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

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

Bryan Propes (NPI 1174594675)

Field	Value
Entity Type	Individual
Organization	Bryan Propes
Address	1200 N State St Ste 300
City	Jackson
State	MS
ZIP	39202
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 1, 2006

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider’s Medicare business is highly concentrated in intravitreal biologic injections: J0178 (aflibercept) alone accounts for $908.5K and represents 74.7% of the provider’s total Medicare revenue. Precomputed data show the top three Medicare codes by revenue account for 85.7% of total Medicare revenue, indicating a practice model heavily focused on high-cost retinal drug administration rather than broad outpatient clinic services.

Operationally, the CPT/HCPCS mix (J0178, J3590 unclassified biologics, and intravitreal injection code 67028) points to a specialty ophthalmology practice primarily delivering retina-focused medical therapy. High volumes of imaging codes such as 92134 and procedural injection codes like 67028 support a workflow centered on diagnostics and injection visits rather than extensive office-based primary eye care.

Payer mix is effectively single-payer for recorded claims: total Medicare revenue is $1.2M while there is no Medicaid billing on file. This absence of Medicaid activity suggests the provider either does not accept or does not bill Medicaid, making Medicare the sole documented public payer driving measurable revenue in this dataset.

Competitive standing on J0178 is typical rather than dominant: the provider ranks #950 of 3204 nationally and sits in the 70th percentile for this code, which the source labels as a typical, unremarkable volume for J0178. In contrast, for several standard office E/M codes such as 99213 the provider ranks in the 95th percentile (#24056 of 457151) and is characterized as notably above typical national volume, indicating relatively high utilization of low-complexity established-patient office visits compared with peers.

Several secondary medicine and imaging codes are present at expected levels for a retinal injection practice. Codes J3590 (30 claims, $72.1K revenue) and J2778 (ranibizumab) contribute smaller shares (5.9% and 4.0% of Medicare revenue respectively) and are described as typical, unremarkable volumes nationally; retinal imaging 92134 generated $32.8K (2.7% of revenue) and is at the 93rd percentile but labelled typical, suggesting routine but consistent use of OCT imaging in management.

Tenure is long-established: the provider’s NPI was enumerated on 2006-02-01 (~20 years ago), indicating prolonged presence in the Medicare program. This duration supports experience in managing chronic retinal conditions and maintaining a stable referral and treatment pattern over time.

Revenue concentration creates business implications for payer negotiations and network planning: with 85.7% of Medicare revenue coming from the top three codes, payers and contracting teams should view this practice primarily as a high-cost retinal injection provider rather than as a general ophthalmology ambulatory clinic. Network value will be driven by access to intravitreal biologics and injection capacity.

Where the provider diverges from national peers is in frequent low-complexity established visit billing: 99213 accounts for $34.2K (2.8% of Medicare revenue) and is ranked notably above typical national volume (95th percentile). This suggests a high throughput of follow-up or injection-related office visits alongside procedural revenues, which has scheduling and capacity implications for both payer case management and network referral patterns.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,340	$680	$908.5K
J3590	Unclassified biologics	30	$2,400	$72.1K
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.	650	$90	$60.7K
J2778	Injection, ranibizumab, 0.1 mg	300	$160	$48.3K
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…	530	$60	$34.2K
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.	1,170	$30	$32.8K
Q5124	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	150	$170	$24.8K
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…	130	$90	$11.3K
99203	The provider sees a new 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 provider…	100	$80	$7.6K
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…	50	$90	$4.3K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Mississippi Distribution

Bryan Propes — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2778	8	10	1,300	$180	$1.3M
J0178	5	20	670	$680	$990.1K
67028	13	30	600	$80	$107K
J7999	12	10	150	$150	$64.6K
Q5124	4	10	320	$170	$62.5K
J3590	1	10	30	$2,240	$53.7K
92014	210	350	170	$70	$23K
99214	3,682	4,110	170	$70	$21.9K
92235	13	20	70	$90	$12.1K
99213	344	4,000	100	$50	$10.3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$507.2M
State Of Mississippi-university Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$17.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	General Acute Care Hospital	$0	$13.9M
State Of Mississippi- University Of Mississippi Medical Center	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.8M
State Of Mississippi - University Of Mississippi Medical Center	MS	Critical Access Hospital	$0	$7.5M
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
James Brown	MS	Retina Specialist (Ophthalmology) Physician	$5.4M	$8.9K
State Of Mississippi-university Of Mississippi Medical Center	MS	Rural Health Clinic/Center	$0	$4.9M
Michael Borne	MS	Retina Specialist (Ophthalmology) Physician	$4.5M	$1.8K
Mississippi Retina Associates,pllc	MS	Retina Specialist (Ophthalmology) Physician	$0	$2.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mississippi Behavioral Health Services, LLC	MS	Community/Behavioral Health Agency	$0	$72.8M
Mississippi Baptist Medical Center, Inc.	MS	General Acute Care Hospital	$0	$42M
Mississippi Children's Home Society - Mypac	MS	Mental Illness Community Based Residential Treatment Facility	$0	$26.5M
Medical Foundation Of Central Mississippi, Inc.	MS	Internal Medicine Physician	$0	$7.5M
Tammy Young	MS	Medical Oncology Physician	$5.1M	$0
Mississippi Physicians, LLP	MS	Emergency Medicine Physician	$0	$4.2M
Justin Baker	MS	Hematology & Oncology Physician	$4.1M	$0
Mae Physicians Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$3.4M	$114.8K
Chelsea Cockrell	MS	Family Nurse Practitioner	$3M	$0
Elizabeth Herrington	MS	Medical Oncology Physician	$1.9M	$0

Bryan Propes — 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