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

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

Keegan Harkins (NPI 1053758136)

Field	Value
Entity Type	Individual
Organization	Keegan Harkins
Address	3902 Leavenworth St
City	Omaha
State	NE
ZIP	68105
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 29, 2013

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: total Medicare revenue is $3.5M while there is no Medicaid billing on file, so Medicaid patterns cannot be evaluated and Medicare activity represents the entirety of recorded public payer revenue. Analysts should treat this profile as Medicare‑driven when assessing payor exposure and network value.

Revenue is highly concentrated in a small set of intravitreal therapy and injection codes: the precomputed top‑3 codes account for 77.8% of total Medicare revenue, led by J0178 ($1.7M, 49.7%), J2777 ($779.5K, 22.3%), and 67028 ($204.1K, 5.8%). This concentration indicates business risk and dependence on high‑cost drug and injection procedures for the practice’s financial performance.

The code mix and volumes point to a retina‑focused ophthalmology operation: large volumes of intravitreal drug codes (J0178, J2777, J2781) alongside high‑volume retinal imaging such as 92134 (4.4K claims, $110.3K, 3.2%) suggest routine medical retina care with ongoing injection clinics supported by diagnostic imaging. These services align with ophthalmology retina subspecialty workflows rather than primarily refractive or general eye care.

Competitive standing is mixed across drugs: J0178 ranks #313 of 3204 providers nationally (90th percentile; typical, unremarkable volume) and J2777 ranks #346 of 2039 (83th percentile; typical, unremarkable volume), indicating respectable national presence for these drugs but not dominance. By contrast, procedural and imaging codes show elevated standing relative to peers, so the provider’s comparative strength appears more concentrated in procedure throughput than in uniquely high drug billing.

Several Medicare line items are statistical outliers on volume, highlighting unusually high procedural and visit throughput: 67028 ranks #135 of 4255 (97th percentile; notably above typical national volume), 92134 ranks #90 of 26868 (100th percentile; extreme outlier), and 99214 ranks #2138 of 479517 (100th percentile; extreme outlier). These labels indicate the provider bills these services at far greater volumes than most peers, consistent with a busy injection and imaging practice.

E/M activity supports a high‑throughput clinic model: 99214 appears with 1.8K claims ($142.6K, 4.1%) and 99213 with 1.2K claims ($66K, 1.9%), both described as extreme outliers (99214 100th percentile; 99213 99th percentile). The elevated E/M mix suggests frequent established‑patient visits that likely accompany repeat intravitreal injection schedules and longitudinal retina care.

The practice bills a variety of biologics and unclassified drug codes beyond its top two agents, showing some therapeutic diversification: J2781 (660 claims, $79.2K, 2.3%), J2778 (261 claims, $47.2K, 1.4%), J3490 (42 claims, $68.7K, 2.0%), and J3590 (759 claims, $40.2K, 1.2%) are all present. This mix suggests the provider uses multiple intravitreal therapies and occasionally reports unclassified drug charges, which may reflect varied treatment choices or coding for newer/less‑standardized products.

The provider has an established billing history with an NPI enumerated on 2013-05-29 (~13 years ago), indicating a mature practice window during which these high injection and imaging volumes were generated. For payer/provider analysts, the combination of long tenure plus concentrated drug/injection revenue and extreme imaging/E/M volumes signals an experienced, retina‑oriented ophthalmology practice whose Medicare contribution is critical to its revenue base.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,520	$690	$1.7M
J2777	Injection, faricimab‑svoa, 0.1 mg	26,880	$30	$779.5K
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.	2,690	$80	$204.1K
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…	1,760	$80	$142.6K
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…	380	$320	$119.8K
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.	4,410	$30	$110.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	660	$120	$79.2K
J3490	Unclassified drugs	40	$1,640	$68.7K
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…	1,220	$50	$66K
J2778	Injection, ranibizumab, 0.1 mg	260	$180	$47.2K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Keegan Harkins — 6 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	7	10	25,950	$30	$1.5M
J0178	3	20	880	$690	$722.7K
J2778	12	10	670	$180	$137.8K
67028	4	20	1,070	$80	$106.4K
66984	29	200	50	$450	$75.5K
66991	27	30	30	$1,410	$56.4K
J2781	1	10	340	$120	$47.8K
66982	29	50	40	$570	$30.1K
J3590	3	10	430	$70	$29.7K
66821	31	80	80	$210	$23K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wake Forest University Health Sciences	NC	Multi-Specialty Clinic/Center	$0	$188.2M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Wake Forest University Health Sciences	NC	Multi-Specialty Clinic/Center	$0	$11.9M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Jedediah Mcclintic	PA	Ophthalmology Physician	$3.2M	$18.9K
Claudia Hooten	TX	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Donald Vile	VA	Hematology & Oncology Physician	$1.4M	$0
Mark Nelson	NC	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Omar Sangueza	NC	Dermatopathology (Pathology) Physician	$810.1K	$0
Brian Zamora	NC	Retina Specialist (Ophthalmology) Physician	$793.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chidren's Dentistry Of South Omaha, LLC	NE	Pediatric Dentistry	$0	$8.6M
Heartland Family Service	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.3M
Capstone Behavioral Health, Inc.	NE	Mental Health Counselor	$0	$5M
Baart Community Healthcare	NE	Substance Use Disorder Rehabilitation Clinic/Center	$89.9K	$4.1M
Rai Care Centers Of Nebraska Ii, LLC	NE	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.7M
Douglas County Nebraska	NE	Psychiatric Hospital	$0	$2.4M
Psychological Healing Insights,pc	NE	Mental Health Counselor	$0	$947.2K
Sakrx, LLC	NE	Durable Medical Equipment & Medical Supplies	$15.4K	$689.1K
Align Care	NE	Dentist	$0	$617.8K
Buoyant Family Services Counseling And Consulting LLC	NE	Community/Behavioral Health Agency	$0	$580.6K

Keegan Harkins — 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