Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidJay Glover
    Ask Trek AI about this page

    Jay Glover — Billing Profile & Reimbursement Data

    NPI 1184917957 · Nashville, TN · Retina Specialist (Ophthalmology) Physician

    Customize your policy alerts

    Sign up for Jay Glover — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Jay Glover is a retina specialist (ophthalmology) physician provider located in Nashville, Tennessee. 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.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJay Glover
    Address345 23rd Ave N Ste 350
    CityNashville
    StateTN
    ZIP37203
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 26, 2011

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

    Payer SourceTotal Paid
    Medicare$2.9M
    Medicaid$0

    Key Findings

    Revenue concentration is highly focused: the precomputed top 3 Medicare codes (J0178, J2777, 67028) account for 88.7% of this provider's total Medicare revenue, with J0178 generating $1.8M (62.5%), J2777 generating $584.6K (20.1%), and 67028 generating $177.3K (6.1%). This indicates a business model heavily driven by a small number of high-revenue services.

    The procedure and drugs billed are consistent with a retina-focused ophthalmology practice: dominant use of J0178 (aflibercept), J2777 (faricimab), and J9035 (bevacizumab) point to anti-VEGF intravitreal therapy as the core treatment line, while 67028 captures intravitreal injection as an isolated procedure. Supplementary codes such as 92134 (retinal imaging) and 92014 (comprehensive established eye exams) show that diagnostic imaging and follow-up clinic visits support the injection workload.

    This provider is effectively single-payer from the available data: lifetime Medicare revenue is $2.9M and there is no Medicaid billing on file. Analysts should treat the practice as Medicare-dominant for contracting and utilization benchmarking unless additional commercial or state data are available.

    Competitive standing on the top revenue driver is above many peers: J0178 ranks #263 of 3204 providers nationally (92th percentile; typical, unremarkable volume for this code), positioning the provider well above average in national aflibercept use even as the source labels the volume as typical. Similar rank information for J2777 (#521 of 2039, 74th percentile) and 67028 (#418 of 4255, 90th percentile) indicates higher-than-average national activity across the three highest-revenue services.

    Several non–top-3 codes mark the practice as an intensity outlier in diagnostic and office-based retinal care: 92014 (1.7K claims, $144.8K, 5.0%) ranks #393 of 35415 (99th percentile; extreme outlier, far above typical national volume) and 92134 (3K claims, $83.4K, 2.9%) ranks #415 of 26868 (98th percentile; extreme outlier). These extreme national percentiles imply unusually high volumes of comprehensive established-patient exams and retinal imaging relative to most peers, consistent with frequent follow-up and monitoring activity.

    Operationally, the sheer volume of J2777 activity (20.2K claims, $29 avg paid/claim, $584.6K revenue) signals substantial throughput for faricimab administration and related clinic processes. High claim counts with modest average paid/claim suggest this code represents frequent, routine dosing or unitized reporting that requires robust scheduling, inventory, and injection-room capacity.

    The lack of Medicaid billing (none below) should be noted for payer-mix and access analyses: absence of Medicaid claims could reflect patient panel demographics, payer participation choices, or referral patterns, but the dataset does not specify the cause. For payer contracting or population-health planning, analysts should treat this provider as not currently contributing to Medicaid-covered care in the available records.

    Provider tenure supports an established practice profile: the NPI was enumerated on 2011-05-26 (~15 years ago), and the provider reports $2.9M in lifetime Medicare revenue. That combination of long tenure and concentrated, high-volume retinal services suggests an experienced retinal specialist with an established Medicare patient base.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,650$690$1.8M
    J2777Injection, faricimab‑svoa, 0.1 mg20,160$30$584.6K
    67028The 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.1,970$90$177.3K
    92014An 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…1,740$80$144.8K
    92134The 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.2,980$30$83.4K
    J9035Injection, bevacizumab, 10 mg880$50$47.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$100$12.1K
    99204The 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…110$110$11.4K
    67108The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…10$880$9.7K
    99214The 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…90$90$8.1K

    Showing 1–10 of 15

    Medicare: Competitive Analysis & Benchmarks

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

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178280790$680$769.8K
    J277725015,060$30$592.1K
    670282801,130$90$98.5K
    67108123020$970$29.2K
    920142810120$80$19.2K
    J9035570140$50$17.1K
    992144,31311,370120$80$16.6K
    92134360060$30$8.2K
    992133,38411,03080$50$8K
    92235124050$100$5.7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Alabama Health Services Foundation, PCALPediatrics Physician$0$79.6M
    University Of Alabama Health Services Foundation, PC.ALMulti-Specialty Clinic/Center$0$77.1M
    University Of Alabama Health Services Foundation PCALClinic/Center$0$18.6M
    University Of Alabama Ophthalmology Services FoundationALOphthalmology Physician$0$6.9M
    Tennessee Retina PCTNRetina Specialist (Ophthalmology) Physician$0$6M
    Roy WallaceTNRetina Specialist (Ophthalmology) Physician$5.4M$0
    David ReichsteinTNRetina Specialist (Ophthalmology) Physician$4.9M$141.7K
    Carl AwhTNRetina Specialist (Ophthalmology) Physician$4.7M$0
    Brandon BusbeeTNRetina Specialist (Ophthalmology) Physician$4.3M$0
    Eric SchneiderTNRetina Specialist (Ophthalmology) Physician$4.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$45.9M
    Pediatrix Medical Group Of Tennessee, P.C.TNNeonatal-Perinatal Medicine Physician$0$32.3M
    Saint Thomas Medical PartnersTNInternal Medicine Physician$0$21.9M
    Radiology Alliance PCTNDiagnostic Radiology Physician$0$13.2M
    Emergency Medicine Services Of Tn, PCTNEmergency Medicine Physician$0$12.9M
    Tennessee Maternal-fetal Medicine LLCTNSpecialist$0$12.5M
    The Next Door, Inc.TNSubstance Abuse Rehabilitation Facility$0$8.6M
    Tennessee Oncology PLLCTNHematology & Oncology Physician$0$8.5M
    Vcphcs Ix, LLCTNSubstance Use Disorder Rehabilitation Clinic/Center$257.7K$6.6M
    Pediatric Associates Of Davidson County, P.C.TNPediatrics Physician$0$5.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Jay Glover — 2 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee