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

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

John Carlson (NPI 1215913199)

Field	Value
Entity Type	Individual
Organization	John Carlson
Address	9041 Magnolia Ave
City	Riverside
State	CA
ZIP	92503
Taxonomy	Ophthalmology Physician
NPI Enumerated	December 21, 2005

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	530	$690	$367.4K
J2777	Injection, faricimab‑svoa, 0.1 mg	11,280	$30	$327.1K
J2778	Injection, ranibizumab, 0.1 mg	890	$180	$163.2K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	470	$220	$100.6K
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.	980	$100	$98.1K
J3490	Unclassified drugs	50	$1,770	$95.7K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	600	$120	$72K
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…	700	$100	$66.3K
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.	1,440	$30	$47.4K
Q5124	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	190	$170	$32.7K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

John Carlson — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	160	310	570	$690	$647.1K
J2777	94	200	10,740	$30	$459.5K
Q5128	32	50	800	$220	$286.7K
Q5124	19	30	810	$170	$217.3K
J2778	57	130	700	$180	$196K
J2781	21	60	480	$120	$95.7K
67028	136	470	420	$100	$71.8K
J3490	209	320	80	$190	$49.2K
J7999	149	240	130	$140	$34.9K
92012	1,273	1,620	150	$70	$23.6K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Medical Foundation	CA	Family Medicine Physician	$0	$52.6M
Aaron Jeng	CA	Internal Medicine Physician	$43.2M	$0
Primex Clinical Laboratories Inc.	CA	Clinical Medical Laboratory	$5.8M	$27.3M
Richard Park	CA	Internal Medicine Physician	$31.7M	$0
Harbinder Brar	CA	Maternal & Fetal Medicine Physician	$0	$31.3M
Jack Azad	CA	General Practice Physician	$17.2M	$0
Ravindra Gautam	CA	Internal Medicine Physician	$13M	$0
Thomas Schlesinger	CA	Retina Specialist (Ophthalmology) Physician	$4.3M	$7.9M
Shalini Yalamanchi	CA	Ophthalmology Physician	$4.6M	$7.2M
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Riverside	CA	Community/Behavioral Health Agency	$0	$1.4B
Community Health Systems, Inc.	CA	Federally Qualified Health Center (FQHC)	$0	$51.2M
Doctors Hospital Of Riverside LLC	CA	General Acute Care Hospital	$0	$37.7M
Nathan O Ogbatue	CA	Home Health Agency	$0	$36.1M
Sonia Dhoot	CA	Ophthalmology Physician	$1.5M	$0
Richard Pesavento	CA	Ophthalmology Physician	$1.3M	$0
Chiayu Chen	CA	Cardiovascular Disease Physician	$599.9K	$0
Michelle Omura	CA	Diagnostic Radiology Physician	$80.2K	$0

John Carlson — Billing Profile & Reimbursement Data

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John Carlson — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References