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

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

Timothy Byrnes (NPI 1245234715)

Field	Value
Entity Type	Individual
Organization	Timothy Byrnes
Address	5296 Peters Creek Rd
City	Roanoke
State	VA
ZIP	24019
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicare	$4.7M
Medicaid	$0

Key Findings

This provider is a high-volume retina specialist focused on intravitreal pharmacologic therapy and retina diagnostics: the top revenue drivers are intravitreal injections J2777, J0178, and J2778, and imaging/exam codes such as 92134 and 92014 also appear among the highest-volume services. The code mix (large volumes of J2777 and J0178 with substantial claims for 92134 and 92014) is consistent with an injection-centered retina clinic that couples frequent therapeutic injections with OCT imaging and established-patient follow-up visits.

Medicare revenue concentration is pronounced: total Medicare revenue is $4.7M and the precomputed top-3 share shows that J2777, J0178, and J2778 account for 86.1% of this provider's Medicare revenue. This indicates heavy dependence on a small set of intravitreal drug codes for the majority of Medicare earnings, which suggests the practice’s financial performance is tightly linked to anti-VEGF/anti‑angiogenic treatment volume and reimbursement for those agents.

J2777 is the single largest Medicare revenue source for this provider: 74.9K claims generating $2.2M (46.0% of Medicare revenue) and the provider ranks #39 of 2039 nationally (98th percentile), described as notably above typical national volume for this code. That rank and volume position this clinician as a nationally prominent biller for faricimab (J2777), implying either a very large injection clinic or concentrated referral patterns for that therapeutic.

J0178 and J2778 provide the next-largest Medicare shares: J0178 has 2K claims and $1.3M revenue (28.4% of Medicare revenue) and ranks #557 of 3204 (83th percentile; typical, unremarkable volume), while J2778 has 3K claims and $553.3K revenue (11.7% of Medicare revenue) and ranks #119 of 1208 (90th percentile; typical, unremarkable volume). These positions indicate meaningful participation in aflibercept and ranibizumab treatments at levels that are acceptable compared with national peers but not as outstanding as the J2777 activity.

Beyond injectable drugs, this provider is an extreme outlier on some diagnostic and follow-up codes: 92014 (1.9K claims, $172.8K; 3.7% of Medicare revenue) and 92134 (3.4K claims, $98.5K; 2.1% of Medicare revenue) both rank in the 99th percentile and are labeled as extreme outliers, far above typical national volume. These high ranks for comprehensive established exams and OCT imaging reinforce the operational profile of a high-throughput retina practice where frequent follow-up visits and retinal imaging accompany injection regimens.

Procedural retinal surgery and other in-office procedures are present but small by revenue: 67028 shows 2.2K claims and $216.9K (4.6% of Medicare revenue) and ranks #276 of 4255 (93th percentile; notably above typical national volume), while a range of vitrectomy and retinal repair codes (e.g., 67041, 67108, 67036) appear at much lower counts and revenue. This suggests the practice predominantly manages medical retina cases with a smaller footprint in surgical retinal interventions.

Payer mix is effectively single-payer Medicare: total Medicare revenue is $4.7M and there is no Medicaid billing on file (none below). For analysts evaluating market access and reimbursement risk, this means Medicaid trends or policy shifts in that program are not directly relevant to this provider’s billed activity, but any Medicare policy changes affecting high-cost intravitreal drugs or frequent follow-up visit rules could materially affect revenue.

The provider has long tenure in the Medicare program, with NPI enumerated 2005-06-13 (~21 years ago), supporting that these billing patterns reflect an established practice rather than a short-term or newly opened clinic. Combined with the national ranks for J2777 and the extreme outlier status on follow-up exam and OCT codes, the longevity strengthens the interpretation of a sustained, injection-focused retina practice with sizeable throughput relative to peers.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	74,940	$30	$2.2M
J0178	Injection, aflibercept, 1 mg	1,960	$690	$1.3M
J2778	Injection, ranibizumab, 0.1 mg	2,990	$190	$553.3K
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.	2,240	$100	$216.9K
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…	1,940	$90	$172.8K
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.	3,400	$30	$98.5K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	400	$150	$60.6K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	370	$100	$38K
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…	20	$890	$16.9K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	20	$900	$14.4K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Timothy Byrnes — 6 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	32	80	1,400	$690	$1.1M
J2777	1	60	13,200	$30	$517.1K
J2778	2	40	560	$180	$171.5K
67028	13	90	1,000	$90	$107.1K
J7312	3	20	240	$160	$42.5K
92014	23	870	170	$80	$32.8K
67108	8	20	20	$1,180	$23.5K
67041	5	20	20	$1,110	$23.3K
67036	21	20	20	$940	$19.8K
67210	7	10	20	$370	$14.5K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vistar Eye Center, Inc	VA	Specialist	$0	$11.4M
Michael Mcclintock	VA	Retina Specialist (Ophthalmology) Physician	$5.4M	$0
Vishak John	NC	Ophthalmology Physician	$4.3M	$0
Romulo Albuquerque	KY	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Anna Mackin	VA	Retina Specialist (Ophthalmology) Physician	$3.1M	$0
Craig Hartranft	VA	Ophthalmology Physician	$2.8M	$0
Frank Cotter	VA	Ophthalmology Physician	$683.7K	$0
Chad Albright	VA	Ophthalmology Physician	$560.3K	$0
Will Griffeth	VA	Ophthalmology Physician	$484.5K	$0
Tad Schoedel	VA	Ophthalmology Physician	$478.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Depaul Community Resources	VA	Foster Care Agency	$0	$86.6M
Family Preservation Services LLC	VA	Community/Behavioral Health Agency	$0	$58.8M
Pinnacle Treatment Services Of Roanoke, LLC	VA	Substance Use Disorder Rehabilitation Clinic/Center	$0	$14.2M
Roanoke County Board Of Supervisors	VA	Land Ambulance	$1.3M	$1.7M
Bradley Goad	VA	Internal Medicine Physician	$444.3K	$0
Quasir Raza	VA	Internal Medicine Physician	$409K	$0
Donald Scothorn	VA	Optometrist	$304.1K	$0
Natasha Hart	VA	Psychiatric/Mental Health Nurse Practitioner	$233.6K	$0
Sharee Birkett	VA	Family Nurse Practitioner	$200.9K	$0
Branda Hodges	VA	Psychiatric/Mental Health Nurse Practitioner	$153.8K	$0

Timothy Byrnes — 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