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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Walter Mclean (NPI 1124002399)

Field	Value
Entity Type	Individual
Organization	Walter Mclean
Address	21 Medical Park Dr
City	Asheville
State	NC
ZIP	28803
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 1, 2005

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

This provider is effectively Medicare-centric with Total Medicare revenue of $2M and no Medicaid billing on file; the absence of any Medicaid claims indicates a single-payer operational profile in public programs and means analyses of payer mix should treat this entity as Medicare-dominated. The NPI was enumerated 2005-12-01 (~21 years ago), indicating a long-tenured presence in the market that likely supports stable referral patterns and an established patient panel.

Revenue is highly concentrated in a small set of injection and clinic visit codes: the precomputed top 3 Medicare codes by revenue account for 83.4% of this provider's total Medicare revenue, led by J0178 with $1.3M (63.1% of Medicare revenue), followed by J2777 at $245.3K (12.3%) and 92014 at $162.5K (8.1%). This concentration signals that a few high-revenue services — especially the aflibercept injection coded as J0178 — drive the majority of billed Medicare dollars for this clinician.

Clinical/service-line mix is consistent with a retina specialist whose work is procedure- and imaging-driven: large volumes of intravitreal pharmacologic therapy (J0178 $1.3M; J2777 $245.3K; J9035 $48.3K) are complemented by high-volume comprehensive established eye exams (92014 $162.5K) and posterior-segment imaging (92134 $49.6K). The presence of substantial revenue from both injections and diagnostic codes (92134, 92250) matches a practice model focused on ongoing retinal disease management that combines therapeutic injections with serial imaging and follow-up visits.

Dependence on a high-cost injectable is a material business exposure: J0178 alone accounts for $1.3M and 63.1% of this provider's Medicare revenue, so changes in utilization patterns, reimbursement policy, or drug pricing for aflibercept could materially affect overall revenue. While other intravitreal drug codes (J2777 $245.3K; J9035 $48.3K) and procedure code 67028 $153K also contribute, the revenue mix is skewed toward a single dominant drug code.

Competitive standing across codes is mixed: J0178 ranks #606 of 3204 providers nationally (81th percentile; described as a typical, unremarkable volume for this code), indicating a solid but not dominant national position among aflibercept injectors. In contrast, 92014 is an extreme outlier — 1.9K claims and $162.5K revenue, ranking #291 of 35415 providers nationally (99th percentile) — which signals unusually high established-patient exam volume relative to ophthalmologist peers and suggests a large retained patient base or heavy follow-up throughput.

Imaging and diagnostics show above-typical utilization for certain services: 92134 (1.8K claims, $49.6K) ranks #1256 of 26868 providers nationally (95th percentile; notably above typical national volume), and 92250 ($7.4K) ranks in the 88th percentile. These elevated percentiles for posterior-segment imaging support the interpretation that the practice invests in and bills frequently for retinal imaging as part of ongoing disease monitoring.

Several other codes have modest to niche contributions consistent with retina subspecialty care: 67028 (1.8K claims, $153K; 7.6% of Medicare revenue) and J2781 (255 claims, $30.6K; 1.5%) reflect procedural injections and newer therapeutics on the drug mix, while smaller-volume codes such as 67228 and 92235 contribute marginal revenue. The code mix indicates a focus on intravitreal procedures, laser treatment capacity, and angiographic diagnostics rather than broad primary-care or multispecialty services.

From an analyst perspective, the combination of long tenure (NPI enumerated 2005-12-01 (~21 years ago)), extreme E/M volume for 92014, and heavy reliance on J0178 suggests a mature retina practice with a large established patient panel and operation centered on repeat injections and follow-up imaging. Given the single-payer (Medicare-only) footprint in the public programs dataset, strategic or reimbursement shifts in Medicare policy for injectable retinal therapies would be the primary external risk to monitor for this provider.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,830	$690	$1.3M
J2777	Injection, faricimab‑svoa, 0.1 mg	8,460	$30	$245.3K
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…	1,910	$90	$162.5K
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.	1,820	$80	$153K
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.	1,770	$30	$49.6K
J9035	Injection, bevacizumab, 10 mg	910	$50	$48.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	260	$120	$30.6K
J2778	Injection, ranibizumab, 0.1 mg	110	$180	$19.8K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	30	$260	$8K
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…	80	$110	$7.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Walter Mclean — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	26	100	950	$690	$881K
J2777	41	70	12,990	$30	$503.7K
J2778	45	50	620	$180	$202.2K
67028	15	120	780	$90	$80K
J2781	9	10	480	$120	$75.8K
92014	8	880	110	$80	$17.7K
99214	13,448	18,060	110	$80	$15.1K
J9035	4	90	140	$50	$13.4K
92012	296	300	80	$60	$8.9K
92235	52	70	60	$100	$8.7K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Bridges	NC	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Cameron Stone	NC	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Christopher Komanski	NC	Ophthalmology Physician	$2.3M	$0
William Haynes	NC	Ophthalmology Physician	$459.5K	$0
Alexander Walters	NC	Ophthalmology Physician	$433.6K	$0
Damien Macaluso	NC	Ophthalmology Physician	$374.2K	$0
James Crandall	NC	Ophthalmology Physician	$371.4K	$0
Jordan Masters	NC	Ophthalmology Physician	$363.1K	$0
Jeffrey Goldstein	NC	Ophthalmic Plastic and Reconstructive Surgery Physician	$295.8K	$0
Michael Oswald	LA	Ophthalmology Physician	$240.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Rehabilitation Specialists, Inc.	NC	Speech-Language Pathologist	$0	$26.1M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$17.5M
The Bair Foundation	NC	Foster Care Agency	$0	$17.3M
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$14.6M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$14.3M
Tender Loving Care Homes, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.1M
Asheville Pediatric Associates	NC	Pediatrics Physician	$0	$10.9M
Asheville Children's Medical Center, P.A.	NC	Pediatrics Physician	$0	$9.4M
Crossroads Treatment Centers Of Asheville, PC	NC	Multi-Specialty Clinic/Center	$81.2K	$6.5M
Orthopaedic Surgery Center Of Asheville, LP	NC	Ambulatory Surgical Clinic/Center	$5.1M	$11.7K

Walter Mclean — Billing Profile & Reimbursement Data

Sign up for Walter Mclean — Billing Profile & Reimbursement Data policy alerts

Walter Mclean — Billing Profile & Reimbursement Data

Sign up for Walter Mclean — 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