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

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

Gregory Fox (NPI 1225070717)

Field	Value
Entity Type	Individual
Organization	Gregory Fox
Address	8600 Quivira Rd Ste 100
City	Lenexa
State	KS
ZIP	66215
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicare	$4M
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the available dataset: Total Medicare revenue is $4M while there is no Medicaid billing on file. That payer mix indicates the practice’s Medicare activity drives its measurable revenue footprint and any Medicaid market exposure is currently absent in the records provided.

Revenue is highly concentrated in a small set of injectable biologics: the precomputed top three Medicare codes account for 83.3% of this provider's total Medicare revenue. In particular, J0178 (aflibercept) alone generates $2.7M and accounts for 66.3% of Medicare revenue, making it the dominant revenue driver for the practice.

The code mix and volumes indicate a retina-focused ophthalmology practice centered on intravitreal injections and retinal imaging. High revenue and claim counts for J0178 (3.9K claims, $687 avg paid/claim) and substantial activity in J2778 (1.9K claims, $179 avg paid/claim) and J2777 (11.9K claims, $29 avg paid/claim) point to routine administration of anti‑VEGF and related agents.

Procedural support codes reinforce an injection‑heavy workflow: 67028 appears with 2.5K claims and $221.4K revenue (5.5% of Medicare revenue) and ranks #174 of 4255 providers nationally (96th percentile; notably above typical national volume for this code). These procedure volumes are consistent with frequent intravitreal therapy sessions accompanying the high biologic drug billing.

Advanced retinal imaging is also a prominent part of the practice: 92134 shows 3.3K claims for $93.3K and is labeled an "extreme outlier, far above typical national volume for this code" (rank #275 of 26868, 99th percentile). Additional imaging and documentation codes such as 92250 (550 claims, $13.8K; 96th percentile) and 92235 (249 claims, $24.9K; 89th percentile) further support a high‑throughput retinal diagnostics operation.

Competitive standing is strong for several Medicare codes: J0178 ranks #74 of 3204 providers nationally (98th percentile; notably above typical national volume) and 92134 ranks at the 99th percentile nationally. By contrast, some drug codes show more modest or below‑average national positions — for example, J9035 (bevacizumab) registers only 18 claims and ranks near the bottom of its peer set (2nd percentile), indicating limited use of that agent in this practice.

Routine ophthalmology evaluation codes show ongoing outpatient management but are not primary revenue drivers: 92014 appears with 929 claims and $77.1K (1.9% of Medicare revenue) and ranks #1934 of 35415 providers nationally (95th percentile; notably above typical national volume). E/M entries like 99214 and new‑patient codes 99204/99203 occur at typical volumes and contribute small shares of revenue, consistent with a practice structured around procedures and drug administration rather than high E/M revenue.

Provider tenure is long: NPI enumerated 2006-06-11 (~20 years ago), indicating established presence in the market. Combined with the concentrated revenue profile and high national percentiles on key retina treatment and imaging codes, this suggests a mature, procedure‑focused ophthalmology operation with national‑scale intensity on anti‑VEGF therapy rather than broad multisource payer diversification.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,900	$690	$2.7M
J2777	Injection, faricimab‑svoa, 0.1 mg	11,940	$30	$346.3K
J2778	Injection, ranibizumab, 0.1 mg	1,900	$180	$340.3K
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.	2,520	$90	$221.4K
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.	3,330	$30	$93.3K
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…	930	$80	$77.1K
J3590	Unclassified biologics	350	$200	$68.2K
J3490	Unclassified drugs	30	$1,800	$61.1K
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…	320	$90	$27.8K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	210	$120	$25.6K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Gregory Fox — 5 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	30	1,770	$690	$1.3M
J2777	14	30	12,060	$30	$575.7K
J2778	6	20	860	$180	$297.6K
67028	4	40	1,170	$90	$111.4K
J7312	8	10	260	$160	$43.6K
67042	13	20	20	$1,140	$31.9K
J3590	6	20	200	$100	$24.1K
J3490	17	20	120	$200	$23.4K
92014	13	530	180	$70	$18.5K
99214	982	4,310	120	$70	$16.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0
Pavan Reddy	KS	Hematology & Oncology Physician	$6.7M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Thomas Finley	OK	Ophthalmology Physician	$4.8M	$0
Daniel Feiler	KS	Ophthalmology Physician	$4.8M	$0
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Christopher Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0
Stephen Wiles	MO	Ophthalmology Physician	$4.4M	$0
Shaker Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bethesda Lutheran Communities	KS	Mental Illness Intermediate Care Facility	$0	$17.6M
Cherub Medical Supply, LLC	KS	Durable Medical Equipment & Medical Supplies	$0	$6.3M
Mawd Pathology Group Inc	KS	Anatomic Pathology & Clinical Pathology Physician	$660	$5.9M
Ravi Singh	KS	Ophthalmology Physician	$3.9M	$0
Cpf Senior Living - Lenexa LLC	KS	Assisted Living Facility	$0	$3.8M
Beatty Suiter	KS	Ophthalmology Physician	$3.5M	$0
Ryan Christensen	KS	Ophthalmology Physician	$3.3M	$0
180 Medical, Inc.	KS	Durable Medical Equipment & Medical Supplies	$0	$2.7M
Midwest Division-oprmc LLC	KS	General Acute Care Hospital	$0	$2.6M
Sleepcair Inc	KS	Durable Medical Equipment & Medical Supplies	$0	$2.5M

Gregory Fox — 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