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

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

John Thompson (NPI 1073584439)

Field	Value
Entity Type	Individual
Organization	John Thompson
Address	6569 N Charles St Ste 605
City	Baltimore
State	MD
ZIP	21204
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 1, 2006

Payer Source	Total Paid
Medicare	$3.9M
Medicaid	$0

Key Findings

This provider’s billed Medicare revenue totals $3.9M over the available lifetime record while there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the claims dataset presented. The absence of any Medicaid entries indicates little-to-no state‑program exposure in this record rather than a balanced Medicare/Medicaid mix.

Revenue is highly concentrated in a few drug codes: the top 3 Medicare codes by revenue account for 80.2% of this provider's total Medicare revenue, led by J0178 at $1.8M (45.8%), followed by J2777 at $885.7K (22.8%) and J2778 at $445.9K (11.5%). This concentration shows that a large share of the practice’s Medicare dollars is tied to intravitreal biologic therapies.

The CPT/HCPCS mix indicates a retina‑focused ophthalmology practice that delivers high volumes of intravitreal injections and associated diagnostic imaging. High‑revenue drug codes J0178, J2777, and J2778 are anti‑VEGF/anti‑inflammatory intravitreal agents, and supporting codes such as 67028 (intravitreal injection), 92134 (retinal imaging), and 92014 (comprehensive established patient exam) appear among the top procedures, consistent with chronic retinal disease management and office‑based injection workflows.

Operationally the practice shows very large claim counts for certain therapies: for example J2777 records 30.5K claims and J0178 records 2.6K claims in the dataset, which together underline a substantial throughput of injection encounters even where national rank percentiles label the volumes as typical. Those claim counts, combined with sizeable average paid amounts per claim reported for J0178 ($687) and J2778 ($182), imply sustained utilization of reimbursed biologic drugs as a core revenue driver.

Competitive standing on the major drug codes is generally above median but not dominant: J0178 ranks #288 of 3204 providers (91th percentile; typical, unremarkable volume), J2777 ranks #286 of 2039 (86th percentile; typical, unremarkable volume), and J2778 ranks #158 of 1208 (87th percentile; typical, unremarkable volume). In plain terms, the provider is a meaningful national participant for these medications but not an outlier leader among peers.

In contrast, the practice is an outlier for several diagnostic and procedural codes: 92014 ranks #387 of 35415 (99th percentile; extreme outlier), 92134 ranks #152 of 26868 (99th percentile; extreme outlier), and 67028 ranks #191 of 4255 (96th percentile; notably above typical national volume). These extreme and notably above‑typical rankings indicate unusually high volumes of comprehensive established exams, retinal imaging, and intravitreal injection procedures relative to national peers, suggesting a concentrated throughput of evaluation and imaging services.

The provider’s NPI was enumerated on 2006-02-01 (~20 years ago), indicating long tenure in the Medicare program; this long registration supports interpretations of established practice patterns rather than short‑term anomalies. Historical presence in the dataset adds weight to the observed code mix and volumes as stable characteristics of the practice.

For payers and contracting analysts, the combination of concentrated Medicare revenue in three biologic drug codes and no Medicaid billing on file highlights two commercial considerations: a material dependence on Medicare reimbursement and utilization of high‑cost injectable therapies, and limited participation (or reporting) in Medicaid. These facts suggest that shifts in Medicare drug policy, utilization management, or referrals for retinal services could have outsized effects on this provider’s revenue profile.

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,590	$690	$1.8M
J2777	Injection, faricimab‑svoa, 0.1 mg	30,540	$30	$885.7K
J2778	Injection, ranibizumab, 0.1 mg	2,450	$180	$445.9K
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.	2,460	$90	$229K
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…	1,760	$100	$170.5K
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.	3,870	$30	$123.8K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	400	$160	$63.4K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	560	$70	$38.5K
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…	330	$100	$30.9K
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…	190	$130	$24.3K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

John Thompson — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	18	100	950	$690	$887.3K
J2777	13	70	8,520	$30	$487.3K
J2778	6	50	650	$180	$207.8K
67028	7	120	700	$100	$101.5K
J7312	7	20	270	$160	$53.1K
92014	32	620	210	$90	$44K
67042	13	30	20	$1,060	$25.4K
99214	2,853	10,270	150	$90	$24.1K
67036	9	20	20	$960	$22K
92235	28	90	70	$110	$19.5K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Smdc Medical Center	MN	General Acute Care Hospital	$0	$35.3M
St Marys Medical Center	MN	General Acute Care Hospital	$0	$21M
St. Mary's Hospital Of Superior	WI	Critical Access Hospital	$0	$13.4M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
Essentia Health Virginia, LLC	MN	Rural Health Clinic/Center	$0	$5.6M
St. Mary's Duluth Clinic Health System	MN	Clinical Medical Laboratory	$260.2K	$5M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M
David Baranano	MD	Ophthalmology Physician	$4.2M	$0
Raymond Sjaarda	MD	Ophthalmology Physician	$4.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baltimore County Public Schools	MD	Local Education Agency (LEA)	$0	$102.7M
Gilchrist Hospice Care Inc.	MD	Inpatient Hospice	$0	$60.7M
Sheppard Pratt Physicians, P.A.	MD	Psychiatry Physician	$0	$17.3M
Greater Baltimore Medical Center, Inc.	MD	General Practice Physician	$0	$9.4M
Mei Tang	MD	Medical Oncology Physician	$6.9M	$0
Patient First Maryland Medical Group PLLC	MD	Family Medicine Physician	$0	$6.8M
University Of Maryland St. Joseph Medical Group, LLC	MD	General Practice Physician	$0	$6.2M
Sheppard Pratt Physicians PA	MD	Mental Health Counselor	$0	$5.7M
Baltimore County Deparment Of Health	MD	Public Health or Welfare Agency	$0	$5.2M
Dulaney Eye Institute, LLC	MD	Ambulatory Surgical Clinic/Center	$3.1M	$503.5K

John Thompson — 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