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

Why is the Medicaid comparison limited to Pennsylvania 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. Pennsylvania (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 Klocek (NPI 1134462161)

Field	Value
Entity Type	Individual
Organization	Matthew Klocek
Address	7000 Stonewood Dr Ste 200
City	Wexford
State	PA
ZIP	15090
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 28, 2013

Payer Source	Total Paid
Medicare	$331.1K
Medicaid	$0

Key Findings

This provider’s Medicare billing is concentrated and modest in scale: lifetime Medicare revenue is $331.1K and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available datasets. The top 3 Medicare codes by revenue account for 73.9% of total Medicare revenue, indicating a narrow set of services drive most billing.

The revenue and code mix point to a practice focused on medical retina injections and cataract procedures with routine ophthalmic care. J0178 (injection, aflibercept) is the single largest revenue source with $169.4K (51.2% of Medicare revenue) over 248 claims, supplemented by intravitreal injection code 67028 and high use of fundus photography 92250 (412 claims, $10.3K).

Top codes confirm revenue concentration around a few procedures: J0178 accounts for $169.4K (51.2%), 92014 accounts for $40.7K (12.3%), and 66984 accounts for $34.7K (10.5%), together matching the precomputed 73.9% share. These three codes alone drive the majority of Medicare dollars, which has implications for contract negotiation, utilization management, and network capacity planning.

Competitive standing for the leading retinal drug administration is modest: J0178 ranks #2444 of 3204 providers nationally (24th percentile; typical, unremarkable volume for this code), so while it generates the most revenue for this provider, the provider is not a high-volume national outlier for aflibercept injections. By contrast, other diagnostic and monitoring procedures such as 92250 rank higher relative to peers.

Clinical/service mix shows balanced surgical and medical ophthalmology activity: the cataract procedure 66984 (79 claims, $34.7K) is a meaningful revenue contributor and ranks #8897 of 15965 providers nationally (44th percentile; typical, unremarkable volume for this code), while related codes 66982 and 66821 also appear in the top list, indicating routine cataract surgery and postoperative laser capsulotomy form a steady part of the practice.

Utilization of office visits and new-patient E&M suggests above-average complexity intake: 99204 appears with 130 claims and $11.4K (3.5% of revenue) and ranks #15056 of 227068 providers nationally (93th percentile; notably above typical national volume for this code), implying the provider reports comparatively high volume of moderate-complexity new-patient evaluations. Established-patient comprehensive visits (92014) are also a meaningful portion of revenue (509 claims, $40.7K) and rank #5292 of 35415 providers nationally (85th percentile; typical, unremarkable volume for this code), supporting steady outpatient follow-up.

Diagnostic imaging and testing are used frequently relative to peers and support the medical retina profile: 92250 (fundus photography) accounts for $10.3K and ranks #1689 of 25087 providers nationally (93th percentile; typical, unremarkable volume for this code), and OCT/retinal imaging codes such as 92134 and 92133 appear on the roster, indicating integrated imaging capabilities that accompany intravitreal therapy.

The provider has been enumerated since 2013-03-28 (~13 years ago), showing over a decade of activity in Medicare; despite that tenure, lifetime Medicare revenue of $331.1K places this clinician at a small-to-midsize footprint in the national Medicare ophthalmology market. This combination of long tenure, concentrated revenue sources, and absence of Medicaid billing may inform partner selection and payer negotiations focused on retina and cataract service lines.

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
J0178	Injection, aflibercept, 1 mg	250	$680	$169.4K
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…	510	$80	$40.7K
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…	80	$440	$34.7K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$570	$16.1K
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.	160	$100	$15.7K
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…	130	$90	$11.4K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	410	$30	$10.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$340	$9.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	110	$70	$7.6K
J7999	Compounded drug, not otherwise classified	60	$70	$4.2K

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. Pennsylvania Distribution

Matthew Klocek — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	140	830	$690	$865.1K
66984	4	670	80	$530	$97.8K
67028	2	180	600	$90	$87.5K
J7999	1	110	100	$120	$33.3K
66982	3	200	30	$640	$23.2K
92014	2	1,570	130	$80	$21K
66821	2	420	50	$230	$18.3K
92012	3	930	80	$60	$14K
92134	3	1,320	60	$30	$8.4K
92136	3	390	130	$30	$5K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care Unlimited Inc.	PA	Home Health Agency	$0	$32.4M
Foundation Radiology Group PC	PA	Diagnostic Radiology Physician	$0	$8.8M
Miracle Dental Associates	PA	General Practice Dentistry	$0	$5.7M
Nishant Gandhi	PA	Pain Medicine (Anesthesiology) Physician	$387.9K	$1M
Western PA Surgery Center, Wexford Branch, LLC	PA	Ambulatory Surgical Clinic/Center	$915.9K	$0
Allegheny Clinic	PA	Radiology Clinic/Center	$842K	$0
Mccandless-franklin Park Ambulance Authority	PA	Land Ambulance	$443.1K	$367.4K
Mark Mitros	PA	Physical Medicine & Rehabilitation Physician	$112K	$552.3K
Allegheny Clinic	PA	Ambulatory Surgical Clinic/Center	$434.8K	$0
Joshua Hagen	PA	Dermatology Physician	$367.4K	$0

Matthew Klocek — Billing Profile & Reimbursement Data

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Matthew Klocek — 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

Nearby Providers

Frequently Asked Questions

References