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

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

Brandon Mccafferty (NPI 1255744579)

Field	Value
Entity Type	Individual
Organization	Brandon Mccafferty
Address	909 Fulton St Se
City	Minneapolis
State	MN
ZIP	55455
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 4, 2014

Payer Source	Total Paid
Medicare	$1.2M
Medicaid	$0

Key Findings

This provider’s visible payer footprint is effectively single-payer Medicare: Total Medicare revenue is $1.2M and there is no Medicaid billing on file. The absence of Medicaid claims suggests the practice either does not participate in Medicaid or sees few Medicaid-insured patients, which concentrates commercial/payer risk into Medicare reimbursement trends and policies.

Revenue is highly concentrated in a small set of ophthalmology treatments: the precomputed top 3 Medicare codes account for 89.0% of the provider’s Medicare revenue, driven predominantly by J0178 (75.3%). Such concentration indicates that a single high-cost therapeutic (J0178) is the primary revenue driver rather than a broad mix of procedures.

J0178 activity (J0178 – Injection, aflibercept, 1 mg) is the single largest line: 1.3K claims, $694 avg paid/claim, $916.1K revenue (75.3% of Medicare revenue) and ranks #966 of 3204 providers nationally (70th percentile; typical, unremarkable volume). This profile is consistent with a practice that delivers a high volume of intravitreal anti-VEGF therapy but is not among the national leaders for injection volume.

Complementary office-based continuity care is also meaningful: 92014 shows 1.4K claims, $86 avg paid/claim, $116.2K revenue (9.5% of Medicare revenue) and ranks #813 of 35415 providers nationally (98th percentile; notably above typical national volume). That elevated percentile for comprehensive established exams suggests a large established Medicare patient panel and routine longitudinal management in addition to procedure-based revenue.

Intraocular injection procedure billing beyond the drug itself appears in the mix: 67028 reports 543 claims, $94 avg paid/claim, $51K revenue (4.2% of Medicare revenue) and ranks #2119 of 4255 providers nationally (50th percentile; typical, unremarkable volume). The combination of J0178 and 67028 supports an operational focus on retinal injections and related procedural visits rather than cataract surgery or broader subspecialty procedures.

Competitive standing is mixed across code types: the provider is a high national outlier for office comprehensive exams (92014 at the 98th percentile, described as notably above typical), while injection-drug volume (J0178 at the 70th percentile) and procedure injection frequency (67028 at the 50th percentile) are characterized as typical or unremarkable. This suggests strong patient panel retention and exam volume nationally, with mid-tier standing for therapeutic injection volume.

The provider’s NPI has been enumerated since 2014-06-04 (~12 years ago), indicating roughly a decade-plus of billing history under this identifier. That tenure is consistent with sustained patterns of established-patient visits and recurring intravitreal therapy reflected in the claims counts and revenues reported.

The heavy dependence on a single drug code (J0178 at 75.3% of Medicare revenue) represents a revenue concentration and potential reimbursement risk: changes in anti-VEGF pricing, utilization management, or J-code payment policy could disproportionately affect total revenue. Analysts and payers should flag this as a strategic sensitivity when assessing network value or negotiating rates, especially given the lack of Medicaid offset to diversify payer mix.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,320	$690	$916.1K
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…	1,350	$90	$116.2K
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.	540	$90	$51K
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…	110	$410	$45.1K
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.	1,060	$30	$31.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$250	$14.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	270	$40	$12K
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…	160	$60	$10.1K
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.	80	$90	$7.3K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	40	$130	$5.6K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Brandon Mccafferty — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	40	580	$690	$743.4K
67028	28	80	420	$90	$64.8K
66984	194	300	190	$50	$56K
66821	66	170	50	$110	$13.8K
92014	1	830	100	$80	$11.9K
92012	46	200	60	$60	$8.8K
68761	6	20	30	$120	$5.5K
92134	20	580	40	$30	$4.8K
92004	49	590	30	$90	$3.3K
92136	105	160	100	$20	$3.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
North Memorial Health Care	MN	Ambulance	$0	$112.8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$90.4M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Fairview Express Care	MN	Specialist	$0	$33.1M
North Memorial Health Care	MN	General Acute Care Hospital	$0	$32.5M
Fairview Health Services	MN	General Acute Care Hospital	$0	$30M
Fairview Health Services	MN	Emergency Medicine Physician	$0	$26.6M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
University Of Minnesota Health Clinics And Surgery Center, Inc.	MN	Clinic/Center	$0	$16.3M
Regions Hospital	MN	Emergency Medicine Physician	$0	$15.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regents Of The University Of Minnesota	MN	Dental Clinic/Center	$0	$15.4M
Dara Koozekanani	MN	Ophthalmology Physician	$389.8K	$0
Stephanie Standal	MN	Physical Medicine & Rehabilitation Physician	$336.3K	$0
Daniel Steinberger	MN	Diagnostic Radiology Physician	$285.2K	$0
Brenda Shoo	MN	Radiation Oncology Physician	$267K	$0
Parisa Salehi	MN	Physical Medicine & Rehabilitation Physician	$218K	$0
Christopher Martin	MN	Orthopaedic Surgery Physician	$216.9K	$0
Ian Maher	MN	MOHS-Micrographic Surgery Physician	$210.6K	$0
Alicia Phillips	MN	Physical Medicine & Rehabilitation Physician	$198K	$0
Andrew Harrison	MN	Ophthalmic Plastic and Reconstructive Surgery Physician	$151.9K	$0

Brandon Mccafferty — 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