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

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

David Jacobs (NPI 1184675100)

Field	Value
Entity Type	Individual
Organization	David Jacobs
Address	400 Westhampton Sta
City	Richmond
State	VA
ZIP	23226
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 15, 2006

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

Key Findings

This provider’s payment profile is effectively single‑payer: Total Medicare revenue is $4M and there is no Medicaid billing on file. The absence of Medicaid claims indicates the practice’s Medicare business dominates its payer mix and financial footprint.

Revenue is highly concentrated in a small set of drug and injection codes: the precomputed top three Medicare codes account for 90.7% of this provider's total Medicare revenue, led by J0178 at $2.1M revenue (52.6% of this provider's total Medicare revenue), J2777 at $1.3M revenue (33.1% of this provider's total Medicare revenue), and 67028 at $202.4K revenue (5.0% of this provider's total Medicare revenue). This concentration implies most Medicare dollars flow from a few high‑value retinal therapeutics and procedural codes.

The service mix points to a retina-focused ophthalmology practice that primarily delivers intravitreal biologic therapy and related retina procedures: J0178 (aflibercept) and J2777 (faricimab) dominate revenue and 67028 describes intravitreal injection as an isolated procedure. High utilization of these codes, combined with retina imaging codes elsewhere on the file, is consistent with an operation centered on recurring injection visits and medical retina management rather than high volumes of general ophthalmic surgery.

Competitive standing on the top injectables is strong: J0178 ranks #163 of 3204 providers nationally (95th percentile; notably above typical national volume for this code) and J2777 ranks #116 of 2039 providers nationally (94th percentile; notably above typical national volume for this code). Those percentiles and ranks indicate this provider is a major national-volume participant for these specific retinal drug codes.

Follow‑up care and diagnostic imaging volumes are also unusually high: 92014 shows 1.8K claims and $156.3K revenue (3.9% of this provider's total Medicare revenue) and 92134 shows 3.2K claims and $100.6K revenue (2.5% of this provider's total Medicare revenue); both codes rank in the 99th percentile and are labeled as extreme outlier, far above typical national volume. The elevated exam and OCT imaging activity supports frequent monitoring consistent with chronic intravitreal treatment regimens.

Procedural surgery and non‑injectable services represent a small share of Medicare revenue: examples include 67041 at 12 claims and $10.8K revenue (0.3% of this provider's total Medicare revenue) with a modest rank and percentile, and a mix of E/M codes (for example 99214 at 211 claims, $16.5K revenue, 0.4%). This pattern suggests the practice performs limited vitrectomy/retinal surgery relative to high-volume outpatient injection and imaging services.

The provider has an established billing history, with the NPI enumerated on 2006-05-15 (~20 years ago), which supports interpretation of current high injection and imaging volumes as part of a sustained practice pattern rather than a short‑term spike. Longevity combined with concentrated Medicare revenue may reflect a stable referral base for retina care.

Operational and payer implications flow from the narrow revenue base: reliance on high-cost intravitreal drugs and frequent injection visits (the top three codes account for 90.7% of Medicare revenue) creates sensitivity to drug pricing, prior authorization, and inventory/staffing logistics. For payers and network planners, the provider is a concentrated source of retina drug utilization and frequent follow‑up visits, which may shape contracting, utilization management, and capacity planning decisions.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,130	$680	$2.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	47,880	$30	$1.3M
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.	2,090	$100	$202.4K
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…	1,780	$90	$156.3K
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.	3,250	$30	$100.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	330	$160	$52K
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…	210	$80	$16.5K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	10	$900	$10.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	370	$30	$10.7K
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…	150	$70	$9.8K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

David Jacobs — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	10	80	1,400	$690	$1.1M
J2777	4	60	13,200	$30	$517.1K
67028	15	90	1,000	$90	$107.1K
J7312	7	20	240	$160	$42.5K
92014	31	870	170	$80	$32.8K
67041	13	20	20	$1,110	$23.3K
99214	4,893	12,890	140	$80	$21K
92012	182	430	80	$60	$11.9K
99213	4,285	12,440	90	$60	$10K
92134	15	680	70	$30	$9.7K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Virginia Eye Institute Inc	VA	Ambulatory Surgical Clinic/Center	$4.8M	$696.2K
Byron Ladd	VA	Ophthalmology Physician	$3.8M	$0
Ryan Deasy	VA	Ophthalmology Physician	$3.3M	$0
Jeffrey Slott	VA	Ophthalmology Physician	$2.6M	$0
Mark Raymond	ND	Ophthalmology Physician	$1.7M	$0
Trinity Health	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$873.2K
Philip Cofoid	TX	Ophthalmology Physician	$510.3K	$0
Chad Wolsky	ND	Ophthalmology Physician	$504K	$0
Seth Krawitz	VA	Ophthalmology Physician	$484K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Delivered, Inc.	VA	Durable Medical Equipment & Medical Supplies	$0	$309.5M
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
Richmond Emergency Physicians, Inc.	VA	Specialist	$0	$7.9M
At Home Care Staffing-richmond	VA	Home Health Agency	$0	$5.6M
St. Mary's Ambulatory Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.6M	$0
Cataract And Refractive Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.1M	$461.6K
Darryn Appleton	VA	Interventional Cardiology Physician	$590.5K	$0
Jed Vanichkachorn	VA	Orthopaedic Surgery of the Spine Physician	$557.2K	$0
Christopher Thomas	VA	Cardiovascular Disease Physician	$528.7K	$0

David Jacobs — 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