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

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

Isaac Rudloe (NPI 1215156534)

Field	Value
Entity Type	Individual
Organization	Isaac Rudloe
Address	128 Bucksport Rd
City	Ellsworth
State	ME
ZIP	04605
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 25, 2007

Payer Source	Total Paid
Medicare	$246.4K
Medicaid	$0

Key Findings

Practice focus and service mix: The provider’s top billed services are ophthalmology-focused and span comprehensive eye exams (92014), cataract surgery (66984), and routine office evaluation and management (99213), indicating an outpatient ophthalmology practice that performs both surgical procedures and high-volume clinic visits. Additional codes such as 15823 (upper eyelid skin excision) and posterior-segment imaging codes (92133, 92134) show a mix of minor oculoplastic procedures and diagnostic imaging supporting medical and surgical eye care.

Revenue concentration: Medicare revenue is compactly concentrated in a few services — the precomputed top 3 Medicare codes by revenue account for 57.9% of the provider’s total Medicare revenue, highlighting reliance on a small set of high-yield ophthalmology services for the majority of reimbursement. This concentration suggests revenue sensitivity to volume or changes in reimbursement for those specific codes.

Payer mix / single-payer profile: This provider is effectively single-payer in the dataset: Total Medicare revenue is $246.4K while there is no Medicaid billing on file. That absence of Medicaid activity indicates the provider’s Medicare-oriented patient panel or contracting footprint, and suggests limited exposure to Medicaid-managed care or state-plan beneficiaries.

Competitive standing on primary exam code 92014: The provider’s use of 92014 is notably above typical national volume, with 845 claims producing $66.8K in revenue and a national rank in the 93th percentile for that code. This places the provider well above average in delivering comprehensive established-patient eye exams, signaling a strong clinical throughput for routine ophthalmic care relative to national peers.

Surgical volumes and standing for cataract care: Cataract surgery (66984) generates $49.9K and ranks in the 75th percentile nationally, reflecting solid but not top-tier surgical volume for this code. Combined with meaningful revenue from related codes (66821 YAG capsulotomy, 92136 biometry), the pattern is consistent with an ophthalmologist who maintains an active cataract surgery practice supported by pre- and post-operative diagnostics.

Office visit intensity and new-patient evaluations: The provider bills both new-patient and established-patient E/M codes at notable volumes — 99204 ($15.9K, 94th percentile) and 99213 ($26.2K, 93th percentile) — indicating the practice handles complex new evaluations in addition to high-frequency follow-up visits. The elevated percentile for 99204 suggests stronger-than-typical throughput for longer, moderate-complexity new patient encounters among national peers.

Procedural breadth and selective specialties: Smaller but meaningful revenue items like 15823 (eyelid skin excision, $25.7K) and 65855 (trabeculoplasty, $3.3K) show the provider performs a mix of oculoplastic and glaucoma-related procedures in addition to cataract care. These ancillary procedures diversify service lines and imply the clinician offers outpatient surgical treatments beyond routine cataract surgery and diagnostics.

Tenure and potential market experience: The provider’s NPI was enumerated on 2007-04-25 (about 19 years ago), indicating long-standing presence in the market. This tenure is consistent with maintaining steady Medicare volume across diagnostic, medical, and surgical ophthalmology services and may support referral relationships that underpin the observed procedure mix.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	850	$80	$66.8K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	310	$160	$49.9K
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…	450	$60	$26.2K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	40	$610	$25.7K
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…	140	$110	$15.9K
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…	140	$90	$12.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$220	$10.1K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	220	$40	$9.1K
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.	210	$30	$5.5K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	230	$20	$5.4K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Isaac Rudloe — 6 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	62	90	1,340	$40	$62.5K
15823	5	10	60	$510	$32.6K
66821	23	40	50	$200	$14.9K
92014	3	240	150	$80	$14.7K
99214	634	2,500	70	$70	$7.2K
92134	24	180	50	$30	$4.5K
92136	17	30	150	$30	$4.4K
99213	39	2,350	50	$50	$4.3K
99204	14	810	30	$100	$3.6K
92004	34	190	30	$90	$3.6K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Sean Garrity	AZ	Ophthalmology Physician	$3.4M	$0
Adam Chin	MA	Ophthalmology Physician	$3.4M	$870
David Lally	MA	Ophthalmology Physician	$3.2M	$670
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Brad Baker	MA	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Anthony Joseph	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Michelle Liang	MA	Ophthalmology Physician	$2.1M	$0
Shilpa Desai	MA	Ophthalmology Physician	$1.6M	$0
Frank Mccabe	MA	Retina Specialist (Ophthalmology) Physician	$1.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Coast Regional Health Facilities	ME	General Acute Care Hospital	$0	$24.8M
Kidspeace National Centers Of New England Inc	ME	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$16.8M
Kidspeace National Centers Of New England, Inc.	ME	Community/Behavioral Health Agency	$0	$15M
Kidspeace National Centers Of New England Inc	ME	Psychiatric Residential Treatment Facility	$0	$8.6M
Special Children's Friends, Inc.	ME	Early Intervention Provider Agency	$0	$8.1M
Emergency Medicine Services Of Maine, LLC	ME	Emergency Medicine Physician	$0	$5.4M
Coastal Med-tech Corp.	ME	Customized Equipment (DME)	$0	$2.4M
Total Renal Care Inc	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Caring Hands Of Maine	ME	Dentist	$0	$1.3M
Cesc, LLC	ME	Ambulatory Surgical Clinic/Center	$617.6K	$534.5K

Isaac Rudloe — 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