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

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

Jack Stringham (NPI 1235496357)

Field	Value
Entity Type	Individual
Organization	Jack Stringham
Address	1055 N 300 W Ste 500
City	Provo
State	UT
ZIP	84604
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 13, 2012

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider is effectively single-payer in scope: total Medicare revenue is $3.4M and there is no Medicaid billing on file, so Medicare represents the entire documented public-payer footprint. The NPI was enumerated 2012-04-13 (~14 years ago), indicating an established practice tenure that aligns with sustained billing history rather than a recent entrant.

Revenue is highly concentrated in a small set of drug and injection codes: the precomputed top 3 Medicare codes account for 86.5% of Medicare revenue, driven primarily by J0178 (73.6% of Medicare revenue, $2.5M revenue). This concentration implies material dependence on intravitreal drug administration for overall practice revenue.

Clinical/service-line mix points to a high-volume medical retina/injection clinic rather than a surgery-focused practice. J0178 (J0178 – Injection, aflibercept) has 3.6K claims with $692 avg paid/claim and is described as notably above typical national volume; J2781 (pegcetacoplan) and 67028 (vitreous injection) also appear in the top revenue codes, supporting a workflow centered on repeated office-based intravitreal therapies and medication administration.

Diagnostic and monitoring services are used extensively in support of the injection workflow: 92134 has 2.4K claims, $29 avg paid/claim, $69.8K revenue and is identified as an extreme outlier, and 92202 has 1.4K claims and $15.2K revenue and is notably above typical national volume. High utilization of retinal imaging and extended ophthalmoscopy is consistent with frequent treatment monitoring and disease surveillance in a retina practice.

Outpatient evaluation activity is also elevated, consistent with routine follow-up for chronic retinal conditions: 99213 appears 1.1K times ($64.6K revenue) and is labeled an extreme outlier, while 99214 and 99204 show meaningful volume as well. The combination of frequent E/M visits plus the high injection and imaging counts suggests visit-level throughput oriented to recurring injections and monitoring visits.

On competitive standing, the provider ranks as a national high-volume performer for key codes: J0178 ranks #101 of 3204 providers nationally (97th percentile; notably above typical national volume), 92134 ranks #714 of 26868 (97th percentile; extreme outlier), and 99213 ranks #4943 of 457151 (99th percentile; extreme outlier). These ranks indicate this clinician is well above typical national peers in injectables, imaging, and established patient visits for Medicare.

Surgical retina procedures are present but constitute a small share of revenue and volume, indicating a limited surgical practice relative to injection and clinic activity. Codes such as 67036, 67041 and 67113 appear with low claim counts and modest revenue shares (each under 1.0% of Medicare revenue), so the practice appears oriented toward medical management over operative interventions.

Ancillary drug billing beyond aflibercept is a measurable secondary revenue stream: J3490 accounts for $277K (8.2% of Medicare revenue) and J7999 accounts for $15.5K, with J3490 ranked #511 of 2838 providers nationally (82th percentile; typical, unremarkable volume). The presence of J2781 (1K claims, $124.2K revenue) also indicates adoption of additional intravitreal therapies, diversifying drug-based revenue though aflibercept remains dominant.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,580	$690	$2.5M
J3490	Unclassified drugs	140	$1,990	$277K
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.	1,710	$90	$159.2K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,040	$120	$124.2K
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.	2,410	$30	$69.8K
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…	1,110	$60	$64.6K
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…	530	$90	$48.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	180	$160	$28.8K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	30	$860	$24.8K
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…	190	$110	$21.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Jack Stringham — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	40	620	$690	$683.2K
J3490	7	30	80	$1,690	$199.5K
J2781	7	20	960	$120	$126.6K
67028	7	60	440	$90	$61.7K
J7312	7	10	340	$160	$52.7K
67041	3	10	20	$1,040	$28.2K
67036	6	20	20	$1,010	$24.2K
67113	1	10	20	$1,170	$20K
J7999	9	20	120	$70	$16.9K
99214	189	4,080	80	$80	$11.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Faber	UT	Retina Specialist (Ophthalmology) Physician	$4M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Ryan Isom	UT	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Jorge Fortun	FL	Ophthalmology Physician	$3.7M	$0
Jaclyn Kovach	FL	Ophthalmology Physician	$3.1M	$0
Richard Corey	UT	Retina Specialist (Ophthalmology) Physician	$3M	$50.1K
Robert Welch	UT	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Stephen Schwartz	FL	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Luis Haddock	FL	Ophthalmology Physician	$2.1M	$0
Philip Rosenfeld	FL	Retina Specialist (Ophthalmology) Physician	$1.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Revere Health PC	UT	Multi-Specialty Clinic/Center	$0	$24M
Utah Valley Pediatrics L.L.C.	UT	Pediatrics Physician	$0	$11.9M
Riverwoods Surgery Center, LLC	UT	Ambulatory Surgical Clinic/Center	$737.9K	$5M
Utah Valley Emergency Physicians Inc	UT	Emergency Medicine Physician	$0	$4.7M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$3.3M
Provo City Board Of Education	UT	Local Education Agency (LEA)	$0	$3M
Jonathan Gunther	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$3K
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$2M
Tyler Hobbs	UT	Family Nurse Practitioner	$1.9M	$0

Jack Stringham — Billing Profile & Reimbursement Data

Sign up for Jack Stringham — Billing Profile & Reimbursement Data policy alerts

Jack Stringham — Billing Profile & Reimbursement Data

Sign up for Jack Stringham — Billing Profile & Reimbursement Data policy alerts

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