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

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

Edward Fitzpatrick (NPI 1144222415)

Field	Value
Entity Type	Individual
Organization	Edward Fitzpatrick
Address	1 Lake St
City	New Britain
State	CT
ZIP	06052
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicare	$757.6K
Medicaid	$0

Key Findings

This provider’s Medicare book is concentrated in intravitreal drug and procedure codes, with J0178 (aflibercept) alone accounting for 68.5% of Medicare revenue (756 claims, $686 avg paid/claim, $518.6K revenue). Complementing that are 67028 (vitreous injection) and 92014 (comprehensive established exam), which together with J0178 form the revenue core; the precomputed top‑3 codes account for 87.1% of this provider’s total Medicare revenue, signaling a highly procedure- and drug-driven practice model.

The code mix (J0178 and J9035 injections plus 67028 injection procedures and retinal imaging 92134) is consistent with a retina-focused ophthalmology practice that delivers frequent intravitreal anti‑VEGF therapy and pairwise diagnostic imaging. High volumes of 92134 (1.3K claims, $32 avg paid/claim, $41.2K revenue) indicate a strong reliance on posterior-segment imaging to support therapeutic injection workflows.

Revenue concentration is pronounced: Medicare revenue totals $757.6K and the top three Medicare codes account for 87.1% of that total, indicating limited diversification across other services in Medicare billing. The predominance of drug and procedure payments versus E/M codes (92014 is 6.4% of revenue; office E/M 99214 and 99204 together represent only a small share) reinforces a procedure-centric revenue profile.

This provider is effectively single‑payer in reported data: Medicare revenue is $757.6K while there is no Medicaid billing on file. Analysts should treat the entity as Medicare-dependent for publicly reported payer mix and network exposure analysis, since Medicaid contributes no reported revenue.

Competitive standing by code is mixed: J0178 ranks #1557 of 3204 providers nationally (51st percentile) and is characterized as a typical, unremarkable volume for that code, while 67028 ranks #1347 of 4255 (68th percentile) and is also described as typical, unremarkable volume — both suggest steady, non-dominant participation in national markets for injection services. By contrast, 92134 ranks #1760 of 26868 (93rd percentile) and is labeled notably above typical national volume, indicating this provider performs retinal imaging at a well-above-average rate relative to peers and may have operational strength in OCT-based diagnostics.

Other specific codes reinforce the procedural focus: J9035 (bevacizumab) shows 607 claims and $32.8K revenue and is described as typical, unremarkable volume (rank #196 of 1852, 89th percentile), while 92250 and 92235 appear at modest volumes, together representing under 2% of Medicare revenue. These secondary imaging and diagnostic codes support injection workflows rather than representing independent revenue centers.

Tenure data show the provider’s NPI was enumerated on 2005-06-01 (~21 years ago), indicating long-established participation in Medicare and a sustained opportunity to build procedure volume over time. That tenure combined with concentrated injection and imaging activity suggests stable, specialized clinical practice rather than a recently established or broadly generalist outpatient clinic.

For payers and competitor analysis, the combination of heavy aflibercept revenue (J0178), frequent injection procedure billing (67028), and above-typical retinal imaging (92134) marks this provider as a reliable local source of intravitreal therapy and OCT-driven diagnostics, but not a national-volume leader for aflibercept; strategic engagement should assume Medicare-centric volumes and no Medicaid presence based on the available billing data.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	760	$690	$518.6K
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.	1,030	$90	$92.3K
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…	500	$100	$48.2K
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.	1,290	$30	$41.2K
J9035	Injection, bevacizumab, 10 mg	610	$50	$32.8K
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,…	200	$30	$5.9K
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…	20	$260	$5.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	40	$120	$5.2K
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…	30	$130	$3.7K
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…	20	$90	$1.8K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Edward Fitzpatrick — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	24	40	830	$690	$713.1K
67028	13	50	540	$100	$66.4K
92014	66	580	100	$90	$18.6K
92012	275	300	120	$70	$15.2K
92235	16	30	40	$110	$14.8K
99214	5,870	6,480	90	$90	$14.2K
J9035	2	30	130	$50	$10.4K
67228	4	10	20	$280	$8.5K
92134	20	320	60	$30	$7.7K
99204	1,270	2,660	30	$120	$4.6K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	General Acute Care Hospital	$0	$220M
Starling Physicians, PLLC	CT	Internal Medicine Physician	$0	$38.1M
Hartford Hospital	CT	Surgery Physician	$0	$27.5M
Hartford Healthcare Medical Group, Inc	CT	Surgery Physician	$0	$22.4M
The Hospital Of Central Connecticut At New Britain General And Bradley	CT	Hospitalist Physician	$0	$22.2M
Starling Physicians, PLLC	CT	Clinical Medical Laboratory	$809.9K	$4.4M
John Huang	CT	Ophthalmology Physician	$2M	$0
Yousong Wang	CT	General Practice Physician	$861.3K	$0
Nauman Piracha	CT	Hospitalist Physician	$489.5K	$104.3K
Stephen Firshein	CT	Hematology & Oncology Physician	$587.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adora Home Care, LLC	CT	In Home Supportive Care Agency	$0	$17M
Pediatric Dentistry And Orthodontics PLLC	CT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$4.9M
Liberty Integrated Behavioral Health, LLC	CT	Psychiatric/Mental Health Nurse Practitioner	$0	$2.1M
Liberty Home And Community Care LLC	CT	Home Health Agency	$0	$1.4M
Olivia Carter	CT	Psychiatric/Mental Health Nurse Practitioner	$20.8K	$1.2M
Rutland Dialysis LLC	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.2M
New Britain Obstetrical & Gynecological Group PC	CT	Obstetrics & Gynecology Physician	$0	$1.1M
Eric Gorny	CT	Diagnostic Radiology Physician	$234.5K	$0
Robert Gendler	CT	Diagnostic Radiology Physician	$231K	$0
Arun Agarwal	CT	Cardiovascular Disease Physician	$178.5K	$0

Edward Fitzpatrick — 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