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

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

Daniel Ferguson (NPI 1124097936)

Field	Value
Entity Type	Individual
Organization	Daniel Ferguson
Address	10150 W National Ave
City	West Allis
State	WI
ZIP	53227
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 15, 2006

Payer Source	Total Paid
Medicare	$947.3K
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the primary payer exposure: total Medicare revenue is $947.3K while there is no Medicaid billing on file, so the practice is effectively single‑payer from a public program perspective and will be sensitive to Medicare reimbursement and utilization trends. The absence of Medicaid claims suggests either nonparticipation in Medicaid or a patient mix concentrated in Medicare and commercial payers, which has implications for network contracting and access considerations in West Allis, WI.

Revenue is highly concentrated in a small set of codes: the top three Medicare codes (J2777, J0178, 66984) account for 80.8% of this provider's total Medicare revenue, with reported revenues of $382.8K (J2777), $253.6K (J0178), and $128.5K (66984) respectively. That concentration indicates the business is substantially dependent on a mix of high‑cost intraocular drug therapy and cataract surgery-related services for its Medicare receipts.

The procedure and drug mix point to a combined surgical and medical-retina practice model: large-volume biologic injections (J2777 – faricimab and J0178 – aflibercept) together with cataract surgery (66984), intravitreal injection (67028), and diagnostic imaging codes (92134, 92136) indicate the provider delivers both medical retina injection therapy and surgical ophthalmology services. This mix is consistent with a practice that manages retinal disease with frequent injections while also maintaining cataract surgery and diagnostic imaging capacity.

Statistical standing for the leading drug code is middling: J2777 (13.2K claims, $29 avg paid/claim, $382.8K revenue) ranks #788 of 2039 providers nationally (61th percentile; typical, unremarkable volume), so while J2777 generates the single largest share of revenue, its usage level is described as typical among peers rather than an outlier. By contrast, J0178 (368 claims, $689 avg paid/claim, $253.6K revenue) ranks #2188 of 3204 (32th percentile; typical, unremarkable volume), indicating relatively lower national volume for aflibercept even though it is the second largest revenue contributor locally.

Surgical and evaluation services show relatively stronger peer positioning: 66984 (350 claims, $367 avg paid/claim, $128.5K revenue) ranks #3657 of 15965 (77th percentile; typical, unremarkable volume) and 92004 ranks #1436 of 26467 (94th percentile; typical, unremarkable volume). These percentiles suggest the provider has above‑typical cataract surgery and new‑patient comprehensive exam activity versus national peers, supporting the characterization of an established surgical practice component.

The payer‑sensitive economics of the drug mix are notable: J2777 and J0178 together produce the majority of Medicare dollars but differ markedly in claim volume and average paid per claim ($29 avg for J2777 vs $689 avg for J0178), which implies different utilization and reimbursement dynamics that could affect revenue volatility if drug choice or payer policies shift. Given that top drug codes are labeled as "typical, unremarkable volume," the revenue concentration arises from the combination of drug pricing and utilization rather than uniquely high utilization relative to peers.

Tenure data show the NPI was enumerated on 2006-03-15 (~20 years ago), indicating a long-established billing presence; that length of activity is consistent with the observed mix of surgical and ongoing injection services which often reflect an established referral base and procedural infrastructure. Long tenure can support stability in surgical volume and ongoing retinal care, though continued reliance on Medicare drug reimbursements concentrates financial exposure.

Operational and contracting implications: because there is no Medicaid billing on file and Medicare accounts for $947.3K in lifetime revenue, payers and provider analysts should treat this practice as Medicare‑centric when modeling networks or negotiating rates. The combination of above‑typical cataract surgery percentiles and concentrated revenue in high‑cost injected drugs suggests negotiations and utilization management efforts should focus on drug reimbursement policies, drug choice patterns, and surgical capacity rather than Medicaid participation trends.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	13,200	$30	$382.8K
J0178	Injection, aflibercept, 1 mg	370	$690	$253.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	350	$370	$128.4K
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…	640	$80	$50.5K
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.	390	$90	$35.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$260	$17.8K
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.	180	$100	$17.6K
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.	620	$30	$17.4K
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…	140	$90	$12.5K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	390	$30	$10.2K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Daniel Ferguson — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	35	60	440	$690	$488.1K
J2777	5	30	7,290	$30	$332K
66984	157	310	350	$50	$66.4K
67028	50	110	310	$80	$43.7K
J9035	46	70	110	$50	$14.5K
66821	49	180	40	$100	$13K
92014	21	720	120	$70	$12.9K
99214	2,884	9,800	80	$70	$9.2K
92012	29	160	50	$60	$5.1K
92134	50	600	60	$30	$4.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Care Specialists, S.c.	WI	Ophthalmology Physician	$0	$3.5M
Brett Rhode	WI	Ophthalmology Physician	$796.4K	$0
Michael Raciti	WI	Ophthalmology Physician	$519.3K	$0
Daniel Paskowitz	WI	Ophthalmology Physician	$441.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A2cl Services, LLC	WI	Clinical Medical Laboratory	$19M	$98.7M
West Allis Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$23.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$21.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Health Agency	$0	$15.4M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$204.8K	$11.2M
Great Lakes Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.4M
Samer Dola	WI	Hematology (Pathology) Physician	$103.3K	$5.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$5.2M
Atlas Healthcare, Inc	WI	Home Health Agency	$0	$4.5M
Surgicenter Of Greater Milwaukee, LLC	WI	Ambulatory Surgical Clinic/Center	$0	$4.4M

Daniel Ferguson — 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