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    OpenPayerNPI Medicare & MedicaidRobert Olk
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    Robert Olk — Billing Profile & Reimbursement Data

    NPI 1265429245 · Saint Louis, MO · Ophthalmology Physician

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    Robert Olk is a ophthalmology physician provider located in Saint Louis, Missouri. This profile covers 41 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationRobert Olk
    Address11710 Old Ballas Rd
    CitySaint Louis
    StateMO
    ZIP63141
    TaxonomyOphthalmology Physician
    NPI EnumeratedOctober 4, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.7M
    Medicaid$0

    Key Findings

    ROBERT OLK is an ophthalmology physician in SAINT LOUIS, MO with an NPI enumerated 2005-10-04 (~21 years ago). His lifetime Medicare revenue on file is $1.7M and there is no Medicaid billing on file, indicating the provider’s public-payer footprint is effectively single‑payer Medicare at the claims level. The long enumeration date suggests an established billing history in the Medicare program.

    Revenue for this provider is highly concentrated in a small set of drug administration codes: the precomputed top 3 Medicare codes account for 59.2% of total Medicare revenue. Those top three are J2777 ($478.5K, 26.9%), J2403 ($301.6K, 17.0%), and J3490 ($272.4K, 15.3%), which together drive the majority of Medicare dollars reported for this NPI. This concentration signals reliance on a few high‑value services for overall revenue.

    The code mix is consistent with a retina‑focused ophthalmology practice that delivers intravitreal drug therapy and performs retina procedures and imaging. High‑revenue drug administration codes such as J2777 (faricimab) and Q5124 (ranibizumab biosimilar, $195.8K, 11.0%) appear alongside retina surgery codes including 67028 (675 claims, $70.9K) and 67040 (34 claims, $19.2K), as well as diagnostic imaging codes like 92134 (1K claims, $28.3K). This blend of biologic/drug injections, procedural intervention, and retinal imaging supports a practice model centered on medical and surgical retina care.

    Competitive standing against national Medicare peers is mixed by code: J2777 is in the middle of the national distribution, ranking #659 of 2039 providers nationally (68th percentile; typical, unremarkable volume for this code), while J2403 ranks #6 of 76 providers nationally (93th percentile; typical, unremarkable volume for this code), indicating unusually high relative use of J2403 compared with most peers. J3490 ranks #422 of 2838 providers nationally (85th percentile; typical, unremarkable volume for this code). Separately, a few specialized codes show standout positions: J3396 ranks #1 of 7 providers nationally (100th percentile; notably above typical national volume for this code) and 67221 also ranks #1 of 7 providers nationally (100th percentile; notably above typical national volume for this code), indicating above‑typical volumes on these less common services.

    Despite multiple drug codes appearing in the top 25, some injectable biologic codes show limited relative activity: J0178 (aflibercept) appears with 52 claims and $36.2K revenue and is ranked #3148 of 3204 providers nationally (2th percentile; typical, unremarkable volume for this code), and J7312 (dexamethasone implant) is ranked #442 of 492 providers nationally (9th percentile; typical, unremarkable volume for this code). These rankings suggest the provider uses a narrower portfolio of biologics heavily (e.g., J2777, Q5124, J2403) while other common agents are used much less compared with national peers.

    Operationally, the practice generates relatively more revenue from procedure and drug administration codes than from evaluation and management visits: 99213 appears with 411 claims and $25.1K revenue (1.4% of Medicare revenue), whereas large single‑line drug codes such as J2777 and J2403 contribute disproportionately to total dollars. Imaging codes (92134: 1K claims, $28.3K; 92242: 99 claims, $19.9K) and procedure codes for vitreoretinal surgery (e.g., 67028, 67036) further indicate a service mix where procedural and pharmaceutical reimbursement outweigh routine E&M revenue.

    The absence of any Medicaid billing on file (noted as “none below”) means payer mix is effectively concentrated in Medicare for the dataset provided; this limits visibility into state Medicaid-facing volume and suggests the provider either does not participate in Medicaid or did not bill Medicaid under this NPI during the reporting window. For payers and network planners, this single‑payer footprint should be treated as an operational characteristic when considering access, reimbursement negotiations, or network completeness in Medicaid populations.

    From a revenue‑risk perspective, dependence on a few high‑revenue drug codes (top 3 = 59.2% of Medicare revenue) makes the provider’s Medicare income sensitive to shifts in drug utilization, biosimilar adoption, and reimbursement policy for intravitreal agents. Payers and contracting teams should flag J2777, J2403, Q5124, and related intravitreal administration activity for monitoring because changes to reimbursement rates or prescribing patterns could materially affect this provider’s Medicare revenue stream.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    41 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg16,500$30$478.5K
    J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg301,600$1$301.6K
    J3490Unclassified drugs160$1,660$272.4K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg1,130$170$195.8K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg930$120$111.6K
    67028The 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.680$110$70.9K
    J3396Injection, verteporfin, 0.1 mg7,650$10$68.8K
    J0178Injection, aflibercept, 1 mg50$700$36.2K
    92134The 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.1,010$30$28.3K
    67113The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…30$1,000$25.9K

    Showing 1–10 of 41

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 41 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    41 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01786060820$690$683.3K
    J2777165011,730$30$388.9K
    Q5124110680$170$110.5K
    670283680600$90$69.7K
    J33961107,650$10$67.9K
    J2781110650$120$65.4K
    J240311082,800$1$55K
    6704021030$1,000$38.1K
    J73121010170$160$33.8K
    9224221070$190$27.9K

    Showing 1–10 of 41

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mcv Associated PhysiciansVAAnesthesiology Physician$0$99M
    University Of Virginia Physicians GroupVASports Medicine (Neuromusculoskeletal Medicine) Physician$0$84.6M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Nu-crown, LLCILOptometrist$0$5.8M
    Levent AkdumanMOOphthalmology Physician$3.1M$1.4M
    Ashley BlurtonVANuclear Medicine Physician$2.9M$0
    Ankit DesaiILRetina Specialist (Ophthalmology) Physician$1.7M$119.2K
    Anthony DebeusCARetina Specialist (Ophthalmology) Physician$1.6M$0
    Roger AdlerILOphthalmology Physician$362.1K$1.2M
    Blonie DudneyMORetina Specialist (Ophthalmology) Physician$1.5M$42.7K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mercy Hospitals East CommunitiesMOGeneral Acute Care Hospital$0$56.5M
    Bayada Home Health Care, Inc.MOHome Health Agency$0$41.2M
    Mercy Clinic East CommunitiesMOInternal Medicine Physician$0$22.2M
    Excel Home Care, Inc.MOHome Health Agency$0$19.8M
    Biotech X-ray IncMOPortable X-ray and/or Other Portable Diagnostic Imaging Supplier$5.1M$6M
    Western Anesthesiology Associates, Inc.MOAnesthesiology Physician$0$10.9M
    Team Select Home Care Of Missouri, Inc.MONursing Care Agency$0$10.7M
    Physician Groups LcMOMulti-Specialty Clinic/Center$0$9.8M
    Sensory Solutions, LLCMOOccupational Therapist$0$7.3M
    Excel Home Care, Inc.MOHome Health Agency$0$6.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Missouri Distribution
    Robert Olk — 4 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Missouri