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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Jonathan Prenner (NPI 1245203066)

Field	Value
Entity Type	Individual
Organization	Jonathan Prenner
Address	10 Plum Street
City	New Brunswick
State	NJ
ZIP	08901
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	February 10, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider’s billed Medicare footprint is material but narrowly concentrated: total Medicare revenue is $3.4M and there is no Medicaid billing on file, so operational and payer relationships are effectively single-payer focused on Medicare. The provider’s NPI was enumerated 2006-02-10 (~20 years ago), indicating long-tenured participation in the Medicare program.

Revenue is highly concentrated in intravitreal biologic therapy: the precomputed top 3 Medicare codes account for 71.8% of total Medicare revenue, driven by J0178 ($1.7M, 50.9%), J2778 ($505.2K, 14.8%), and J2777 ($208.3K, 6.1%). This concentration means most Medicare dollars for this clinician flow through a very small set of high-cost injection codes.

Clinical mix and service line implications point to an office-based medical retina practice that focuses on frequent intravitreal injections and diagnostic follow-up rather than broad general ophthalmology or high-volume surgery. The dominance of J0178, J2778, and J2777 alongside high counts for 67028 (2.1K claims, $207.7K, 6.1%) and imaging/office visit codes (92014: 1.9K claims, $188.3K, 5.5%; 92134: 2.6K claims, $90.4K, 2.6%) supports a workflow organized around recurring injections plus OCT and comprehensive/established visits.

Competitive standing varies by drug and service. J0178 ranks #316 of 3204 nationally (90th percentile) and J2778 ranks #138 of 1208 (89th percentile), both described as "typical, unremarkable volume" but positioned well above most peers, whereas J2777 ranks #1230 of 2039 (40th percentile) indicating more modest national participation for faricimab billing.

Several non-procedural codes are statistically extreme outliers for national volume, underscoring very high throughput for certain office services: 92014 is described as an "extreme outlier, far above typical national volume" (1.9K claims, $188.3K, 5.5%), and 92134 is also an "extreme outlier, far above typical national volume" (2.6K claims, $90.4K, 2.6%). These elevated percentiles suggest a heavy ongoing follow-up and imaging burden relative to typical ophthalmology practices.

The provider bills a meaningful amount under unclassified biologic and compound codes: J3590 accounts for $203.5K (5.9%) and J7999 for $7.8K (0.2%), with J3590 ranked #313 of 631 (50th percentile) described as "typical, unremarkable volume." The presence of these line items indicates routine use of billed biologic or unclassified drug administration beyond standard listed HCPCS items, but at moderate comparative volume.

Surgical procedural volume appears limited relative to injection and clinic activity; 67036 shows 18 claims for $10.6K (0.3%) and ranks #413 of 832 (46th percentile) with a label of "typical, unremarkable volume." This supports a profile of an injection- and clinic-focused retina specialist rather than an operating-room–driven retinal surgeon.

For payers and network managers, the combination of single-payer concentration in Medicare and the fact that J0178 alone represents $1.7M (50.9%) of Medicare revenue highlights where utilization management or contracting efforts would be most impactful. Given the lack of Medicaid billing on file, any payer interventions or value-based arrangements would be concentrated on Medicare relationships and the small set of high-revenue injection codes.

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	2,520	$690	$1.7M
J2778	Injection, ranibizumab, 0.1 mg	2,690	$190	$505.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,440	$30	$208.3K
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.	2,080	$100	$207.7K
J3590	Unclassified biologics	90	$2,310	$203.5K
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…	1,880	$100	$188.3K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	730	$220	$156.6K
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.	2,580	$40	$90.4K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	760	$70	$56.5K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	1,080	$10	$14K

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. New Jersey Distribution

Jonathan Prenner — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	90	880	$690	$693.6K
J2777	32	60	8,820	$30	$319K
J2778	4	40	1,140	$180	$240.8K
J3590	6	20	50	$2,180	$156.6K
Q5128	5	20	650	$210	$139K
67028	10	100	810	$100	$91.1K
92014	25	1,130	160	$100	$34.9K
67036	10	20	20	$950	$19.9K
92012	58	800	140	$70	$18.5K
92235	57	70	60	$120	$17.3K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Vinod Voleti	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Sumit Shah	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Newman Sund	MD	Ophthalmology Physician	$4M	$0
Eric Suan	MD	Ophthalmology Physician	$3.8M	$0
Matthew Speicher	MD	Ophthalmology Physician	$3.7M	$0
Howard Fine	NJ	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Timothy Polk	MD	Ophthalmology Physician	$3.5M	$0
David Kim	NJ	Retina Specialist (Ophthalmology) Physician	$3.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Specialized Hospital	NJ	Children's Rehabilitation Hospital	$0	$200M
Robert Wood Johnson University Hospital, Inc	NJ	General Acute Care Hospital	$0	$198.3M
Saint Peter's University Hospital	NJ	General Acute Care Hospital	$0	$185.5M
Diya Care Inc	NJ	Home Health Agency	$0	$139.8M
Golden Path Adult Day Health Care Inc.	NJ	Adult Day Care Clinic/Center	$0	$17.7M
New Brunswick Board Of Education	NJ	Local Education Agency (LEA)	$0	$12.7M
Care We Love, LLC	NJ	Home Health Agency	$0	$11.2M
Damon House Inc.	NJ	Substance Abuse Rehabilitation Facility	$0	$9.8M
Southern Bank Emergency Physicians LLC	NJ	Emergency Medicine Physician	$0	$9.2M
New Brunswick Counseling Center	NJ	Substance Use Disorder Rehabilitation Clinic/Center	$174.7K	$9M

Jonathan Prenner — Billing Profile & Reimbursement Data

Sign up for Jonathan Prenner — Billing Profile & Reimbursement Data policy alerts

Jonathan Prenner — Billing Profile & Reimbursement Data

Sign up for Jonathan Prenner — 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