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

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

Thomas Jenkins (NPI 1114345634)

Field	Value
Entity Type	Individual
Organization	Thomas Jenkins
Address	8720 Stony Point Pkwy Ste 105
City	Richmond
State	VA
ZIP	23235
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 1, 2014

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This profile is effectively single‑payer: the provider reports Total Medicare revenue of $2.8M and has no Medicaid billing on file, so Medicare dominates the financial picture and there is no recorded Medicaid activity to analyze. Analysts should treat this as a Medicare‑centric practice when considering payer mix or access implications.

Revenue is highly concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 87.0% of the provider's Medicare revenue, driven by J0178 (77.0%), 67028 (6.8%), and 92134 (3.2%). This concentration indicates that a handful of procedures—primarily retina injections and imaging—are the principal revenue drivers.

The operational footprint is retina‑focused and injection‑centric. J0178 (3.1K claims, $689 avg paid/claim, $2.1M revenue) is by far the largest line item and is an aflibercept injection code; combined with high volumes in 67028 (2.1K claims, $189.5K revenue) for intravitreal injections and 92134 (3.2K claims, $89.7K revenue) for retinal OCT imaging, the mix points to a practice organized around frequent intravitreal anti‑VEGF therapy and associated diagnostic imaging.

The provider ranks as a high‑volume national performer on key retina codes. J0178 ranks #165 of 3204 providers nationally (95th percentile; notably above typical national volume for this code), 67028 ranks #334 of 4255 (92th percentile; notably above typical national volume for this code), and 92134 ranks #328 of 26868 (99th percentile; extreme outlier, far above typical national volume for this code), signaling above‑typical utilization relative to peers for injections and retinal imaging.

Despite the injection and imaging dominance, there is measurable surgical retina activity and higher‑complexity procedures on file. Codes such as 67145 (87 claims, $16.7K revenue) rank #8 of 861 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and vitrectomy/repair codes like 67042 (29 claims, $24.4K revenue) and 67113 (16 claims, $16K revenue) are present, indicating an active surgical component in addition to office‑based injections.

Visit and evaluation mix shows both new and established visits at above‑typical volumes, consistent with a busy specialty practice that generates procedure volume from office encounters. 92014 (1K claims, $86.5K revenue) ranks #1522 of 35415 (96th percentile; notably above typical national volume for this code), 92004 (209 claims, $20.5K revenue) ranks #1031 of 26467 (96th percentile; notably above typical national volume), and 99204 (252 claims, $29K revenue) ranks #2366 of 227068 (99th percentile; extreme outlier, far above typical national volume), which together suggest substantial new‑patient evaluation throughput and more complex E/M encounters.

Procedure mix shows a clear preference for aflibercept over alternative intravitreal agents. J0178 (aflibercept) is the dominant drug revenue source at $2.1M (77.0% of Medicare revenue), while J2777 (faricimab) and J9035 (bevacizumab) account for far smaller shares ($55.7K and $49K respectively) and very different rank profiles (J2777 ranks in the 3th percentile; typical, unremarkable volume for this code, while J9035 ranks at the 95th percentile; typical, unremarkable volume for this code).

Tenure and stability: the provider's NPI was enumerated 2014-04-01 (~12 years ago), indicating roughly a decade of Medicare participation; combined with the concentration and high percentiles on specialty retina codes, this suggests an established ophthalmology/r retina practice that has built sustained Medicare procedure volume over time.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,110	$690	$2.1M
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.	2,130	$90	$189.5K
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.	3,200	$30	$89.7K
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…	1,040	$80	$86.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	1,920	$30	$55.7K
J9035	Injection, bevacizumab, 10 mg	920	$50	$49K
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…	250	$120	$29K
67042	In 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…	30	$840	$24.4K
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…	240	$90	$22K
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.	210	$100	$20.5K

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

Claims Volume vs. Virginia Distribution

Thomas Jenkins — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	80	1,400	$690	$1.1M
J2777	55	60	13,200	$30	$517.1K
67028	14	90	1,000	$90	$107.1K
67042	8	20	20	$1,130	$33.8K
92014	84	870	170	$80	$32.8K
67108	15	20	20	$1,180	$23.5K
99214	4,392	12,890	140	$80	$21K
J9035	6	60	170	$50	$19.9K
67036	17	20	20	$940	$19.8K
67113	2	10	20	$940	$16K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Eye Consultants Inc	VA	Ophthalmology Physician	$0	$8.3M
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Michael Klufas	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Allen Chiang	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lighthouse Behavioral Health Center, LLC	VA	Community/Behavioral Health Agency	$0	$16.5M
Radiology Associates Of Richmond Inc	VA	Diagnostic Radiology Physician	$0	$14.2M
Hobby Home Care, LLC	VA	Home Health Agency	$0	$12M
The Pediatric Connection, Inc	VA	Nursing Care Agency	$0	$11.7M
Caremed, Inc	VA	Home Health Agency	$0	$10.7M
Care Advantage, Inc	VA	Home Health Agency	$0	$10.7M
Family Guidance Of Virginia	VA	Community/Behavioral Health Agency	$0	$9.6M
Daily Grace, LLC	VA	Community/Behavioral Health Agency	$0	$9.1M
Trinity Care LLC	VA	Community/Behavioral Health Agency	$0	$7.8M
Stony Point Surgery Center, L.L.C	VA	Ambulatory Surgical Clinic/Center	$4.9M	$1.4M

Thomas Jenkins — 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