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    OpenPayerNPI Medicare & MedicaidBryan Hainline
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    Bryan Hainline — Billing Profile & Reimbursement Data

    NPI 1073711966 · Richmond, IN · Ophthalmology Physician

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    Bryan Hainline is a ophthalmology physician provider located in Richmond, Indiana. This profile covers 34 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBryan Hainline
    Address1900 Chester Blvd
    CityRichmond
    StateIN
    ZIP47374
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 3, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.7M
    Medicaid$0

    Key Findings

    Payer mix and scale: this provider’s billing is effectively single-payer Medicare — lifetime Medicare revenue is $3.7M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates the practice’s Medicare volume and reimbursement are the dominant drivers of its revenue and market footprint in-state.

    Revenue concentration: the provider’s Medicare activity is highly concentrated, with the precomputed top 3 Medicare codes by revenue accounting for 71.9% of total Medicare revenue. This level of concentration indicates the business is heavily dependent on a small set of high-revenue ophthalmic procedures and products.

    Service-line profile: the code mix is consistent with a retina-focused ophthalmology practice that performs high volumes of intravitreal injections and retinal imaging. The highest-revenue code is J0178 (injection, aflibercept) at $1.9M and 2.7K claims, complemented by frequent use of J2778 and multiple biosimilar and biologic injection codes, while 92134 (retinal OCT) appears as a high-volume imaging service supporting medical retina care.

    Competitive standing for anti-VEGF injections: J0178 ranks #246 of 3204 providers nationally (92th percentile; notably above typical national volume) and J2778 ranks #153 of 1208 providers nationally (87th percentile), indicating above-average national presence for aflibercept and ranibizumab administration. Those ranks position the provider as a comparatively large-scale administrator of these drugs versus most peers.

    Procedure-volume outliers: the provider reports extreme procedural volume in several metrics — 67028 is 4K claims and $322.9K revenue, ranking #25 of 4255 providers nationally (99th percentile; extreme outlier), 92134 is 5.4K claims and $152.5K revenue ranking #26 of 26868 providers nationally (100th percentile; extreme outlier), and J3590 ranks #3 of 631 providers nationally (100th percentile; extreme outlier). These listings show the clinic operates at a very high throughput for intravitreal administration and posterior-segment diagnostic imaging.

    Surgical and ancillary services: cataract-related codes are present but represent a smaller share of revenue — for example, 66984 accounts for $99.8K (2.7% of Medicare revenue) and 66982 accounts for $17.8K (0.5%). The presence of 66821 ($41.7K) and other laser/cataract follow-up codes suggests the practice performs some surgical and postoperative care in addition to its dominant injection and imaging volumes.

    Mix of high-volume/low-pay codes: several high-count codes pay at low averages per claim (for example, J2777 reported $29 avg paid/claim and J0585 reported $5 avg paid/claim despite thousands of claims), indicating a business model that relies on procedure and claim volume for those items rather than high per-claim reimbursement. This pattern is consistent with frequent administration of low-unit-cost injectables and supply-structured services.

    Tenure and stability: the provider’s NPI was enumerated on 2007-07-03 (~19 years ago), indicating long-standing enrollment on federal payer rolls. Combined with concentrated Medicare revenue and multiple extreme percentile rankings, tenure supports the interpretation of an established, high-throughput specialty practice rather than a newly operating clinic.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,700$690$1.9M
    J2778Injection, ranibizumab, 0.1 mg2,480$180$441.4K
    67028The 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.4,040$80$322.9K
    J2777Injection, faricimab‑svoa, 0.1 mg6,000$30$174.1K
    99214The 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…1,810$90$155.9K
    92134The 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.5,450$30$152.5K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg520$240$127.1K
    66984The 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…300$340$99.8K
    J3590Unclassified biologics1,680$40$69K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.190$220$41.7K

    Showing 1–10 of 34

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 34 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    34 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178760830$690$868.8K
    J277721406,750$30$395.6K
    Q5128510570$240$175.2K
    J2778110560$180$150K
    669847145050$480$87.5K
    Q5124310530$170$86.9K
    67028280550$80$78.6K
    J058548808,460$1$51K
    669824912030$600$29.4K
    J3590250220$60$24.5K

    Showing 1–10 of 34

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael BloomOHPediatric Ophthalmology and Strabismus Specialist Physician Physician$50.1K$1.5M
    Eric ScriptureINOphthalmology Physician$1.4M$0
    Kevin ScriptureINOphthalmology Physician$557.1K$0
    Hui Bae LeeINOphthalmic Plastic and Reconstructive Surgery Physician$193.5K$0
    Matthew BurkartINOptometrist$70.4K$140
    Nisha KheradiyaINOphthalmology Physician$60.4K$0
    Mark SnyderINOptometrist$29.6K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reid Hospital & Health Care Services, IncINGeneral Acute Care Hospital$0$66.8M
    Reid Physician Associates, Inc.INInternal Medicine Physician$11.9K$66.4M
    Richmond Treatment Center, LLCINMethadone Clinic$377.2K$16.8M
    Mcsherr Inc.INIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$12.5M
    Meridian Health Services CorpINSubstance Abuse Rehabilitation Facility$0$10.8M
    Indiana Signal Health Group SkilledINHome Health Agency$0$6.3M
    City Of RichmondINAmbulance$932.7K$4.3M
    Richmond Oral & Maxillofacial Surgery,llcINOral and Maxillofacial Surgery (Dentist)$0$4.2M
    Indiana Signal Health Group SkilledINHome Health Agency$0$3.9M
    Reid Health Ambulance, Inc.INAmbulance$964.1K$2.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Indiana Distribution
    Bryan Hainline — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Indiana