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

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

Thomas Baudo (NPI 1205881976)

Field	Value
Entity Type	Individual
Organization	Thomas Baudo
Address	2750 Indian River Blvd
City	Vero Beach
State	FL
ZIP	32960
Taxonomy	Specialist
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicare	$5.4M
Medicaid	$0

Key Findings

This provider’s Medicare billing is concentrated in ophthalmology and retina services, with the top three Medicare codes by revenue accounting for 69.6% of total Medicare revenue. High-revenue injectable drugs (J0178, J2778, J2777) dominate the mix, and procedure and imaging codes tied to retinal care (67028, 92134, 92235, 92250) also feature prominently, indicating an operating model focused on intravitreal injections and comprehensive retinal diagnostics and monitoring.

Revenue scale is meaningful at the Medicare-only level: lifetime Medicare revenue is $5.4M while there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the available dataset. Lack of Medicaid activity suggests limited engagement with Medicaid populations or billing under other group NPIs/affiliations not present in this file.

The provider shows very high national standing on several retinal diagnostics and injection procedure codes. For example, J0178 accounts for $3M revenue (54.5% of Medicare revenue) and ranks #50 of 3204 providers nationally (98th percentile), 92134 ranks in the 100th percentile, 92235 ranks in the 99th percentile, and 92250 and 67028 are also at the 98–100th percentile; these placements characterize the provider as a major national-volume participant for multiple retina-focused services.

Specific drugs and services show different competitive profiles: J0178 (aflibercept) is an exceptionally large revenue driver and is described as notably above typical national volume, while J2778 (ranibizumab) and J2777 (faricimab) are in more typical ranges (86th and 61st percentiles respectively). This suggests clinical or formulary emphasis on aflibercept in the practice’s treatment patterns, with other agents used but at lower relative volumes.

Several diagnostic and electrophysiology codes are extreme outliers or notably above typical national volume, reinforcing a high-intensity retinal diagnostic capability. Codes such as 92134, 92250, 92273, and 92012 are listed as extreme outliers or in the 99–100th percentiles, and specialized testing codes like 0509T and 95930 also rank in the top percentiles; together these imply an in-house suite of imaging and functional testing that supports frequent follow-up and monitoring.

The provider has long tenure in the NPI registry, enumerated on 2006-05-23 (~20 years ago), which aligns with the high cumulative Medicare revenue ($5.4M) and sustained volume on repeat-treatment and monitoring codes. Long enumeration combined with high national ranks on key retina codes suggests an established retinal practice in VERO BEACH, FL.

Although many procedure and imaging codes are extreme outliers, some code volumes are typical or unremarkable nationally (for example 92004, J3490, J2781, 76512), indicating the practice mixes very high-volume retina services with routine ophthalmology encounters. This pattern is consistent with a specialist retina clinic that performs both procedural and standard outpatient evaluation workstreams.

Operational risk and business implications: the heavy dependence on a small set of high-cost injectable drug codes (J0178 comprising $3M and over half of Medicare revenue) creates revenue concentration risk tied to drug utilization patterns and reimbursement changes. Any shifts in payer drug policies, clinical guidelines, or biosimilar availability could materially affect the provider’s Medicare revenue profile.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,260	$690	$3M
J2778	Injection, ranibizumab, 0.1 mg	2,400	$180	$434K
J2777	Injection, faricimab‑svoa, 0.1 mg	13,260	$30	$384.5K
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.	3,340	$90	$286.9K
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…	3,050	$90	$271.2K
J3490	Unclassified drugs	430	$470	$203.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,260	$120	$151.2K
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.	4,500	$30	$135.1K
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…	1,090	$110	$115.5K
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…	1,650	$70	$108.8K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Thomas Baudo — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	250	800	$690	$817.6K
J2777	81	170	12,810	$30	$549.2K
J2778	15	110	660	$180	$234.1K
J2781	9	50	500	$120	$102K
67028	11	300	710	$90	$91.1K
J3490	22	180	70	$280	$87.5K
92014	4	2,180	160	$80	$28.5K
99214	28,437	32,760	140	$90	$25K
67210	27	30	30	$410	$24.6K
66821	203	740	60	$230	$24.1K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Zudans	FL	Ophthalmology Physician	$731.5K	$0
Karen Todd	FL	Specialist	$493.6K	$0
Shaun Swindler	FL	Ophthalmology Physician	$202.9K	$100
Cynthia Kipp	FL	Optometrist	$43.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indian River Memorial Hospital Inc	FL	General Acute Care Hospital	$0	$9.3M
Robert Reinauer	FL	Ophthalmology Physician	$8.1M	$0
Advanced Eye Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$3.8M	$0
Raul Storey-rojas	FL	Medical Oncology Physician	$3.6M	$0
Julie Bell	FL	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$0
Monika Srivastava	FL	MOHS-Micrographic Surgery Physician	$3M	$0
William Mcgarry	FL	Hematology & Oncology Physician	$2.6M	$0
Grove Place Surgery Center ,LLC	FL	Ambulatory Surgical Clinic/Center	$2.4M	$0
Seth Coren	FL	Orthopaedic Surgery Physician	$2.2M	$0
Advanced Center For Surgery - Vero Beach, LLC	FL	Ambulatory Surgical Clinic/Center	$2.1M	$0

Thomas Baudo — 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