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

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

Allen County Retinal Surgeons, P.C. (NPI 1083738397)

Field	Value
Entity Type	Organization
Organization	Allen County Retinal Surgeons, P.C.
Address	7900 W Jefferson Blvd
City	Fort Wayne
State	IN
ZIP	46804
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 19, 2007

Payer Source	Total Paid
Medicaid	$3.1M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,590	$470	$2.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	1,010	$460	$465.4K
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.	7,720	$20	$154.4K
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…	5,920	$20	$136.1K
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.	9,320	$10	$74.6K
J9035	Injection, bevacizumab, 10 mg	1,920	$20	$36.5K
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…	1,310	$20	$27.5K
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…	930	$20	$19.6K
J2778	Injection, ranibizumab, 0.1 mg	60	$310	$18.7K
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…	400	$30	$13.6K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Indiana providers billing the same CPT/HCPCS codes.

Claims Volume vs. Indiana Distribution

Allen County Retinal Surgeons, P.C. — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	2	20	470	$610	$598.3K
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…	403	2,120	870	$60	$450.6K
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…	1,050	2,380	920	$50	$376.8K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	444	530	740	$30	$210K
J2777	Injection, faricimab‑svoa, 0.1 mg	1	10	100	$530	$161.9K
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…	561	690	360	$70	$110.9K
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.	4	60	1,260	$50	$108.4K
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…	246	790	150	$90	$99.4K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	186	280	210	$70	$83.4K
J2778	Injection, ranibizumab, 0.1 mg	2	10	60	$280	$56.7K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Allen County Retinal Surgeons, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
James Kim	IN	Ophthalmology Physician	$772.8K	$252.2K

Nearby Providers

Other providers in the same ZIP code as Allen County Retinal Surgeons, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Iom Health System LP	IN	General Acute Care Hospital	$0	$27.4M
Lutheran Medical Group LLC	IN	Cardiovascular Disease Physician	$0	$21.9M
Community Hca, Inc.	IN	Home Health Agency	$0	$19.4M
Booth & Company, Inc.	IN	Clinical Psychologist	$0	$16.5M
Emergency Professionals Of Indiana, P.C.	IN	Emergency Medicine Physician	$0	$15.3M
Summit Radiology P C	IN	Diagnostic Radiology Physician	$0	$11.6M
Racc Medical Associates LLC	IN	Physical Medicine & Rehabilitation Physician	$0	$11.3M
Jefferson Park Pediatrics P C	IN	Pediatrics Physician	$0	$9.1M
Emergency Medicine Of Indiana LLC	IN	Emergency Medicine Physician	$0	$6.5M
Allergy & Asthma Center, PC	IN	Allergy & Immunology Physician	$0	$4.7M

Allen County Retinal Surgeons, P.C. — Billing Profile & Reimbursement Data

Sign up for Allen County Retinal Surgeons, P.C. — Billing Profile & Reimbursement Data policy alerts

Allen County Retinal Surgeons, P.C. — Billing Profile & Reimbursement Data

Sign up for Allen County Retinal Surgeons, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References