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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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 Dacey — Billing Profile & Reimbursement Data

NPI 1184613192 · East Weymouth, MA · Ophthalmology Physician

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Mark Dacey is a ophthalmology physician provider located in East Weymouth, Massachusetts. This profile covers 15 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.

Mark Dacey — Billing Profile & Reimbursement Data

NPI 1184613192 · East Weymouth, MA · Ophthalmology Physician

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Provider details (source: NPPES NPI Registry)

Field	Value
Entity Type	Individual
Organization	Mark Dacey
Address	97 Libbey Industrial Pkwy Ste 100
City	East Weymouth
State	MA
ZIP	02189
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 21, 2005

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

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

MARK DACEY is a Medicare-focused ophthalmology physician with $2.1M in lifetime Medicare revenue and no Medicaid billing on file, making his practice effectively single-payer (Medicare) in the available data. His NPI was enumerated on 2005-10-21 (approximately 21 years ago), indicating long tenure and an established billing history in Medicare. The provider's revenue is highly concentrated: the precomputed top three Medicare codes account for 82.7% of total Medicare revenue, showing dependence on a small set of services for the bulk of income. Anti-VEGF intravitreal injections dominate the revenue mix: J0178 (aflibercept) alone produces $879.1K (41.8% of Medicare revenue) and J2778 (ranibizumab) contributes $651.7K (31.0%), together driving the majority of practice revenue and indicating a service-line focus on retinal injection therapy for conditions like age-related macular degeneration. High-volume diagnostic and evaluation services support the injection program: 92134 (retinal OCT) has 4K claims and $131.6K (6.3% of revenue) and 92014 (comprehensive established eye exam) has 2.2K claims and $208.9K (9.9% of revenue), suggesting the practice combines imaging and office-based patient management alongside injection treatments. Competitive standing is mixed: for J2778 the provider ranks #83 of 1208 (93rd percentile), indicating much higher-than-typical national volume for ranibizumab injections, while for J0178 he ranks #1022 of 3204 (68th percentile), a more typical national volume for aflibercept; 92014 is an extreme outlier at the 99th percentile (rank #198 of 35415), showing exceptionally high exam volume relative to peers. Other services are modest in revenue share and national standing: 67028 (intravitreal injection as a procedure) and 92134 are described as typical or extreme outlier respectively but contribute smaller individual fractions (6.8% and 6.3% of Medicare revenue), indicating ancillary procedural and imaging activity that complements the main anti-VEGF service line. The absence of any Medicaid claims means payers and network analysts should treat this profile as lacking Medicaid exposure; contracting, utilization management, and competitive assessments should therefore focus on Medicare reimbursement patterns and retinal injection and imaging capacity when evaluating this provider.

Medicare revenue breakdown by CPT/HCPCS procedure code.

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

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,270	$690	$879.1K
J2778	Injection, ranibizumab, 0.1 mg	3,580	$180	$651.7K
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…	2,180	$100	$208.9K
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.	1,500	$100	$142.9K
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.	3,990	$30	$131.6K
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	$70	$27K
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…	350	$70	$25.8K
J9035	Injection, bevacizumab, 10 mg	210	$60	$11.4K
99204	The 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…	80	$130	$9.9K
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…	30	$130	$3.8K

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

Full comparison — all codes billed, vs. state median

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	28	90	790	$690	$826.5K
J2778	4	30	560	$180	$200.7K
67028	25	120	570	$100	$80.7K
92014	15	1,070	160	$90	$30.1K
J9035	42	80	250	$50	$19.7K
92012	90	560	90	$70	$12.4K
92134	7	670	70	$30	$10.6K
99213	1,114	13,700	70	$60	$8.8K
92004	518	890	40	$100	$6.3K
99204	1,048	5,870	30	$120	$5.6K

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The General Hospital Corporation	MA	General Acute Care Hospital	$0	$438M
Community Physicians Of Indiana Inc	IN	Family Medicine Physician	$0	$185M
Massachusetts General Physicians Organization Inc	MA	Dermatology Physician	$0	$60.2M
Boston Emergency Physician Foundation, Inc.	MA	Emergency Medicine Physician	$0	$24.3M
Colorado Permanente Medical Group, P.C.	CO	Internal Medicine Physician	$0	$23.2M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Chirag Shah	MA	Retina Specialist (Ophthalmology) Physician	$5M	$0
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Miriam Englander-paschalis Ilios	MA	Retina Specialist (Ophthalmology) Physician	$4.5M	$0

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

Mark Dacey — Billing Profile & Reimbursement Data

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Mark Dacey — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Shore Support Services	MA	Home Health Agency	$0	$26.8M
Active Ma, Inc.	MA	Adult Day Care Clinic/Center	$0	$9.3M
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
James Stefater	MA	Ophthalmology Physician	$1.6M	$0
Heidi Anderson-dockter	MA	Dermatology Physician	$806.3K	$0
Ramy Rizkalla	MA	Ophthalmology Physician	$627.4K	$1K
Anita Shukla	MA	Ophthalmology Physician	$604.9K	$560
Mary Lisa Mcham	MA	Ophthalmology Physician	$571.6K	$0
Teresa Degiacomo	MA	Dermatology Physician	$537K	$0
Kimberly Hsu	MA	Ophthalmology Physician	$451.8K	$0