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

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

Robert Sisk (NPI 1063614089)

Field	Value
Entity Type	Individual
Organization	Robert Sisk
Address	1945 Cei Dr
City	Cincinnati
State	OH
ZIP	45242
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 1, 2007

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This provider is effectively Medicare-centric: total Medicare revenue is $2.5M while there is no Medicaid billing on file, so the practice’s commercial/Medicaid exposure appears minimal or absent. The NPI was enumerated 2007-06-01 (~19 years ago), indicating longstanding Medicare enrollment that supports an established billing footprint in the Medicare program.

Revenue is highly concentrated in a few biologic injection codes: the top 3 Medicare codes by revenue account for 85.0% of this provider's total Medicare revenue, driven by J0178 ($978.5K, 38.8%), J2777 ($930.9K, 37.0%), and J3590 ($232.8K, 9.2%). This level of concentration signals a business model centered on drug administration rather than diversified office-based E/M or procedural revenue.

Clinical/service-line profile is retina-focused and injection-heavy. The two largest revenue drivers are J0178 (injection, aflibercept) and J2777 (injection, faricimab-svoa), supplemented by procedure code 67028 (intravitreal injection) at $119.4K (4.7%), and high-volume retinal imaging under 92134 ($45K, 1.8%), consistent with a practice organized around intravitreal biologic therapy and retinal diagnostics.

J3590 (unclassified biologics) is a statistical outlier for this provider: 667 claims, $232.8K revenue (9.2%) and it ranks #46 of 631 providers nationally (93th percentile), described in the source as notably above typical national volume. Similarly, the retinal imaging code 92134 ranks #1406 of 26868 providers nationally (95th percentile) and is also noted as notably above typical national volume, indicating above-typical use of diagnostic imaging relative to peers.

By contrast, the two largest biologic codes show solid but not dominant national standings: J0178 ranks #885 of 3204 providers (72th percentile) and is labeled typical, unremarkable volume, while J2777 ranks #261 of 2039 providers (87th percentile) and is also labeled typical, unremarkable volume. Those percentiles suggest the provider is an established, above-average user of these therapies but not a national top-tier outlier for these specific drugs.

Non-drug office E/M revenue is comparatively modest: 99214 generated $33K (1.3%) and 99213 generated $19.1K (0.8%) of Medicare revenue, indicating that face-to-face evaluation and management contributes a relatively small share of billing compared with biologic injections. This split reinforces an operational emphasis on procedure/drug delivery rather than primary outpatient E/M throughput.

The absence of any Medicaid billing on file means payer mix and contracting strategies are concentrated on Medicare and commercial payers; the lack of in-state Medicaid claims could affect reimbursement risk and access for Medicaid populations and should be considered when assessing network participation or state-level coverage strategies.

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	1,410	$690	$978.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	32,100	$30	$930.9K
J3590	Unclassified biologics	670	$350	$232.8K
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.	1,280	$90	$119.4K
J0179	Injection, brolucizumab-dbll, 1 mg	430	$250	$107.1K
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.	1,610	$30	$45K
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…	390	$90	$33K
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…	330	$60	$19.1K
J3396	Injection, verteporfin, 0.1 mg	1,790	$10	$16.1K
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…	10	$870	$10.4K

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. Ohio Distribution

Robert Sisk — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	32	100	840	$680	$729K
J2777	4	70	9,480	$30	$353.3K
J0179	2	10	320	$250	$101.1K
67028	34	150	470	$90	$64K
J3590	13	100	200	$100	$30K
67042	46	50	20	$960	$29.7K
J3396	1	10	1,790	$10	$15.9K
92014	651	1,390	100	$70	$12.9K
99214	1,978	20,010	100	$70	$11.7K
67210	9	10	30	$340	$10.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital Medical Center	OH	Children's Hospital	$0	$386.8M
Children's Hospital Medical Center	OH	Pediatrics Physician	$0	$91.2M
University Of Cincinnati Physicians Company, LLC	OH	Family Medicine Physician	$0	$65.2M
Children's Hospital Medical Center	OH	Home Infusion Therapy Pharmacy	$0	$57M
Children's Hospital Medical Center	OH	Durable Medical Equipment & Medical Supplies	$0	$51.1M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
West Chester Hospital LLC	OH	General Acute Care Hospital	$0	$19.5M
Children's Hospital Medical Center	OH	Home Health Agency	$0	$19.2M
Children's Hospital Medical Center	OH	Pediatric Dentistry	$0	$11.6M
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$63.6M
Bethesda Hospital Inc	OH	General Acute Care Hospital	$0	$57M
Hospice Of Cincinnati Incorporated	OH	Community Based Hospice Care Agency	$0	$54M
Carestar, Inc.	OH	Case Management Agency	$0	$43.1M
Counseling Source Inc	OH	Mental Health Counselor	$0	$41M
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Qualified Emergency Specialists Inc	OH	Emergency Medicine Physician	$0	$18.9M
Crossroads Hospice Of Cincinnati	OH	Community Based Hospice Care Agency	$0	$14.6M
A Best Home Care,inc.	OH	Home Health Agency	$0	$10.4M
Mercy Health Physicians Cincinnati Specialty Care LLC	OH	Surgery Physician	$0	$7.1M

Robert Sisk — 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