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

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

Kathleen Dehorn (NPI 1215143797)

Field	Value
Entity Type	Individual
Organization	Kathleen Dehorn
Address	5030 Cascade Rd Se
City	Grand Rapids
State	MI
ZIP	49546
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 14, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider generates $1.7M in lifetime Medicare revenue and has no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the available claims data. That concentration means analysis and operational risk should be viewed through a Medicare-centric lens rather than a dual‑payer framework.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top three Medicare codes account for 87.2% of this provider's total Medicare revenue, driven by J0178 (51.2% of Medicare revenue, $890.4K), J2778 (19.7%, $343K), and J2777 (16.3%, $283.6K). This concentration indicates that a small set of drug-injection services is the primary revenue engine for the practice.

The code mix and descriptions point to a retina-focused ophthalmology operation centered on frequent intravitreal injections and associated retina diagnostics. High-volume procedural codes such as 67028 (1.5K claims, $118.6K) for isolated intravitreal injection and imaging code 92134 (1.8K claims, $53.2K) support a clinic workflow oriented to same-day or repeat injection visits plus retinal imaging and interpretation.

Competitive standing across national peers is modest to typical for the top drug codes: J0178 ranks #998 of 3204 (69th percentile) and is described as typical/unremarkable, J2778 ranks #225 of 1208 (81th percentile) indicating above-typical utilization relative to its narrower peer set, and J2777 sits at #1027 of 2039 (50th percentile) consistent with median national volume. None of the top drug codes place the provider as a dominant national outlier, though J2778 is relatively stronger versus peers.

92134 (computerized retinal imaging) is a statistical standout: it is labeled "notably above typical national volume," ranking #1187 of 26868 (96th percentile). While 92134 represents only 3.1% of Medicare revenue, its very high percentile suggests the practice uses diagnostic imaging at a rate well above most peers, reinforcing a diagnostics‑plus-treatment model.

Claim and payment patterns show a mix of very high procedural throughput and variation in per‑claim reimbursement: J2777 has 9.8K claims with an average paid/claim of $29, J2778 has 2K claims at $175 avg paid/claim, and J0178 has 1.3K claims at $687 avg paid/claim. This reflects a clinical volume model that pairs frequent, lower‑paid dosing events with fewer, higher‑paid drug administrations, which has implications for supply purchasing and cash‑flow management.

The provider's NPI was enumerated on 2007-05-14 (~19 years ago), indicating long tenure in the Medicare program. That longevity supports a stable referral and patient base for repeat procedures such as intravitreal injections and ongoing retinal surveillance.

From a payer contracting and network strategy perspective, the absence of Medicaid billing and the heavy Medicare dependence centered on a narrow set of injectable drugs and related procedures suggests concentrated reimbursement risk: any pricing or utilization changes for J0178, J2778, or J2777 could materially affect practice revenue, while the strong use of 92134 could be a negotiating lever for bundled retina service arrangements.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,300	$690	$890.4K
J2778	Injection, ranibizumab, 0.1 mg	1,960	$180	$343K
J2777	Injection, faricimab‑svoa, 0.1 mg	9,780	$30	$283.6K
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.	1,520	$80	$118.6K
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.	1,830	$30	$53.2K
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…	260	$60	$15.2K
J9035	Injection, bevacizumab, 10 mg	260	$50	$13.2K
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…	100	$100	$9.5K
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…	60	$100	$6K
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…	40	$90	$3.3K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Kathleen Dehorn — 1 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	27	110	680	$690	$630.2K
J2777	26	60	7,200	$30	$321K
J2778	15	50	730	$180	$240.5K
67028	18	160	440	$90	$57.6K
92014	798	1,080	100	$80	$14.8K
99214	6,746	15,470	80	$80	$11.4K
J9035	7	30	70	$50	$9.5K
92235	60	100	40	$100	$7.8K
92134	27	820	60	$30	$7.1K
99213	1,615	14,810	60	$60	$6.6K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Specialists Of Michigan PC	MI	Retina Specialist (Ophthalmology) Physician	$0	$5.5M
Jeffrey Zheutlin	MI	Ophthalmology Physician	$1.5M	$0
Nathan Pezda	MI	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Louis Glazer	MI	Ophthalmology Physician	$896.2K	$0
Liliya Sutherland	MI	Retina Specialist (Ophthalmology) Physician	$880.7K	$0
Scott Westhouse	MI	Ophthalmology Physician	$869.9K	$0
Joseph Boss	MI	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$761.2K	$0
Greg Bever	MI	Retina Specialist (Ophthalmology) Physician	$749.5K	$0
Edward Korot	MI	Retina Specialist (Ophthalmology) Physician	$407.1K	$0
Christopher Chapman	MI	Ophthalmology Physician	$297.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliance Community Care Partners	MI	Case Management Agency	$0	$145.4M
Dental Group Associates PC	MI	Pediatric Dentistry	$0	$16.1M
Pediatric Dental Specialists Of West Michigan	MI	Pediatric Dentistry	$0	$11M
Michigan Pain Consultants PC	MI	Pain Medicine (Anesthesiology) Physician	$0	$9.9M
Mitten Kids Dentistry Cascade Plc	MI	Pediatric Dentistry	$0	$7.2M
Carepoint Dental Anesthesia Group Of Michigan, PLLC	MI	Dental Anesthesiology	$0	$6.4M
East Paris Surgical Center, LLC	MI	Ambulatory Surgical Clinic/Center	$968.8K	$30.6K
Grand Rapids Surgical Suites LLC	MI	Ambulatory Surgical Clinic/Center	$299.7K	$112.2K
Alan Margherio	MI	Retina Specialist (Ophthalmology) Physician	$333.4K	$0
John Miner	MI	MOHS-Micrographic Surgery Physician	$313.5K	$0

Kathleen Dehorn — Billing Profile & Reimbursement Data

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Kathleen Dehorn — 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