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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

William Bridges (NPI 1245214410)

Field	Value
Entity Type	Individual
Organization	William Bridges
Address	21 Medical Park Dr
City	Asheville
State	NC
ZIP	28803
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 1, 2005

Payer Source	Total Paid
Medicare	$4.1M
Medicaid	$0

Key Findings

WILLIAM BRIDGES is a high-volume retina specialist focused on intravitreal pharmacologic therapy and office-based retinal care: the provider’s top revenue codes are anti-VEGF and related intravitreal injection drugs (J0178, J2777, J2778) plus injection procedure 67028 and comprehensive established eye exams 92014, indicating an ambulatory retina practice that performs frequent retinal injections and associated diagnostics rather than primarily surgical retina work.

Revenue for Medicare is concentrated heavily in a few drug codes: the precomputed top 3 Medicare codes account for 80.8% of total Medicare revenue, with J0178 alone representing $1.9M (45.4% of Medicare revenue) and J2777 contributing $1.2M (29.3%). This concentration shows the practice’s financial dependence on high-cost intravitreal drug administration.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $4.1M and there is no Medicaid billing on file. This means the provider’s publicly reported activity and reimbursement exposure in state programs are minimal or absent, so analyses of low-income payer risk or Medicaid-dependent service lines are not applicable.

Competitive standing on key injection codes is strong nationally: J0178 ranks #242 of 3204 providers (92th percentile) and J2777 ranks #154 of 2039 providers (92th percentile), both described as notably above typical national volume. The provider is therefore a major national-volume biller for these drugs compared with peers, suggesting a large retinal injection panel or high per-provider injection throughput.

Some associated diagnostic and office visit services are also unusually concentrated: 92014 (comprehensive established eye exam) has 2.2K claims and $185.8K revenue and ranks #200 of 35415 providers (99th percentile), labeled an extreme outlier. High volume of 67028 injections (2.4K claims, $209.6K revenue, 95th percentile) further confirms strong office-based procedural throughput relative to national peers.

Although drugs dominate revenue, the practice still bills a range of ancillary retinal diagnostics and procedures at elevated volumes: 92134 (retinal imaging) and 92250 (fundus photography) rank in the 96th and 95th percentiles respectively, indicating routine use of imaging to support the injection-based treatment model rather than reliance on hospital- or OR-based surgical codes. This mix is consistent with an outpatient retina clinic managing chronic retinal disease.

Surgical retina procedures are present but minimal in revenue share: vitrectomy 67042 and retinal detachment repair 67108 appear in the top-25 but contribute under 1% each of Medicare revenue, and both rank low relative to national peers. This suggests the provider’s practice emphasis is medical retina (injections/imaging) rather than operating-room retinal surgery.

Provider tenure is long-standing: the NPI was enumerated on 2005-12-01 (~21 years ago), supporting that the current high-volume injection practice is an established operation rather than a recent startup; long tenure may also help explain the provider’s high national ranks for common retina service codes.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,700	$690	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	41,460	$30	$1.2M
J2778	Injection, ranibizumab, 0.1 mg	1,390	$180	$249.3K
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.	2,380	$90	$209.6K
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…	2,160	$90	$185.8K
J3490	Unclassified drugs	100	$1,770	$168K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	780	$120	$93.6K
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.	2,000	$30	$55.9K
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	$20.9K
J9035	Injection, bevacizumab, 10 mg	290	$50	$15.4K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

William Bridges — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	10	100	950	$690	$881K
J2777	6	70	12,990	$30	$503.7K
J2778	10	50	620	$180	$202.2K
67028	5	120	780	$90	$80K
J2781	3	10	480	$120	$75.8K
J3490	10	80	50	$450	$24.1K
67042	25	30	20	$990	$23.8K
92014	6	880	110	$80	$17.7K
67108	19	20	10	$960	$15.3K
J9035	26	90	140	$50	$13.4K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wnc Eye Surgery Centers Inc	NC	Ambulatory Surgical Clinic/Center	$3M	$273.5K
Cameron Stone	NC	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Christopher Komanski	NC	Ophthalmology Physician	$2.3M	$0
Walter Mclean	NC	Retina Specialist (Ophthalmology) Physician	$2M	$0
William Haynes	NC	Ophthalmology Physician	$459.5K	$0
Alexander Walters	NC	Ophthalmology Physician	$433.6K	$0
Damien Macaluso	NC	Ophthalmology Physician	$374.2K	$0
James Crandall	NC	Ophthalmology Physician	$371.4K	$0
Jordan Masters	NC	Ophthalmology Physician	$363.1K	$0
Jeffrey Goldstein	NC	Ophthalmic Plastic and Reconstructive Surgery Physician	$295.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carolina Rehabilitation Specialists, Inc.	NC	Speech-Language Pathologist	$0	$26.1M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$17.5M
The Bair Foundation	NC	Foster Care Agency	$0	$17.3M
The Arc Of North Carolina	NC	Community/Behavioral Health Agency	$0	$14.6M
Mountain Area Health Education Center, Inc.	NC	Federally Qualified Health Center (FQHC)	$0	$14.3M
Tender Loving Care Homes, Inc.	NC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$13.1M
Asheville Pediatric Associates	NC	Pediatrics Physician	$0	$10.9M
Asheville Children's Medical Center, P.A.	NC	Pediatrics Physician	$0	$9.4M
Crossroads Treatment Centers Of Asheville, PC	NC	Multi-Specialty Clinic/Center	$81.2K	$6.5M
Orthopaedic Surgery Center Of Asheville, LP	NC	Ambulatory Surgical Clinic/Center	$5.1M	$11.7K

William Bridges — 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