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

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

Gregory Brinton (NPI 1053397752)

Field	Value
Entity Type	Individual
Organization	Gregory Brinton
Address	5169 Cottonwood St Ste 630
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 15, 2005

Payer Source	Total Paid
Medicare	$673.5K
Medicaid	$0

Key Findings

This provider is a retina-focused ophthalmologist: the top CPT/HCPCS codes are dominated by intravitreal drug injections and retina imaging/diagnostic services, led by J0178 (aflibercept), J2777 (faricimab-svoa), J3490 (unclassified drugs) and retina procedure codes like 67028 and 92134. The mix — high-volume injectable drug codes plus retinal imaging and intravitreal injection procedure codes — is consistent with a practice largely delivering medical retina care (wet AMD/diabetic retinal disease) rather than primary eye care or surgical retina alone.

Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 79.9% of this provider’s total Medicare revenue, with a single code J0178 alone representing $355.7K (52.8% of Medicare revenue). This indicates most Medicare dollars flow from a small set of anti‑VEGF/retina drug administrations rather than a broad range of E/M or surgical services.

Medicare is effectively the sole public payer exposure: lifetime Medicare revenue is $673.5K while there is no Medicaid billing on file. The provider therefore presents as a single‑payer (Medicare) billing profile for public programs, which is important for analysts modeling payer mix or population access.

National competitive standing on the top drug code is modest: the provider ranks #1903 of 3204 for J0178, placing them around the 41st percentile nationally, which the source labels as typical and unremarkable volume for that code. For other significant drug codes, ranking information also places the provider in routine percentiles (for example J3490 at the 48th percentile), indicating they are not a dominant national provider of these injectables but a steady, moderate-volume user.

There are pockets of relatively higher concentration on some retina diagnostics: 92134 (OCT imaging) shows 581 claims and ranks in the 88th percentile nationally, which the data labels as typical but at higher-than-average volume compared with peers. This suggests a diagnostic throughput that is above many peers even while therapeutic injection volumes remain more middle-of-market.

The provider’s utilization of several newer or specialty intravitreal agents is notable: besides aflibercept (J0178), claims include J2777 (faricimab-svoa) with $99.2K revenue and J2781 (pegcetacoplan) with $45K revenue, indicating treatment of a range of retina indications and adoption of newer drug options. Those codes collectively contribute materially to the practice’s Medicare revenue mix.

Office E/M and comprehensive exam coding is a relatively small share of revenue: 92014 and 92004 together account for a minor portion of Medicare revenue (92014 at $25.7K and 92004 at $4.7K), consistent with a procedure- and drug‑driven revenue model rather than an E/M-dominated general ophthalmology practice.

Tenure is long-standing: the NPI was enumerated on 2005-12-15 (approximately 21 years ago), indicating an established provider with a long history in the Medicare program; this tenure supports the interpretation of a mature retina specialty practice rather than a recent entrant.

Low engagement with Medicaid limits visibility into state-level safety-net activity: the absence of Medicaid billing on file means this provider does not meaningfully participate in that payer’s programs (or at least has no recorded Medicaid activity), which constrains comparisons to in‑state peers and suggests a Medicare-focused referral/patient mix.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	510	$690	$355.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	3,420	$30	$99.2K
J3490	Unclassified drugs	60	$1,480	$83K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	380	$120	$45K
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.	410	$90	$35.7K
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…	300	$90	$25.7K
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.	580	$30	$17.4K
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.	40	$110	$4.7K
J7999	Compounded drug, not otherwise classified	50	$70	$3.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	20	$100	$2.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Gregory Brinton — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	21	40	620	$690	$683.2K
J2777	23	20	13,140	$30	$523.9K
J3490	16	30	80	$1,690	$199.5K
J2781	14	20	960	$120	$126.6K
67028	29	60	440	$90	$61.7K
J7999	18	20	120	$70	$16.9K
92014	86	330	140	$70	$16.6K
92134	32	250	70	$30	$7.6K
92235	11	20	30	$90	$5.4K
92004	96	250	30	$80	$4.4K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Victoria Knudsen	UT	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Robert Kwun	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Kirk Winward	UT	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
James Howard	UT	Retina Specialist (Ophthalmology) Physician	$2M	$0
Eric Brinton	UT	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Rick Nordgren	UT	Retina Specialist (Ophthalmology) Physician	$888.1K	$0
Retina Associates Of Utah, PLLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$653.5K
Rachael Jacoby	UT	Ophthalmology Physician	$137K	$0
James Kohler	UT	Ophthalmology Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Gregory Brinton — 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