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.

Mitchell Wolf (NPI 1144261801)

Field	Value
Entity Type	Individual
Organization	Mitchell Wolf
Address	1025 Regent St
City	Madison
State	WI
ZIP	53715
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider's Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 85.9% of the provider's total Medicare revenue, with J0178 alone representing $1.1M or 68.6% of Medicare revenue. That concentration indicates that a single product—aflibercept delivered via intravitreal injection—is the dominant revenue driver for this practice.

The code mix points to a retina-focused ophthalmology practice that primarily delivers intravitreal pharmacotherapy and outpatient retinal care. High-revenue and high-claim codes include J0178 (1.6K claims), J2777 (5.2K claims) and 67028 (1.5K claims), and the presence of retina-procedure codes such as 67041 (26 claims, $22.2K) and laser/retinal repair code 67145 suggests occasional surgical or procedural retina work alongside injection-based therapy.

On payer mix this entity is effectively single-payer: lifetime Medicare revenue is $1.6M while there is no Medicaid billing on file. The absence of Medicaid activity means analyses of state Medicaid market share or Medicaid-based referral patterns are not supported by the billing record.

Competitive standing is mixed across codes: J0178 ranks #742 of 3204 providers nationally (77th percentile; typical, unremarkable volume), 67028 ranks #792 of 4255 (81th percentile; typical, unremarkable volume), and J2777 ranks #1511 of 2039 (26th percentile; typical, unremarkable volume). In other words, the provider is a modest to moderate national participant on high-revenue injection codes but not a dominant national outlier for those top drug administrations.

Several non-drug services show notably above-typical national volume, indicating strong clinic throughput for imaging and E/M care. 92134 ranks #1186 of 26868 providers nationally (96th percentile; notably above typical national volume) and 99213 ranks #15561 of 457151 providers nationally (97th percentile; notably above typical national volume), which suggests frequent use of retinal imaging (OCT) and steady volumes of established-patient office visits.

Although J9035 (bevacizumab) represents a smaller share of Medicare revenue ($46.9K, 2.9%), it ranks #106 of 1852 providers nationally (94th percentile; typical, unremarkable volume), indicating the provider bills both high-revenue proprietary agents and lower-cost injectable alternatives, but relies financially on higher-priced agents like J0178. This mix may reflect treatment selection variability or patient-specific therapy choices within a retina practice.

Office visit E/M codes also contribute meaningfully to revenue and suggest ongoing ambulatory care activity: 99214 accounts for $46.2K (544 claims) and ranks #42464 of 479517 providers nationally (91th percentile; typical, unremarkable volume), while 99213 accounts for $40.9K (671 claims) with the 97th percentile placement noted above. These E/M volumes, together with high imaging use, are consistent with a practice that pairs frequent injections with serial monitoring visits.

The provider has a long active/tenured NPI record, enumerated 2006-06-10 (~20 years), which supports interpretation of these billing patterns as established practice behavior rather than short-term or newly emergent activity. Given the long tenure and concentrated Medicare revenue base, business risk or opportunity analyses should focus on drug-reimbursement exposure (particularly J0178) and on strategies to diversify payer mix or service lines if broader revenue stability is desired.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,620	$690	$1.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	5,160	$30	$149.6K
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.	1,510	$90	$131K
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.	1,840	$30	$49.5K
J9035	Injection, bevacizumab, 10 mg	850	$60	$46.9K
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…	540	$90	$46.2K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	670	$60	$40.9K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	30	$850	$22.2K
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…	100	$110	$11.5K
65800	In this procedure, the provider drains fluid from the anterior chamber of the eye and also removes thin, watery fluid that fills the space between the cornea and the iris, known as the aqueous.…	50	$100	$5.4K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Mitchell Wolf — 5 of 13 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

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	60	440	$690	$488.1K
J2777	21	30	7,290	$30	$332K
67028	7	110	310	$80	$43.7K
67041	4	20	20	$960	$20.2K
J9035	4	70	110	$50	$14.5K
65800	2	10	140	$100	$13.3K
99214	183	9,800	80	$70	$9.2K
92134	8	600	60	$30	$4.7K
99213	59	9,380	60	$50	$4.7K
92235	19	30	50	$70	$4.5K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dean Health Systems, Inc	WI	Allergy & Immunology Physician	$0	$26.3M
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$2M	$856.3K
Infinity Healthcare Physicians, S.c.	WI	Emergency Medicine Physician	$0	$2.5M
Dean Health Systems, Inc.	WI	Ambulatory Surgical Clinic/Center	$1.8M	$750K
Amol Kulkarni	WI	Ophthalmology Physician	$2.1M	$0
James Bell	WI	Ophthalmology Physician	$1.4M	$0
Shannon O'mahar	WI	Hematology & Oncology Physician	$1.1M	$0
Shadi Latta	IL	Hematology & Oncology Physician	$897.4K	$990
Ki Hassler	FL	Cardiovascular Disease Physician	$858.6K	$0
Joanna Zurko	WI	Internal Medicine Physician	$667.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Meriter Hospital, Inc.	WI	General Acute Care Hospital	$0	$25.5M
Ssm Health Care Of Wisconsin, Inc.	WI	General Acute Care Hospital	$0	$14.7M
Ssm Health Care Of Wisconsin, Inc	WI	Clinical Medical Laboratory	$0	$6.4M
Madison Surgery Center, Inc.	WI	Ambulatory Surgical Clinic/Center	$3.6M	$549.2K
Ryan Bros Ambulance LLC	WI	Land Ambulance	$1.5M	$2.3M
Madison Emergency Physicians, Sc	WI	Emergency Medicine Physician	$0	$3.2M
Emergency Medicine Associates Of Madison, Sc	WI	Emergency Medicine Physician	$0	$2.1M
Meriter Health Enterprises Inc.	WI	Clinical Medical Laboratory	$680.6K	$1M
Michelle Lakner	WI	Nurse Practitioner	$660.9K	$0
Lisa Lepeak	WI	Hematology & Oncology Physician	$488.3K	$0

Mitchell Wolf — Billing Profile & Reimbursement Data

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Mitchell Wolf — 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