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    OpenPayerNPI Medicare & MedicaidRebecca Linquist
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    Rebecca Linquist — Billing Profile & Reimbursement Data

    NPI 1164653598 · Rapid City, SD · Ophthalmology Physician

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    Rebecca Linquist is a ophthalmology physician provider located in Rapid City, South Dakota. 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
    OrganizationRebecca Linquist
    Address3024 Tower Rd
    CityRapid City
    StateSD
    ZIP57701
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 3, 2009

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

    Payer SourceTotal Paid
    Medicare$904.5K
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer Medicare: lifetime Medicare revenue is $904.5K and there is no Medicaid billing on file, indicating Medicare dominates the payer mix for this NPI. Analysts should treat Medicaid exposure as negligible when modeling payer risk or access patterns for this clinician.

    Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes by revenue account for 80.3% of total Medicare revenue, and a single code, J0178, generates $617.3K (68.3% of Medicare revenue) across 892 claims. That concentration signals substantial dependence on aflibercept injections for the provider’s topline and creates sensitivity to changes in drug utilization or reimbursement for that code.

    The code mix shows a clinical focus on intravitreal pharmacologic therapy and ongoing medical retina management: J0178 (aflibercept injection) and 67028 (vitreous chamber injection; 616 claims, $59.8K revenue) together dominate the therapeutic side, while 92012 (777 claims, $49K revenue) reflects frequent intermediate‑level established patient exams. This combination is consistent with a practice model centered on recurring injection visits and monitoring of chronic retinal disease rather than a primarily surgical practice.

    Although injections and medical retina work are dominant, the provider also bills surgical cataract services: 66984 appears with 123 claims and $45.9K revenue (5.1% of Medicare revenue), indicating the clinician performs or is credited for routine extracapsular cataract extraction with lens insertion at a meaningful but secondary scale. The presence of cataract procedure codes alongside high injection volume suggests a mixed clinical scope where surgery exists but is not the primary revenue driver.

    On competitive standing for the top revenue driver, J0178 ranks #1399 of 3204 providers nationally (56th percentile; typical, unremarkable volume), so nationally this clinician is a mid‑tier participant in aflibercept administration rather than a dominant injector. Despite the large dollar share J0178 represents for this NPI, the rank/percentile show the provider’s injection volumes are within common national practice patterns for this drug.

    By contrast, the clinician’s diagnostic exam volume is comparatively strong: 92012 ranks #812 of 17177 providers nationally (95th percentile; notably above typical national volume), which indicates unusually high throughput of intermediate established‑patient eye exams relative to peers. That elevated exam volume aligns with chronic disease follow‑up and supports the inference of recurring visit patterns that accompany injection protocols.

    Retinal imaging utilization reinforces the medical‑retina orientation: 92134 appears with 769 claims and $23.1K revenue and ranks #2600 of 26868 providers nationally (90th percentile; typical, unremarkable volume). High OCT imaging counts relative to the broader ophthalmology population are consistent with routine monitoring of macular disease in an injection‑focused practice.

    This NPI has long tenure on file (NPI enumerated 2009-08-03 (~17 years ago)), which, when combined with the observed code mix and high concentration in J0178, suggests an established clinical pattern emphasizing recurring medical retina care. For payers and market analysts, that implies predictable recurrent visit and drug‑utilization patterns but also exposure to policy or formulary shifts affecting anti‑VEGF therapy reimbursement or utilization.

    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 mg890$690$617.3K
    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.620$100$59.8K
    92012For 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…780$60$49K
    66984The 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…120$370$45.9K
    92014An 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…340$90$29.5K
    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$23.1K
    J7999Compounded drug, not otherwise classified260$70$19.1K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.70$250$18.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.140$100$14K
    66982The 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…10$490$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
    J0178610690$690$788.7K
    67028810740$90$108.5K
    J359021060$1,450$81.2K
    669842913040$410$67.7K
    J7999610260$70$39.1K
    668212230100$230$35.6K
    66982242040$580$25K
    9201442200170$80$17.1K
    921361930210$30$9.2K
    9201229050$60$7.4K

    Showing 1–10 of 17

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nathan SteinleCARetina Specialist (Ophthalmology) Physician$9.5M$0
    Prema AbrahamSDRetina Specialist (Ophthalmology) Physician$7.1M$0
    Rapid City Medical Center, LLPSDMulti-Specialty Clinic/Center$0$4.5M
    Kyle ThompsonIDRetina Specialist (Ophthalmology) Physician$4.5M$0
    Douglas HolmesWYRetina Specialist (Ophthalmology) Physician$4.1M$0
    Mitchell GoffUTRetina Specialist (Ophthalmology) Physician$3.8M$0
    Brendan GirschekAZOphthalmology Physician$3.2M$0
    John BormesSDOphthalmology Physician$2.6M$0
    John PurvianceWYRadiation Oncology Physician$2.5M$0
    Elie FahedWYMedical Oncology Physician$1.9M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Behavior Management Systems, Inc.SDCommunity/Behavioral Health Agency$0$19.8M
    Monument Health Rapid City Hospital, IncSDMulti-Specialty Clinic/Center$0$18.7M
    Monument Health Rapid City Hospital, Inc.SDGeneral Acute Care Hospital$0$11.5M
    Community Health Center Of The Black Hills IncSDFederally Qualified Health Center (FQHC)$0$10.2M
    Jrk Services, IncSDHome Health Agency$0$10.1M
    Black Hills Pediatrics, LLPSDPediatrics Physician$0$9.7M
    Rapid City Emergency Services PASDEmergency Medicine Physician$0$8.2M
    Wellspring Inc.SDPsychiatry Physician$0$7.4M
    Radiology Associates Prof, LLCSDDiagnostic Radiology Physician$0$5.3M
    Monument Health Rapid City Hospital, Inc.SDMulti-Specialty Clinic/Center$0$5.2M

    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. South Dakota Distribution
    Rebecca Linquist — 1 of 17 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Dakota