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

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

William Priester (NPI 1093710857)

Field	Value
Entity Type	Individual
Organization	William Priester
Address	609 Skyline Dr
City	Jackson
State	TN
ZIP	38301
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 17, 2005

Payer Source	Total Paid
Medicare	$3.2M
Medicaid	$0

Key Findings

This provider is a retina-focused ophthalmology practice dominated by intravitreal injection therapies and retinal imaging. The top revenue-driving codes are J0178 (injection, aflibercept), Q5128 (ranibizumab biosimilar), and J2778 (ranibizumab), and the presence of high-volume imaging CPTs such as 92134 and procedure codes like 67028 supports a service mix centered on medical retina care rather than primary care ophthalmology or broad multispecialty practice models.

Medicare revenue is concentrated in a few therapies: J0178 accounts for $1.1M (34.9% of Medicare revenue), Q5128 accounts for $635.2K (19.8%), and J2778 accounts for $407.9K (12.7%); precomputed totals show the top 3 codes together account for 67.3% of this provider's total Medicare revenue. This concentration indicates the practice’s financial performance is heavily dependent on anti-VEGF injections.

The provider’s payer mix is effectively single-payer at present: total Medicare revenue is $3.2M while there is no Medicaid billing on file. Analysts should treat this profile as Medicare-dominant when modeling throughput, reimbursement risk, or expansion into Medicaid populations.

Competitive standing by code is mixed: for some injection codes this provider is a typical-volume participant nationally (J0178 ranks #739 of 3204, 77th percentile; J2778 ranks #190 of 1208, 84th percentile), while for select services the provider is a high outlier or notably above typical volume. Notable examples include J9035 (bevacizumab) which ranks #12 of 1852 and is labeled an "extreme outlier" at the 99th percentile, 92134 (retinal imaging) which ranks #125 of 26868 and is a 100th percentile "extreme outlier," and 67028 (isolated intravitreal injection) which ranks #78 of 4255 and is "notably above typical national volume."

Operational implications: the large claim volumes for injection and imaging codes imply substantial clinic throughput and need for in-office drug handling, injection suites, and retinal imaging capacity. High paid-per-claim amounts for J0178 ($690 avg paid/claim) and the significant volumes for biosimilars like Q5128 ($214 avg paid/claim) suggest procurement, drug administration, and inventory management are central to day-to-day operations.

Surgical and complex procedure volume appears limited relative to injection and imaging activity: 67042 (vitrectomy with ILM peeling) shows 20 claims and $17K revenue, and other surgical codes (67210, 67145) contribute minimal revenue. This pattern reinforces a service-line focus on outpatient injection-based management of retinal disease rather than a surgery-heavy retina center.

Tenure data show the NPI was enumerated on 2005-06-17 (~21 years ago), indicating long-standing operation and likely established referral relationships in the JACKSON, TN market. That longevity combined with concentrated Medicare revenue may reflect an entrenched clinical niche serving Medicare-aged retinal disease populations.

For competitive benchmarking and risk assessment, note the mix of typical-volume rankings for primary anti-VEGF codes and extreme outlier status for certain imaging and bevacizumab codes. This combination suggests the provider is strategically focused on high-throughput injection and diagnostics where they are a regional high-volume performer, while remaining a more modest national participant for some branded anti-VEGF products.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,620	$690	$1.1M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	2,970	$210	$635.2K
J2778	Injection, ranibizumab, 0.1 mg	2,230	$180	$407.9K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,140	$30	$294.1K
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.	3,220	$90	$289.7K
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…	1,640	$80	$134.6K
J9035	Injection, bevacizumab, 10 mg	2,230	$50	$120.3K
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.	4,050	$30	$117.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	190	$100	$19.3K
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…	170	$110	$19.1K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

William Priester — 6 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	80	790	$680	$769.8K
J2777	36	50	15,060	$30	$592.1K
Q5128	4	20	1,190	$210	$394K
J2778	16	40	1,340	$180	$370.2K
67028	2	80	1,130	$90	$98.5K
67042	25	40	20	$1,020	$34.5K
92014	12	810	120	$80	$19.2K
J9035	1	70	140	$50	$17.1K
99214	9,902	11,370	120	$80	$16.6K
92134	1	600	60	$30	$8.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tawan Khamapirad	TN	Ophthalmology Physician	$3.4M	$4.2K
Lawrence Gordon	TN	Ophthalmology Physician	$2.9M	$0
Richard Sievers	TN	Ophthalmology Physician	$2.5M	$0
Steven Williams	TN	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Calvin Brown	MS	Ophthalmology Physician	$1.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jackson Madison County General Hospital	TN	General Acute Care Hospital	$0	$46.6M
Pathways Of Tennessee, Inc.	TN	Clinic/Center	$0	$30.6M
Emergency Medical Care Facilities PC	TN	Emergency Medicine Physician	$0	$19.7M
A Plus Care Solutions Incorporated	TN	In Home Supportive Care Agency	$0	$18.4M
Jackson-madison County General Hospital	TN	Land Ambulance	$5.1M	$13M
Mid-south Perinatal Associates PC	TN	Maternal & Fetal Medicine Physician	$0	$11.6M
West Tennessee Medical Group Inc	TN	Internal Medicine Physician	$0	$8.2M
Wt University Medical Associates Inc	TN	Family Medicine Physician	$0	$7.5M
Jackson-madison County General Hospital	TN	Community/Retail Pharmacy	$0	$7.4M
Shavetta Conner	TN	Public Health & General Preventive Medicine Physician	$8.1K	$4.9M

William Priester — 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