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    OpenPayerNPI Medicare & MedicaidIan Thompson
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    Ian Thompson — Billing Profile & Reimbursement Data

    NPI 1154769958 · Albuquerque, NM · Ophthalmology Physician

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    Ian Thompson is a ophthalmology physician provider located in Albuquerque, New Mexico. This profile covers 17 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationIan Thompson
    Address4411 The 25 Way Ne Ste 325
    CityAlbuquerque
    StateNM
    ZIP87109
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 13, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: total Medicare revenue is $1.3M and there is no Medicaid billing on file, so payer mix is dominated by Medicare. The NPI was enumerated 2013-06-13 (~13 years ago), indicating an established practice presence of roughly the last decade-plus in Albuquerque, NM.

    Revenue is highly concentrated in a small set of retinal treatment codes: the precomputed top three Medicare codes (J0178, J2777, and 67028) account for 84.9% of this provider's total Medicare revenue. Those three contributors break down as J0178 $756.8K (56.5%), J2777 $294.2K (22.0%), and 67028 $84.7K (6.3%), signaling that a large share of income derives from drug administration and the associated intravitreal injection procedure.

    The code mix is characteristic of a retina-focused ophthalmology practice that delivers anti-VEGF therapy and intravitreal injections: prominent medication codes J0178 (aflibercept), J2777 (faricimab), and the procedure 67028 (intravitreal injection) dominate revenue. This suggests the operation prioritizes high-volume injection visits and associated retina diagnostics rather than broad primary ophthalmic services or high-volume cataract surgery.

    On competitive standing for core drug codes, this provider is a modest national participant rather than a dominant player: J0178 ranks #1189 of 3204 providers (63th percentile) and is described as "typical, unremarkable volume," while J2777 ranks #1004 of 2039 (51th percentile) and J2778 ranks #836 of 1208 (31th percentile), both also labeled "typical, unremarkable volume." These ranks indicate volumes near the middle of national peers for anti-VEGF drugs rather than extreme concentration or outlier status.

    Certain non-drug services show relatively higher comparative intensity: 99214 (established patient E/M) appears with 508 claims, $45.2K revenue (3.4%) and ranks #47697 of 479517 nationally (90th percentile), and 92134 (retinal OCT) has 765 claims, $20.7K revenue (1.5%) and ranks #2611 of 26868 (90th percentile). Both codes being at the 90th percentile suggests the practice conducts more moderate-complexity office visits and retinal imaging per Medicare peer benchmarks.

    There is limited surgical retina volume: 67113 (complex retinal detachment repair) shows 12 claims and $11.6K revenue (0.9%) with rank #267 of 297 providers (5th percentile), indicating occasional high-complexity procedures but at very low frequency relative to surgical retina peers. The presence of high average paid/claim for 67113 ($968 avg paid/claim) signals capacity to perform complex surgery, though it is not a major revenue driver.

    The practice also reports ancillary retinal-related services and compounded drugs at modest levels: J7999 (compounded drug) has 320 claims and $20.8K revenue (1.6%), ranking #301 of 1333 providers (77th percentile), while diagnostic imaging codes like 92134 (OCT) are comparatively prominent. These items complement the high share of injection revenue and reflect an integrated injection/diagnostic workflow.

    From a business risk perspective, the provider’s heavy dependence on a few anti-VEGF drug codes and the intravitreal injection procedure (top three = 84.9% of Medicare revenue) means reimbursement changes, drug utilization shifts, or formulary decisions could materially affect revenue. Coupled with no Medicaid revenue, the practice has concentrated payer and service-line exposure rather than a broadly diversified payer mix.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    17 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,100$690$756.8K
    J2777Injection, faricimab‑svoa, 0.1 mg10,150$30$294.2K
    67028The 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.950$90$84.7K
    J2778Injection, ranibizumab, 0.1 mg410$180$73.4K
    99214The 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…510$90$45.2K
    J7999Compounded drug, not otherwise classified320$70$20.8K
    92134The 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.770$30$20.7K
    99213The 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…180$70$11.8K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…10$970$11.6K
    99204The 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…60$90$5.9K

    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

    Full comparison — all codes billed, vs. state median

    17 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01789201,100$690$816.1K
    J2777112017,340$30$653.4K
    J27781010720$180$247.3K
    67028930390$90$71.6K
    J7999610320$60$18.6K
    92014175180130$70$18.5K
    6711361020$900$14.4K
    992141782,70090$70$12.9K
    992135092,44060$50$7.3K
    6722851020$240$6.5K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Associates Of New Mexico LtdNMOphthalmology Physician$0$46.9M
    John PitcherNMOphthalmology Physician$5.1M$0
    Mark ChiuNMOphthalmology Physician$3.8M$0
    Christopher RoybalNMOphthalmology Physician$3.8M$0
    Richard KinseyTNAnatomic Pathology & Clinical Pathology Physician$3.3M$147.3K
    Ashok ReddyNMOphthalmology Physician$3.2M$0
    Mark CarmichaelCAHematology & Oncology Physician$3.1M$0
    Howard MartinTXDermatopathology (Pathology) Physician$3M$0
    Kamalesh RamaiyaNMOphthalmology Physician$2.9M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Presbyterian Healthcare ServicesNMInternal Medicine Physician$0$240.8M
    Heritage Home Healthcare Services, Inc.NMHome Health Agency$0$141.5M
    Home Medical Equipment Specialists LLCNMDurable Medical Equipment & Medical Supplies$0$100M
    The New Beginnings LLCNMAdult Day Care Clinic/Center$0$85.1M
    We Care Agency, Inc.NMIn Home Supportive Care Agency$0$60.1M
    Lovelace Health System, LLCNMGeneral Acute Care Hospital$0$57.7M
    Adelante Development Center, Inc.NMPersonal Care Attendant$0$57M
    Southwest Labs LLCNMClinical Medical Laboratory$1.1M$41.5M
    Southwest Medical Associates, LLCNMGeneral Practice Physician$0$41.4M
    Tspc-nm, LLCNMNursing Care Agency$0$28.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New Mexico Distribution
    Ian Thompson — 0 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New Mexico