.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Options Lab, Inc.	WI	Clinical Medical Laboratory	$440.8K	$12.5M
Tri-county Community Dental Clinic, Inc.	WI	Dental Clinic/Center	$0	$4.9M
Catalpa Health	WI	Community/Behavioral Health Agency	$0	$4M
Appleton Dental Care LLC	WI	Dental Clinic/Center	$0	$1.6M
Pinnacle Cataract And Laser Institute LLC	WI	Ambulatory Surgical Clinic/Center	$994.5K	$481.6K
Options Treatment Programs, Inc	WI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Micheal Vrabec	WI	Ophthalmology Physician	$380.3K	$0
Douglas Salm	WI	Ophthalmology Physician	$314.9K	$0
Ryan Funk	WI	Otolaryngology Physician	$217.6K	$34K
John Mcmahan	WI	Otolaryngology Physician	$99.7K	$0

Anthony Parendo — 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