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    OpenPayerNPI Medicare & MedicaidKevin Bray
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    Kevin Bray — Billing Profile & Reimbursement Data

    NPI 1073870275 · Wilmington, NC · Retina Specialist (Ophthalmology) Physician

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    Kevin Bray is a retina specialist (ophthalmology) physician provider located in Wilmington, North Carolina. This profile covers 20 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
    OrganizationKevin Bray
    Address3562 Ansley Dr
    CityWilmington
    StateNC
    ZIP28412
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 12, 2012

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

    Payer SourceTotal Paid
    Medicare$2.6M
    Medicaid$0

    Key Findings

    KEVIN BRAY is effectively a single‑payer Medicare provider with $2.6M in lifetime Medicare revenue and no Medicaid billing on file, indicating billing activity and revenue generation are concentrated in the Medicare population rather than in state Medicaid programs. The provider’s NPI was enumerated on 2012-04-12 (~14 years ago), indicating over a decade of Medicare participation and an established billing tenure.

    Revenue concentration is high: the precomputed top three Medicare codes by revenue account for 85.1% of the provider’s total Medicare revenue, signaling dependence on a small set of retinal injection and related procedural codes for the vast majority of practice revenue. The largest single-code contributor is J0178 (aflibercept) at $1.3M, reflecting nearly half of Medicare revenue.

    Service-line profile aligns with a retina-specialist ophthalmology practice focused on intravitreal pharmacologic therapy and retina diagnostics and procedures. High revenue from J0178 (aflibercept), J2777 (faricimab), and intravitreal injection procedure 67028 indicates primary activity is on-office or procedure‑based anti‑VEGF/faricimab injections and associated retinal care rather than broad primary eye care.

    Competitive standing for the top drug codes is indicative of typical to above‑typical participation rather than market dominance: J0178 ranks #594 of 3204 providers (81st percentile) and J2777 ranks #337 of 2039 providers (83rd percentile), both characterized as typical, unremarkable volume for those codes nationally. This suggests the provider is a solid, active contributor to anti‑VEGF/faricimab administration but not among the highest‑volume national specialists.

    There are notable statistical extremes in diagnostic imaging and new patient E/M volume. Code 92134 (retinal computerized diagnostic imaging) is reported at the 98th percentile and labeled an extreme outlier, indicating substantially higher use of retinal imaging than most peers nationally. Similarly, 99204 (new patient moderate complexity E/M) is at the 99th percentile and described as an extreme outlier, which may reflect a practice pattern that receives or documents a higher proportion of more complex new patient visits relative to typical ophthalmology providers.

    Procedure mix beyond injections shows typical retina surgical and procedural activity at modest volumes: vitrectomy and membrane peel entries such as 67042 and 67039 appear with nonzero revenue and percentiles in the mid‑to‑high ranges (67042 at the 88th percentile described as typical), consistent with a retina specialist who performs some surgical cases in addition to injection treatments. These surgical CPTs constitute a minority of revenue compared with the anti‑VEGF and faricimab drug codes.

    E/M coding shows above‑typical outpatient evaluation activity: 99213 and 99214 rank in very high percentiles (99213 at the 97th percentile labeled notably above typical; 99214 at the 88th percentile labeled typical), which supports a consistent ambulatory follow‑up caseload to manage chronic retinal conditions between procedure visits. This mix suggests reliance on both procedure billing and ongoing office‑based management for revenue.

    Given no Medicaid activity on file, payer mix is essentially single‑payer Medicare for the available data; any contracting, access, or referral patterns involving Medicaid populations are not visible in claims here and should be confirmed through other sources if Medicaid participation is relevant to network planning or competitive analyses.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,880$680$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg27,360$30$793.4K
    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.1,690$80$138.3K
    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.2,920$30$81.7K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg460$160$72.3K
    99213The 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…730$60$42.1K
    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…450$80$37.6K
    67042In 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…50$810$36.3K
    99204The 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…270$110$29.3K
    J9035Injection, bevacizumab, 10 mg460$50$24.3K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017824100950$690$881K
    J2777157012,990$30$503.7K
    6702823120780$90$80K
    J7312520390$160$56.4K
    6704233020$990$23.8K
    6703921030$710$20.5K
    67036102020$840$16.7K
    6711351020$960$15.4K
    992141,87118,060110$80$15.1K
    J90351290140$50$13.4K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    Jay GloverTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Leon CharkoudianNCOphthalmology Physician$2.9M$0
    University Of Alabama At BirminghamALGeneral Acute Care Hospital$0$2.7M
    Robert BrownlowNCOphthalmology Physician$2.7M$0
    Kevin WellsTXOphthalmology Physician$2.1M$0
    Primary Care ClinicALPediatrics Physician$0$1.9M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Coastal Horizons Center, IncNCCommunity/Behavioral Health Agency$0$44.6M
    Coastal Carolina Pathology, PANCClinical Medical Laboratory$1.2M$229.8K
    Robert WannNCOphthalmology Physician$1M$0
    Fan XiNCPain Medicine (Physical Medicine & Rehabilitation) Physician$898.5K$0
    Jeffrey WarhaftigNCInternal Medicine Physician$694.2K$0
    Dean KarrasNCInternal Medicine Physician$566.6K$0
    Shawn HockerNCSports Medicine (Orthopaedic Surgery) Physician$485.4K$0
    Shona MartinNCInternal Medicine Physician$436.1K$0
    Jeremy HoffNCPhysical Medicine & Rehabilitation Physician$374.9K$0
    Benjamin WallNCPain Medicine (Physical Medicine & Rehabilitation) Physician$318.5K$0

    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. North Carolina Distribution
    Kevin Bray — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina