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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Stephen Hypes (NPI 1184064669)

Field	Value
Entity Type	Individual
Organization	Stephen Hypes
Address	124 Sunset Ct
City	West Columbia
State	SC
ZIP	29169
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 28, 2013

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider is a retina specialist focused on intravitreal pharmacologic treatment: the top revenue drivers are anti-VEGF and related ophthalmic injections (J0178, Q5128, J2777), and procedure codes for intravitreal injection and posterior-segment imaging (67028, 92134) also appear in the top codes, indicating a practice centered on retina injections and diagnostic retinal imaging. The top three Medicare codes by revenue account for 74.6% of total Medicare revenue, confirming a heavy concentration in a few high-value injection codes.

Medicare is effectively the sole payer in the dataset: the provider has $1.8M in total Medicare revenue and no Medicaid billing on file, so this profile reflects a single-payer footprint dominated by Medicare rather than a mixed payer strategy. This makes the practice’s revenue exposure and utilization patterns highly Medicare-centric.

J0178 (aflibercept) is the dominant single code, representing $958.3K and 52.7% of the provider’s Medicare revenue; that concentration around one expensive biologic indicates the practice’s revenue is highly dependent on that agent and related injection visits. Alongside J0178, Q5128 and J2777 together supply most of the remainder of the top-code revenue share, consistent with a biologic-focused retina therapy line.

On competitive standing, activity mixes are mixed: for J0178 the provider ranks #877 of 3204 (73rd percentile), characterized as typical/unremarkable national volume, while Q5128 ranks #146 of 373 (61st percentile) and J2777 ranks #1318 of 2039 (35th percentile), so the provider is a modest-to-typical national participant in these injection codes rather than a dominant high-volume outlier. Conversely, 92134 (retinal imaging) is a notable high-volume outlier: 1.8K claims and $49.1K revenue place the provider at the 96th percentile nationally where volume is described as notably above typical.

Service-mix detail supports a procedure-driven retina practice: high counts for intravitreal injection codes (J0178: 1.4K claims; Q5128: 935 claims; J2777: 6.7K claims) combined with procedure code 67028 (1K claims) and imaging 92134 (1.8K claims) indicate frequent in-office injection visits often accompanied by retinal imaging and occasional surgical vitreoretinal procedures (e.g., 67042 with 30 claims).

Tenure is long enough to indicate an established practice presence: the provider’s NPI was enumerated on 2013-06-28 (~13 years ago), so observed billing patterns reflect more than a decade of Medicare participation and likely an established referral base for retina care.

There is sparse use of lower-cost or off-label bevacizumab in Medicare billing: J9035 (bevacizumab) appears only 53 claims for $2.7K (0.1% of Medicare revenue) and ranks in the lower national percentiles (23rd), which suggests a preference or higher utilization for on-label biologics like aflibercept and ranibizumab biosimilars in this panel.

No Medicaid billing is recorded ("none below"), so comparisons to in-state Medicaid peers are not possible and any assessment of access or payer diversification should note the absence of Medicaid revenue; this limits conclusions about the provider’s role in publicly insured, lower-income patient populations in-state.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,430	$670	$958.3K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	940	$220	$203.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,660	$30	$193.1K
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.	1,050	$90	$91K
J2778	Injection, ranibizumab, 0.1 mg	510	$180	$89.4K
J3490	Unclassified drugs	40	$1,480	$62K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	340	$150	$50.7K
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.	1,820	$30	$49.1K
92012	For 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…	650	$60	$39.9K
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…	420	$80	$31.8K

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

Claims Volume vs. South Carolina Distribution

Stephen Hypes — 0 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	50	970	$690	$1.1M
J2777	14	40	15,960	$30	$594.7K
J2778	8	30	1,440	$180	$337.4K
Q5128	1	10	1,150	$220	$273.3K
67028	10	50	1,140	$90	$110.3K
J3490	12	50	70	$510	$57.7K
J7312	2	10	320	$150	$51K
67042	4	30	20	$1,150	$32.3K
J9035	36	40	200	$50	$26.1K
92014	109	540	160	$80	$24.3K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Louisiana Medical Associates	LA	Surgery Physician	$0	$21.3M
Palmetto Retina Center LLC	SC	Ophthalmology Physician	$0	$10.6M
South Louisiana Medical Associates	LA	Internal Medicine Physician	$0	$7.4M
John Payne	SC	Ophthalmology Physician	$4M	$0
John Wells	SC	Ophthalmology Physician	$3.9M	$0
Joshua Robinson	MI	Ophthalmology Physician	$3.7M	$0
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Barron Fishburne	SC	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Jeffrey Gross	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0
David Johnson	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Infusion Services LLC	SC	Infusion Therapy Clinic/Center	$0	$93.6M
Lexington Health Inc	SC	General Acute Care Hospital	$0	$27.4M
Lexington County Health Services District Inc	SC	General Acute Care Hospital	$0	$19.2M
United Cerebral Palsy Of South Carolina, Inc	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.7M
Lexington Health Inc	SC	Emergency Medicine Physician	$0	$4.2M
Karen Park Family Dentistry, P.A.	SC	Dentist	$0	$4.2M
Lexington County Health Serv	SC	General Acute Care Hospital	$0	$4M
Steven Madden	SC	Hematology & Oncology Physician	$4M	$0
Lexington Treatment Specialists LLC	SC	Methadone Clinic	$76.7K	$3.6M
Lexington Health Inc	SC	Obstetrics & Gynecology Physician	$0	$3.5M

Stephen Hypes — 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