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

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

Scott Walter (NPI 1205127818)

Field	Value
Entity Type	Individual
Organization	Scott Walter
Address	191 Main St Ste 3
City	Manchester
State	CT
ZIP	06042
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 29, 2011

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant and effectively sole public-payer activity on file: Total Medicare revenue is $1.8M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates a single‑payer practice profile for publicly reported activity rather than a balanced Medicare/Medicaid mix.

Revenue is highly concentrated in a small set of intravitreal injection and related procedure codes: the precomputed top 3 Medicare codes account for 67.3% of this provider’s total Medicare revenue. Those top three are J2777 ($753.4K, 42.1% of Medicare revenue), J0178 ($359.7K, 20.1%), and 67028 ($90.3K, 5.0%), showing that faricimab and aflibercept injections plus isolated intravitreal injection procedures drive the bulk of billings.

The code mix and volumes point to a medical‑retina, injection‑center operating model rather than a high-volume surgical retina practice. High counts and revenue for J2777 (26K claims, $753.4K) and substantial revenue for J0178 (522 claims, $359.7K) are consistent with routine, repeated intravitreal pharmacologic therapy, while vitrectomy and surgical codes (e.g., 67042: 20 claims, $19K; 67036: 15 claims, $10.8K) are present but represent a small share of revenue.

Competitive standing by code is mixed: J2777 is the single largest revenue driver yet ranks #366 of 2039 providers nationally (82th percentile) and is described as typical, unremarkable volume—meaning the provider is a significant but not dominant national presence for faricimab use. By contrast, J0178 ranks #1889 of 3204 (41th percentile), indicating more modest national participation in aflibercept relative to peers.

Retinal imaging use is an outlier relative to peers: 92134 shows 1.4K claims and $46K in revenue (2.6% of Medicare revenue) and ranks #1653 of 26868 providers nationally (94th percentile), explicitly noted as "notably above typical national volume." This elevated utilization of computerized retinal imaging suggests heavy reliance on imaging to monitor and manage retina disease in the practice.

The practice bills a range of intravitreal drug codes beyond the top two molecules, including J2781 (585 claims, $70.2K, 3.9% of Medicare revenue), J2778 (409 claims, $72.8K, 4.1%), and J7312 (252 claims, $39.6K, 2.2%), indicating multimodal pharmacologic treatment patterns (anti‑VEGF, complement inhibitors, steroid implants) rather than exclusive use of a single agent. These additional drug and implant revenues reinforce the clinical profile of a retina specialist managing chronic retinal disease.

There is limited use of unclassified or less common drug billing: J3490 appears with 46 claims and $83.1K in revenue (4.6% of Medicare revenue) and ranks #1734 of 2838 providers nationally (38th percentile), suggesting occasional billing for non‑standard or miscellaneous injectable products. This pattern is consistent with a practice that sometimes administers newer or less routinely coded therapies in addition to standard agents.

The provider has an established NPI enrollment date of 2011-04-29 (~15 years ago), reflecting a long tenure in the Medicare dataset. That tenure, combined with a concentrated revenue base and high imaging utilization, is consistent with a stable, outpatient retina practice focused on ongoing intravitreal treatment and monitoring rather than episodic surgical volume.

Medicare: Complete Services Breakdown

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	25,980	$30	$753.4K
J0178	Injection, aflibercept, 1 mg	520	$690	$359.7K
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.	890	$100	$90.3K
J3490	Unclassified drugs	50	$1,810	$83.1K
J2778	Injection, ranibizumab, 0.1 mg	410	$180	$72.8K
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…	710	$100	$71.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	590	$120	$70.2K
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.	1,390	$30	$46K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	250	$160	$39.6K
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…	380	$80	$28.6K

Showing 1–10 of 40

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 40 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Scott Walter — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

40 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	31	40	830	$690	$713.1K
J2777	4	30	8,190	$30	$340.4K
J2778	8	20	410	$180	$117.8K
J3490	11	20	50	$1,380	$76K
67028	16	50	540	$100	$66.4K
J2781	2	10	440	$120	$55.7K
J7312	2	10	250	$160	$35.9K
J3299	1	10	720	$40	$26.5K
67042	4	10	20	$1,130	$22.6K
92014	34	580	100	$90	$18.6K

Showing 1–10 of 40

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants PC	CT	Ophthalmology Physician	$0	$25.8M
Ron Margolis	CT	Ophthalmology Physician	$3.5M	$0
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Jerry Neuwirth	CT	Ophthalmology Physician	$2.5M	$0
Marion Stoj	CT	Ophthalmology Physician	$2.4M	$0
Greg Budoff	CT	Retina Specialist (Ophthalmology) Physician	$705.2K	$0
Tavish Nanda	MA	Ophthalmology Physician	$490.9K	$0
Noam Rudnick	CT	Ophthalmology Physician	$243.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambulance Service Of Manchester, LLC	CT	Land Ambulance	$3.3M	$20.4M
Community Child Guidance Clinic, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$9.3M
Manchester Public Schools	CT	Local Education Agency (LEA)	$0	$6.5M
Peter Judson	CT	Ophthalmology Physician	$2.6M	$0
Ronald Albert	CT	General Practice Dentistry	$0	$1.3M
Jeffrey Ranaudo	CT	Vascular Surgery Physician	$319.3K	$0
Hazar Dahhan	CT	Cardiovascular Disease Physician	$318.1K	$0
Walgreen Co	CT	Pharmacy	$140.3K	$43.3K
John Pietropaoli	CT	Vascular Surgery Physician	$137.2K	$0
Daniel Veltri	CT	Sports Medicine (Orthopaedic Surgery) Physician	$91.3K	$0

Scott Walter — 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