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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Nicholas Spendlove (NPI 1083111454)

Field	Value
Entity Type	Individual
Organization	Nicholas Spendlove
Address	1124 10th St
City	Alamogordo
State	NM
ZIP	88310
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 11, 2018

Payer Source	Total Paid
Medicare	$581K
Medicaid	$0

Key Findings

This provider’s commercial footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $581K and there is no Medicaid billing on file. The absence of Medicaid activity means Medicaid is not a contributor to this provider’s reported revenue base and contracting conversations will be Medicare‑centric.

Revenue is concentrated in a small set of services: the top three Medicare codes (J2777, 92014, 66984) together account for 52.2% of the provider’s total Medicare revenue. Individually those codes generate $118.3K (20.3%), $113K (19.4%), and $72.5K (12.5%) respectively, indicating dependence on anti‑VEGF drug administration, high‑level established patient exams, and cataract extraction for most of billed revenue.

The code mix and claim counts point to a full‑service outpatient ophthalmology practice that combines medical retina care with surgical cataract services and high ambulatory visit volume. High counts for J2777 (4.1K claims), 92014 (1.3K claims), and 66984 (180 claims) show simultaneous emphasis on intravitreal injections, comprehensive established‑patient evaluations, and operative cataract care.

Clinical flow appears weighted toward clinic visits: 92014 is a major volume driver (1.3K claims, $113K) and ranks #844 of 35415 providers nationally (98th percentile), described as notably above typical national volume for this code. Similarly, 92004 (202 claims, $18K) ranks #1098 of 26467 providers (96th percentile) and is also described as notably above typical national volume, reinforcing that outpatient exam throughput is an outsized feature of this practice.

Injectable drug revenue is a large share of dollars but not a dominant national position: J2777 is the single largest Medicare revenue code at $118.3K (20.3%) yet ranks #1665 of 2039 providers (18th percentile) and is labeled a typical, unremarkable volume for this code. Aflibercept (J0178) contributes $67.7K (11.6%) but ranks #3003 of 3204 providers (6th percentile) and is also characterized as typical, unremarkable, indicating local reliance on drug reimbursement even though injection activity is modest relative to national high‑volume retina specialists.

Ancillary diagnostics and post‑op procedures support the clinical/surgical mix: 92134 (905 claims, $26.2K) and 67028 (550 claims, $43.5K) together show routine retinal imaging and intravitreal injection encounters, while 66821 (169 claims, $39.7K) and 92136 (257 claims, $6.9K) indicate active laser/post‑op and biometry services. Most of these codes are reported at typical, unremarkable national volumes or above‑typical levels (92134 described as typical, unremarkable; 66821 at a high percentile but labeled typical), suggesting a comprehensive service line rather than a narrowly specialized practice.

Provider tenure is mid‑established: the NPI was enumerated on 2018-04-11 (~8 years ago), consistent with an established clinical platform that has accumulated $581K in Medicare revenue since enumeration. This tenure combined with high exam volumes implies a stable outpatient practice rather than a newly formed or transient operation.

From a payer or contracting perspective the combination of a Medicare‑only billing profile ($581K) and concentration of revenue in three codes (52.2% of Medicare revenue) means reimbursement changes for intravitreal drugs, comprehensive eye exams, or cataract procedures could materially affect the provider’s revenue. Analysts should treat this entity as Medicare‑dependent with performance sensitivity to the utilization or pricing of those top codes rather than as a broadly diversified multi‑payer practice.

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
J2777	Injection, faricimab‑svoa, 0.1 mg	4,080	$30	$118.3K
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…	1,330	$90	$113K
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…	180	$400	$72.5K
J0178	Injection, aflibercept, 1 mg	100	$690	$67.7K
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.	550	$80	$43.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	170	$240	$39.7K
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.	910	$30	$26.2K
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…	380	$60	$21.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$560	$18.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	200	$90	$18K

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. New Mexico Distribution

Nicholas Spendlove — 2 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	16	20	1,100	$690	$816.1K
J2777	13	20	17,340	$30	$653.4K
66984	28	60	130	$500	$167.1K
67028	11	30	390	$90	$71.6K
66982	14	30	40	$660	$31.1K
66821	4	40	70	$240	$21.3K
92014	3	180	130	$70	$18.5K
92012	12	80	70	$60	$9.4K
83861	3	10	310	$20	$6.6K
92136	15	40	210	$30	$6.3K

Showing 1–10 of 23

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fillmore Eye Clinic Incorporated	NM	Ophthalmology Physician	$0	$6.2M
John Pitcher	NM	Ophthalmology Physician	$5.1M	$0
Fillmore Eye Clinic Incorporated	NM	Ambulatory Surgical Clinic/Center	$2.6M	$1.3M
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Mark Carmichael	CA	Hematology & Oncology Physician	$3.1M	$0
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
Daniel Kasuga	TX	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Richard Hwang	TX	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Joseph Furlong	TX	Diagnostic Radiology Physician	$2.4M	$39.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Otero County Hospital Association	NM	General Acute Care Hospital	$0	$73.2M
American Medical Response Ambulance Service Inc	NM	Ambulance	$3M	$23.9M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$5.2M
Rail Junction Emergency Physicians LLC	NM	Emergency Medicine Physician	$0	$4.4M
New Mexico Em-i Medical Services, P.C	NM	Nurse Practitioner	$0	$4.4M
Zia Therapy Center, Inc.	NM	Clinic/Center	$0	$4.3M
Four Corners Emergency Physicians PLLC	NM	Emergency Medicine Physician	$0	$3.2M
Alamogordo Physical Therapy & Wellness Center, Inc	NM	Physical Therapist	$0	$2.9M
Alamogordo Home Health Care And Hospice, Inc	NM	Home Health Agency	$0	$2.5M

Nicholas Spendlove — 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