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

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

Matthew Adams (NPI 1124361076)

Field	Value
Entity Type	Individual
Organization	Matthew Adams
Address	6843 Communications Pkwy Ste 810
City	Plano
State	TX
ZIP	75024
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 28, 2013

Payer Source	Total Paid
Medicare	$873.3K
Medicaid	$0

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
J0178	Injection, aflibercept, 1 mg	500	$690	$343.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,640	$30	$250.6K
J2778	Injection, ranibizumab, 0.1 mg	400	$190	$74.3K
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…	630	$80	$48.6K
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.	540	$90	$45.8K
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…	70	$400	$29.1K
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.	910	$30	$25.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	120	$160	$18.7K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	20	$680	$10.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$100	$9.5K

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. Texas Distribution

Matthew Adams — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	122	210	610	$690	$694.9K
J2777	54	140	7,470	$30	$479.2K
J2778	55	80	630	$180	$345.3K
66984	559	990	100	$560	$113.9K
67028	140	290	510	$90	$73K
J7312	35	40	200	$150	$40.8K
67036	40	70	20	$1,000	$29.1K
92235	130	160	60	$100	$21.3K
99214	2,303	32,500	110	$80	$17.6K
J7999	58	140	90	$80	$14.4K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
David Miller	OH	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Coney	OH	Retina Specialist (Ophthalmology) Physician	$3.2M	$140
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Shawn Lewis	OH	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Thomas Hull	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Michael Novak	OH	Retina Specialist (Ophthalmology) Physician	$2.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Autism And Related Disorders LLC	TX	Behavior Analyst	$0	$73M
Children's Health System Of Texas	TX	Children's Hospital	$0	$65.8M
Nys Home Health, LLC	TX	Home Health Agency	$0	$11.1M
Delta Laboratories LLC	TX	Clinical Medical Laboratory	$4.7M	$690.5K
Joel Lurie	TX	Nurse Practitioner	$2.8M	$0
Hemang Pandya	TX	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Medi-lynx Cardiac Monitoring LLC	TX	Physiological Laboratory	$4.4K	$741.4K
Andrew Binder	TX	Cardiovascular Disease Physician	$677.6K	$0
Jose Rivera	TX	Cardiovascular Disease Physician	$646.5K	$0
Hao-yu Ren	TX	Cardiovascular Disease Physician	$546.6K	$0

Matthew Adams — Billing Profile & Reimbursement Data

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Matthew Adams — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References