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

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

Mark Remington (NPI 1174539266)

Field	Value
Entity Type	Individual
Organization	Mark Remington
Address	175 Timberwolf Pkwy
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 31, 2006

Payer Source	Total Paid
Medicare	$665.6K
Medicaid	$0

Key Findings

This provider’s Medicare activity dominates their payer mix: Total Medicare revenue is $665.6K while there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in scope for the available claims data. That concentration suggests payer negotiations, utilization review, and population health metrics should be evaluated primarily against Medicare standards and benchmarks rather than Medicaid patterns.

NPI tenure indicates long-term establishment in the market: the NPI was enumerated on 2006-07-31 (~20 years ago), which points to sustained practice presence in Kalispell, MT and may reflect established referral relationships and a stable Medicare panel over time. This longevity supports interpreting current billing patterns as representative of an established clinical model rather than a new entrant’s ramp‑up.

Revenue concentration is high: the top three Medicare codes account for 57.6% of this provider’s total Medicare revenue, driven by J0178 ($201.7K, 30.2%), 66984 ($110.4K, 16.6%), and 92014 ($72.1K, 10.8%). This level of concentration indicates that a small set of procedure lines—retina drug administration, cataract surgery with IOL insertion, and comprehensive established exams—are the primary revenue drivers and should be the focus for operational and strategic analysis.

The code mix indicates a combined surgical and medical retina/ocular practice model: J0178 (aflibercept injection), J2777 (faricimab), and 67028 (injection into the vitreous) together with 92134 (retinal imaging) signal a substantial intravitreal injection and retinal imaging service line, while 66984 and 66821 reflect a meaningful cataract surgery and postoperative laser capsulotomy volume. Office E/M codes such as 92014, 99213, and 99214 further show ongoing longitudinal medical care rather than purely surgical episodic work.

Competitive standing is mixed by service line. For cataract surgery 66984 the provider ranks #4294 of 15965 (73th percentile), indicating above‑typical national surgical volume for that code; for comprehensive established exams 92014 the provider ranks #2165 of 35415 (94th percentile) and is described as notably above typical national volume, showing high clinical visit volume. By contrast, J0178 ranks #2330 of 3204 (27th percentile) and is described as typical/unremarkable, so intravitreal anti‑VEGF drug revenue is not dominant relative to national peers despite being the single largest revenue line for this provider.

There are operational nuances in the drug and injection codes that merit attention: J2777 shows 2K claims for $57.4K revenue (8.6% of Medicare revenue) with a national rank of #1967 of 2039 (3th percentile) and is labeled typical/unremarkable, while J0585 shows 3K claims for $15K revenue (2.2% of Medicare revenue). These high claim counts paired with low average paid/claim figures suggest unit‑based billing patterns (per small dosage or per unit codes) and variable reimbursement per unit rather than unusually high per‑claim drug payouts; coding/unitization practices and reconciliation of drug administration units should be reviewed if precise drug cost accounting is required.

Given the absence of Medicaid billing on file, any competitive or access analyses that depend on Medicaid patient volume or state‑level Medicaid performance cannot be performed; the provider should be treated as Medicare‑centric for payer mix, reimbursement benchmarking, and utilization profiling. For payers and provider analysts, this means network impact, referral capture, and reimbursement negotiations will hinge primarily on Medicare service lines (notably cataract surgery, intravitreal therapy, and comprehensive eye exams) rather than on Medicaid demand or rates.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	290	$690	$201.7K
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…	270	$400	$110.4K
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…	880	$80	$72.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	1,980	$30	$57.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	160	$260	$40.8K
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.	390	$90	$35.2K
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…	390	$60	$23.9K
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.	760	$30	$21.9K
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…	220	$90	$19.1K
J7999	Compounded drug, not otherwise classified	270	$70	$18.1K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Mark Remington — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	20	460	$680	$663.4K
J2777	10	10	10,170	$30	$351.2K
66984	18	120	50	$490	$78.1K
67028	11	20	390	$90	$73.7K
J7999	7	10	470	$70	$45.4K
J0585	11	20	6,800	$1	$42.3K
92014	10	170	190	$80	$22.7K
66821	8	70	50	$220	$18.3K
99214	483	1,810	100	$70	$12.4K
92012	32	50	80	$60	$11.9K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Eye Clinic PC	MT	Ophthalmology Physician	$0	$2.3M
Aaron Alme	MT	Ophthalmology Physician	$2.1M	$0
Tyler Ofstad	MT	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Roger Barth	MT	Ophthalmology Physician	$422.8K	$0
August Stein	MT	Ophthalmology Physician	$391.4K	$0
Mark Goerlitz-jessen	MT	Ophthalmology Physician	$259.5K	$0
Caleb Morris	NV	Ophthalmology Physician	$227.2K	$0
William Stoddard	MT	Ophthalmology Physician	$165.9K	$0
Nicholas Ranson	MO	Ophthalmology Physician	$144.3K	$0
Jonathan Olsen	MT	Optometrist	$125.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Mark Remington — 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