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

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

Everton Arrindell (NPI 1053350215)

Field	Value
Entity Type	Individual
Organization	Everton Arrindell
Address	345 - 23rd Avenue North
City	Nashville
State	TN
ZIP	37203
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 5, 2006

Payer Source	Total Paid
Medicare	$3M
Medicaid	$0

Key Findings

Practice is operating as a retina-focused ophthalmology service line: the revenue mix is dominated by intravitreal biologic injections and retina imaging—examples include high-revenue injection codes J0178, Q5128, and J2777, plus retinal imaging codes 92134 and 92250 and procedure 67028. This pattern indicates a clinic-oriented operation centered on ongoing medical management of retinal disease rather than a surgery-first model.

Revenue is heavily concentrated in a small set of Medicare drug-administration codes: the precomputed top-3 codes account for 73.1% of this provider's total Medicare revenue, with J0178 generating $1.2M (41.3% of Medicare revenue), Q5128 generating $561.2K (18.9%), and J2777 generating $384.5K (12.9%). These three items together drive the majority of the $3M Medicare lifetime revenue on file.

This provider is effectively single-payer in the dataset: total Medicare revenue is $3M while Medicaid shows none on file, so all reported public-payer activity is concentrated in Medicare. That concentration increases exposure to Medicare policy and price changes for anti-VEGF and retina-management services.

On national competitive standing for major injection codes the provider is above typical but not a top national outlier: J0178 ranks #628 of 3204 providers (80th percentile) and is described as "typical, unremarkable volume," Q5128 ranks #48 of 373 (87th percentile) and is "typical, unremarkable volume," and J2777 ranks #782 of 2039 (61th percentile) and is also "typical, unremarkable volume." Together these ranks suggest solid, above-average utilization of anti-VEGF agents relative to peers but not dominance at the national level.

Office visit billing shows unusually high volumes relative to peers: 92014 appears with 1.8K claims and $144.1K revenue (4.8% of Medicare revenue) and ranks in the 99th percentile labeled an "extreme outlier, far above typical national volume," while 99204 has 229 claims and $25K revenue (0.8%) and likewise ranks in the 99th percentile as an "extreme outlier." This indicates the practice maintains a large established- and new-patient outpatient evaluation footprint relative to national ophthalmology peers.

Retinal diagnostic imaging and fundus documentation are reported at notably above-typical volumes: 92134 has 2.2K claims and $60.6K revenue (2.0%) and ranks in the 97th percentile as "notably above typical national volume," while 92250 has 741 claims and $18.5K revenue (0.6%) and ranks in the 98th percentile as "notably above typical national volume." High imaging volume is consistent with frequent monitoring visits associated with chronic intravitreal therapy.

Surgical and in‑office procedural work is present but constitutes a smaller share of revenue: 67028 accounts for $152.1K (5.1% of Medicare revenue) with 1.7K claims and is 86th percentile "typical, unremarkable volume," while vitrectomy codes (67042 $18.7K, 67036 $7.8K) represent modest contributions. This mix suggests the practice is primarily delivering repeated clinic-based injections and monitoring rather than performing high volumes of complex retinal surgery.

Provider tenure is long and established: the NPI was enumerated 2006-06-05 (~20 years ago), which aligns with the sustained, above-typical volumes observed for chronic disease management codes. Long enumeration plus concentrated Medicare revenue and high visit/imaging volumes point to an entrenched outpatient retina practice with a stable referral and follow-up population.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,810	$680	$1.2M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	2,600	$220	$561.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	13,260	$30	$384.5K
J2778	Injection, ranibizumab, 0.1 mg	1,200	$180	$221.2K
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.	1,710	$90	$152.1K
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…	1,800	$80	$144.1K
Q5124	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	740	$180	$131.9K
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.	2,160	$30	$60.6K
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…	230	$110	$25K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$850	$18.7K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Everton Arrindell — 4 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	18	80	790	$680	$769.8K
J2777	30	50	15,060	$30	$592.1K
Q5128	6	20	1,190	$210	$394K
J2778	23	40	1,340	$180	$370.2K
Q5124	5	10	690	$180	$137.8K
67028	23	80	1,130	$90	$98.5K
67042	21	40	20	$1,020	$34.5K
67036	17	20	20	$940	$24.4K
92014	9	810	120	$80	$19.2K
J9035	61	70	140	$50	$17.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tennessee Retina PC	TN	Retina Specialist (Ophthalmology) Physician	$0	$6M
Roy Wallace	TN	Retina Specialist (Ophthalmology) Physician	$5.4M	$0
David Reichstein	TN	Retina Specialist (Ophthalmology) Physician	$4.9M	$141.7K
Carl Awh	TN	Retina Specialist (Ophthalmology) Physician	$4.7M	$0
Brandon Busbee	TN	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Eric Schneider	TN	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Franco Recchia	TN	Retina Specialist (Ophthalmology) Physician	$3.6M	$2.6K
Akshay Thomas	TN	Retina Specialist (Ophthalmology) Physician	$3.2M	$52K
Jay Glover	TN	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Peter Sonkin	TN	Retina Specialist (Ophthalmology) Physician	$2.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$45.9M
Pediatrix Medical Group Of Tennessee, P.C.	TN	Neonatal-Perinatal Medicine Physician	$0	$32.3M
Saint Thomas Medical Partners	TN	Internal Medicine Physician	$0	$21.9M
Radiology Alliance PC	TN	Diagnostic Radiology Physician	$0	$13.2M
Emergency Medicine Services Of Tn, PC	TN	Emergency Medicine Physician	$0	$12.9M
Tennessee Maternal-fetal Medicine LLC	TN	Specialist	$0	$12.5M
The Next Door, Inc.	TN	Substance Abuse Rehabilitation Facility	$0	$8.6M
Tennessee Oncology PLLC	TN	Hematology & Oncology Physician	$0	$8.5M
Vcphcs Ix, LLC	TN	Substance Use Disorder Rehabilitation Clinic/Center	$257.7K	$6.6M
Pediatric Associates Of Davidson County, P.C.	TN	Pediatrics Physician	$0	$5.8M

Everton Arrindell — 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