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

Why is the Medicaid comparison limited to Puerto Rico 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. Puerto Rico (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 Townsend-pico (NPI 1104833409)

Field	Value
Entity Type	Individual
Organization	William Townsend-pico
Address	735 Ave Ponce De Leon
City	Hato Rey
State	PR
ZIP	00917
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 1, 2006

Payer Source	Total Paid
Medicare	$192K
Medicaid	$0

Key Findings

This provider's billing is effectively single‑payer: total Medicare revenue is $192K while there is no Medicaid billing on file. The absence of any Medicaid claims indicates this practice either does not participate in Medicaid, does not bill it, or treats a patient panel that is not covered by Medicaid, making Medicare the sole reported public payer in this dataset.

Revenue is highly concentrated in a small set of injection and retina procedures: the top three Medicare codes — J2777, J0178, and 67028 — account for 77.3% of the provider's total Medicare revenue. That concentration shows the practice is commercially focused on intravitreal drug administration and associated retina procedures rather than a broad mix of general ophthalmology services.

J2777 (faricimab) is the single largest revenue driver with $92.2K (48.1% of Medicare revenue) and a high claim count (3.2K claims), but its national rank is #1797 of 2039 (11th percentile; typical, unremarkable volume), indicating the provider uses this drug regularly yet is not a nationally high‑volume outlier. J0178 (aflibercept) supplies $44.2K (23.0%) from 64 claims and ranks #3113 of 3204 (3th percentile; typical, unremarkable volume), which further signals a modest footprint on the national stage for aflibercept administration despite meaningful revenue share.

Procedure 67028 (vitreous injection) contributes $11.9K (6.2% of Medicare revenue) from 143 claims and ranks #3317 of 4255 (22th percentile; typical, unremarkable volume), reinforcing that intravitreal injections are core operational activity but at a modest scale relative to national peers. Together with the drug codes, these CPT/HCPCS entries depict a retina‑oriented practice model centered on in‑office injections.

Diagnostics and office evaluation codes support the injection workflow but do not dominate revenue: 92134 (retinal imaging) generated $8.5K from 303 claims and is listed at #4969 of 26868 (81th percentile; typical, unremarkable volume), while E/M codes 99214 and 99213 account for $11.1K and $7.3K respectively across a combined 251 claims. The claim counts and percentile placements suggest steady imaging and outpatient management capacity that complements the injection service line.

Several individual CPT/HCPCS entries sit at low national percentiles: for example, J0178 ranks at the 3th percentile and 92235 (fluorescein angiography) ranks #2085 of 2192 (2th percentile; typical, unremarkable volume), indicating those specific services are billed at relatively low volume versus national peers. Overall, most listed codes carry the dataset's 'typical, unremarkable volume' designation rather than being labeled statistical outliers.

Operational and revenue risk is concentrated in drug administration: nearly half of Medicare revenue comes from a single code, J2777 ($92.2K, 48.1%), and the top three codes together make up 77.3% of Medicare revenue. This level of concentration creates sensitivity to changes in drug utilization patterns, reimbursement, or formulary decisions that affect faricimab and aflibercept.

The provider has long tenure in the NPI registry (enumerated 2006-08-01, ~20 years ago), indicating an established billing history and sustained presence in the market. That tenure, combined with the focused retina/injection profile, suggests an experienced, specialized practice rather than a newly established general ophthalmology clinic.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	3,180	$30	$92.2K
J0178	Injection, aflibercept, 1 mg	60	$690	$44.2K
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.	140	$80	$11.9K
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…	120	$90	$11.1K
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.	300	$30	$8.5K
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…	130	$60	$7.3K
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…	30	$110	$3.6K
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…	30	$80	$2.9K
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.	20	$90	$2.1K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	180	$10	$1.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Puerto Rico Distribution

William Townsend-pico — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Puerto Rico

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	1	10	3,180	$30	$92.4K
J0178	2	10	100	$690	$69.2K
67028	3	10	60	$90	$7.7K
99214	77	470	50	$80	$6.6K
92014	48	80	40	$80	$5.2K
92012	146	150	50	$60	$4.3K
99213	192	1,530	50	$60	$4.2K
92004	35	70	20	$100	$2.9K
99204	31	200	20	$110	$2.7K
92134	3	60	50	$30	$2.2K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants Of P.r.	PR	Ophthalmology Physician	$0	$1.7M
Jessica Cedeno	PR	Ophthalmology Physician	$33K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Puerto Rico Pathology Associates P	PR	Anatomic Pathology & Clinical Pathology Physician	$0	$6.8M
Metro Pavia At Home LLC	PR	Home Health Agency	$0	$5.6M
Centro De Rehabilitacion Y Electrodiagnostico De Hato Rey, LLC	PR	Physical Medicine & Rehabilitation Physician	$0	$1.8M
Er Specialized Care LLC	PR	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.5M
Aid System LLC	PR	Diagnostic Radiology Physician	$0	$1.3M
Rvp Dental Medical Center, LLC	PR	Dental Clinic/Center	$0	$948.1K
Oncology & Body Imaging Psc	PR	Diagnostic Radiology Physician	$0	$905.6K
Endourological Institute Inc	PR	Ambulatory Surgical Clinic/Center	$16.9K	$609.4K
Mirelis Acosta	PR	Hematology & Oncology Physician	$6.3K	$215.1K
Gabriela Trabal-yulfo	PR	Ophthalmology Physician	$24.3K	$185.1K

William Townsend-pico — Billing Profile & Reimbursement Data

Sign up for William Townsend-pico — Billing Profile & Reimbursement Data policy alerts

William Townsend-pico — Billing Profile & Reimbursement Data

Sign up for William Townsend-pico — Billing Profile & Reimbursement Data policy alerts

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