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NPI 1255350021 · Little Rock, AR · Retina Specialist (Ophthalmology) Physician
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John King is a retina specialist (ophthalmology) physician provider located in Little Rock, Arkansas. This profile covers 21 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John King |
| Address | 9800 Baptist Health Dr Ste 501 |
| City | Little Rock |
| State | AR |
| ZIP | 72205 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | July 19, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.8M |
| Medicaid | $57.3K |
This provider’s billing is overwhelmingly Medicare-driven: lifetime Medicare revenue is $2.8M compared with $57.3K in Medicaid, so Medicare represents the dominant payer for this clinician’s services. The scale gap indicates the practice operates primarily in the Medicare population rather than as a Medicaid-focused provider.
Revenue concentration is high on a small number of procedures for both payers. For Medicare, the top three codes by revenue (J2777, J0178, 67028) account for 85.6% of total Medicare revenue, and for Medicaid the top three codes (67028, 92134, 92012) account for 95.2% of total Medicaid revenue, which signals a compact service mix focused on a few high-return interventions.
The provider’s Medicare portfolio is dominated by intravitreal pharmacologic therapy: J2777 (faricimab) and J0178 (aflibercept) each generated roughly $1.1M of Medicare revenue. Both drugs are high-revenue biologic injections, which together with the standalone injection code 67028 indicate the practice is structured as a high-volume injection clinic focused on medical retina care.
Competitive standing on national Medicare benchmarks shows solid participation but not market dominance in injections. J2777 ranks #174 of 2039 nationally (92th percentile) and J0178 ranks #745 of 3204 nationally (77th percentile), both annotated as “typical, unremarkable volume,” while 67028 ranks #538 of 4255 (87th percentile), indicating consistent, above-average injection activity versus peers without an outsized national market share.
This clinician is an outlier on diagnostic and follow-up services relative to national peers, which supports a high chronic-care throughput. 92012 is a 99th-percentile, “extreme outlier, far above typical national volume for this code,” and 92134 is a 98th-percentile, “extreme outlier, far above typical national volume for this code,” together signaling unusually high volumes of intermediate eye exams and retinal imaging that accompany chronic retina management.
Medicaid billing mirrors the Medicare service mix but at very small scale: Medicaid entries include 67028 (203 claims, $21.5K, ranks #10 of 17 in-state), 92134 (949 claims, $20.9K, ranks #9 of 43 in-state), and 92012 (628 claims, $11.9K, ranks #16 of 95 in-state). These three Medicaid codes account for 95.2% of this provider’s Medicaid revenue, indicating similar clinical activity for Medicaid patients but far lower financial impact compared with Medicare.
The provider’s coding shows breadth beyond injections, including retinal laser and implant procedures and multimodal imaging, although these are smaller revenue contributors. Examples include 67228 (laser, $16.1K Medicare revenue), J7312 (dexamethasone implant, $29.1K Medicare revenue), and 92235 (fluorescein angiography, $12.9K Medicare revenue), suggesting capability to manage a full spectrum of medical-retina interventions in addition to routine injections.
The provider has a long-tenured NPI (enumerated 2006-07-19 (~20 years ago)), indicating sustained presence in the market; combined with the high volumes of retinal injections and imaging, this tenure supports an established referral and follow-up flow for chronic retinal disease management.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
21 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 38,820 | $30 | $1.1M |
| J0178 | Injection, aflibercept, 1 mg | 1,610 | $690 | $1.1M |
| 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. | 1,780 | $80 | $144.4K |
| 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… | 1,370 | $60 | $79.6K |
| 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. | 2,650 | $30 | $71.7K |
| 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… | 840 | $80 | $66.4K |
| J2778 | Injection, ranibizumab, 0.1 mg | 270 | $180 | $48.8K |
| J7312 | Injection, dexamethasone, intravitreal implant, 0.1 mg | 190 | $150 | $29.1K |
| J9035 | Injection, bevacizumab, 10 mg | 410 | $60 | $23K |
| 92004 | The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits. | 210 | $100 | $21.3K |
Showing 1–10 of 21
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
21 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 6 | 30 | 390 | $690 | $538.3K |
| J2777 | 2 | 20 | 12,180 | $30 | $504.5K |
| J2778 | 9 | 20 | 270 | $180 | $85K |
| 67028 | 4 | 40 | 270 | $80 | $51.1K |
| J7312 | 3 | 10 | 190 | $160 | $42.6K |
| 67210 | 2 | 10 | 20 | $370 | $28.2K |
| J9035 | 6 | 10 | 410 | $50 | $22.1K |
| 92014 | 24 | 370 | 150 | $70 | $19.1K |
| 99214 | 3,914 | 4,300 | 130 | $70 | $18.8K |
| 99213 | 2,103 | 4,180 | 100 | $50 | $9.6K |
Showing 1–10 of 21
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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. | 200 | $110 | $21.5K |
| 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. | 950 | $20 | $20.9K |
| 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… | 630 | $20 | $11.9K |
| 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… | 20 | $50 | $860 |
| 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… | 20 | $50 | $780 |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 40 | $20 | $650 |
| 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… | 10 | $30 | $430 |
How this provider's Medicaid billing volume and revenue compare to other Arkansas providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Arkansas median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 10 | 20 | 260 | $110 | $91.6K |
| 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… | 1,611 | 1,740 | 550 | $30 | $88.8K |
| 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… | 210 | 230 | 260 | $50 | $46.9K |
| 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. | 9 | 40 | 260 | $20 | $26.2K |
| 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… | 315 | 380 | 80 | $50 | $19.9K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 83 | 110 | 150 | $30 | $19.1K |
| 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… | 16 | 100 | 120 | $30 | $14.3K |
Other providers in the same ZIP code as John King, ranked by combined Medicare and Medicaid revenue.
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