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

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

Aaron Alme (NPI 1245359223)

Field	Value
Entity Type	Individual
Organization	Aaron Alme
Address	160 Heritage Way
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 28, 2007

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This provider’s Medicare-centric footprint is clear: total Medicare revenue is $2.1M while there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in the available data. The NPI was enumerated on 2007-03-28 (~19 years ago), indicating an established billing history that aligns with sustained Medicare activity rather than recent market entry.

Revenue is highly concentrated in a small set of high-value drug and injection services: the precomputed top 3 Medicare codes by revenue account for 69.7% of this provider's total Medicare revenue, driven by J0178 (34.6%), J2777 (27.1%), and 67028 (8.1%). That concentration means the majority of dollars are tied to anti-VEGF and intravitreal injection services rather than a broad mix of E/M or routine outpatient care.

The code mix indicates a retina-focused, procedure-heavy practice model: J0178 (aflibercept) and J2777 (faricimab) are the two largest revenue sources and 67028 documents intravitreal injections as an isolated procedure, which together point to frequent in-office injectable treatments for retinal disease. High volumes of diagnostic imaging codes such as 92134 (computerized retinal imaging) further support a practice organized around retinal disease management and monitoring rather than primarily primary eye care.

Competitive standing for the top injection codes is modest-to-strong but not dominant nationally: J0178 ranks #1236 of 3204 providers nationally (61th percentile; typical, unremarkable volume for this code), J2777 ranks #550 of 2039 providers nationally (73th percentile; typical, unremarkable volume for this code), and 67028 ranks #516 of 4255 providers nationally (88th percentile; typical, unremarkable volume for this code). These placements signal that the provider sees above-average throughput for injections and intravitreal procedures compared with many peers, but is not among the highest-volume national leaders for these drug administrations.

There are clear statistical outliers in the diagnostic and drug compounding lines: 92134 is an extreme outlier at the 98th percentile and 2.7K claims, indicating exceptionally high utilization of posterior-segment retinal imaging relative to peers. Similarly, J7999 (compounded drug) appears notably above typical at the 97th percentile with 1.2K claims, and 92014 (established comprehensive eye exam) is also notably above typical at the 97th percentile; together these suggest an operation that combines high imaging throughput with in-office medication preparation and frequent established-patient visits.

Surgical cataract work is present but secondary to injections: 66984 accounts for 5.1% of Medicare revenue (266 claims, $106.9K revenue) and ranks #4379 of 15965 providers nationally (73th percentile; typical, unremarkable volume for this code), while more complex cataract codes like 66982 contribute smaller shares. This pattern implies the practice performs routine cataract surgery but derives its primary revenue and operational emphasis from retinal injection and imaging services.

The business implications of the revenue mix are material: heavy reliance on a few drug codes (J0178 and J2777) and intravitreal injection services creates sensitivity to changes in drug utilization, reimbursement, or clinical guidelines, while the absence of Medicaid billing on file means payer diversification is limited in the observed data. For payers and network planners, the provider looks like an established retina-oriented ophthalmologist with strong imaging and injection capacity and limited engagement with Medicaid populations in the available records.

Operational scale signals: large claim counts for selected services—1.1K claims for J0178, 19.5K claims for J2777, 2.7K claims for 92134, and 1.2K claims for J7999—combined with an NPI active since 2007-03-28 (~19 years ago) indicate sustained, high-throughput workflows for intravitreal injections and retinal imaging rather than sporadic or incidental provision of these services. That sustained throughput supports the interpretation of a specialized, procedure-driven practice model with established operational processes for frequent injections and imaging.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,050	$690	$723.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	19,500	$30	$565.5K
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.	1,810	$90	$168.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	270	$400	$106.9K
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…	1,150	$90	$97.7K
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.	2,690	$30	$80.8K
J7999	Compounded drug, not otherwise classified	1,170	$70	$80.7K
J0179	Injection, brolucizumab-dbll, 1 mg	310	$250	$77.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	190	$240	$45.2K
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	$28.7K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Aaron Alme — 2 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	20	460	$680	$663.4K
J2777	2	10	10,170	$30	$351.2K
66984	20	120	50	$490	$78.1K
J0179	1	10	310	$250	$77.1K
67028	4	20	390	$90	$73.7K
J7999	4	10	470	$70	$45.4K
66982	10	30	30	$600	$29.6K
67042	5	10	20	$1,140	$22.8K
92014	6	170	190	$80	$22.7K
67041	2	10	20	$1,180	$20K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Eye Clinic PC	MT	Ophthalmology Physician	$0	$2.3M
Tyler Ofstad	MT	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Mark Remington	MT	Ophthalmology Physician	$665.6K	$0
Roger Barth	MT	Ophthalmology Physician	$422.8K	$0
August Stein	MT	Ophthalmology Physician	$391.4K	$0
Mark Goerlitz-jessen	MT	Ophthalmology Physician	$259.5K	$0
Caleb Morris	NV	Ophthalmology Physician	$227.2K	$0
William Stoddard	MT	Ophthalmology Physician	$165.9K	$0
Nicholas Ranson	MO	Ophthalmology Physician	$144.3K	$0
Jonathan Olsen	MT	Optometrist	$125.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Aaron Alme — 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