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

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

Rodney Kusumi (NPI 1265458160)

Field	Value
Entity Type	Individual
Organization	Rodney Kusumi
Address	1013 N 13th St
City	Lafayette
State	IN
ZIP	47904
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 14, 2006

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only practice: lifetime Medicare revenue is $2M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider's reported revenue mix. Analysts should treat payer exposure as highly concentrated to Medicare reimbursements when modeling financial or utilization changes.

Revenue is heavily concentrated in a very small number of high-value codes: the precomputed top-3 codes account for 79.8% of total Medicare revenue. The top three codes are J2777 ($904.8K, 45.1%), J0178 ($487.2K, 24.3%), and 92014 ($210.7K, 10.5%), indicating most dollars flow from a mix of high-cost intravitreal injections and one comprehensive E/M visit code.

The code mix shows a medical-retina and imaging-forward operation: large revenue lines are injection drugs J2777 and J0178 and high-volume diagnostic/examination codes such as 92014, 92235 ($134.2K, 6.7%), and 92134 ($68.4K, 3.4%). This pattern is characteristic of practices that run recurring intravitreal therapy programs supported by frequent retinal imaging and follow-up ophthalmology examinations.

Competitive standing on the injection drugs is mixed: J2777 ranks #278 of 2039 nationally (86th percentile; typical, unremarkable volume) which places the provider above many peers but is still described as a typical volume for this drug, while J0178 ranks #1628 of 3204 (49th percentile; typical, unremarkable volume), indicating a more median national position for aflibercept. These ranks suggest the provider is a meaningful but not dominant national player in delivering these specific biologic injections.

The provider is an extreme outlier on several diagnostic and exam codes, indicating unusually high imaging and exam throughput: 92014 ranks #138 of 35415 (100th percentile; extreme outlier) and 92235 ranks #11 of 2192 (100th percentile; extreme outlier), with 92134 ranking #696 of 26868 (97th percentile; extreme outlier). High percentile placements on these codes point to exceptional volume in comprehensive ophthalmologic exams and fluorescein angiography relative to national peers, reinforcing the clinical emphasis on retinal evaluation and monitoring.

There is evidence of a broader retina/surgical capability at lower volumes: 67028 (intravitreal injection as isolated procedure) generated $93.5K (4.7%) with a rank of #1267 of 4255 (70th percentile; typical, unremarkable volume), and surgical retina codes such as 67108 ($10.7K, 0.5%) are present but contribute small shares of revenue. This suggests the practice performs some surgical and laser retina work alongside a larger outpatient injection and imaging business but relies on injections and imaging for the bulk of revenue.

Tenure in the Medicare program is long: the NPI was enumerated on 2006-07-14 (~20 years ago), indicating sustained participation and an established billing history that underpins the observed volume patterns. Long enumeration supports continuity of practice operations and may explain accumulated high counts on recurring visit and imaging codes.

Operational and revenue risk is concentrated in a small set of biologic injection and exam codes: J2777 and J0178 account for $904.8K (45.1%) and $487.2K (24.3%) respectively, and 92014 contributes $210.7K (10.5%), so shifts in utilization, drug mix, or reimbursement for these codes would materially affect the provider's Medicare revenue. Analysts should flag this concentration when evaluating revenue sensitivity and competitive dynamics in the local ophthalmology/retina market.

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	31,200	$30	$904.8K
J0178	Injection, aflibercept, 1 mg	700	$690	$487.2K
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…	2,420	$90	$210.7K
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…	1,360	$100	$134.2K
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.	1,100	$90	$93.5K
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.	2,440	$30	$68.4K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	2,530	$20	$43K
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…	140	$120	$15.9K
J9035	Injection, bevacizumab, 10 mg	200	$60	$11.3K
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…	10	$890	$10.7K

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. Indiana Distribution

Rodney Kusumi — 5 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	35	60	830	$690	$868.8K
J2777	4	40	6,750	$30	$395.6K
67028	26	80	550	$80	$78.6K
67108	14	20	20	$1,150	$32.2K
J9035	16	30	200	$50	$19.2K
92235	1	40	90	$100	$15.8K
92014	1	740	100	$70	$12.9K
67228	11	20	30	$230	$9.8K
67210	8	10	30	$370	$8.5K
92134	13	660	60	$30	$6K

Showing 1–10 of 16

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Valley Oaks Health Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$135.3M
Wabash Center, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Community Ventures In Living, Ltd.	IN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$34M
Riggs Community Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$22.2M
Franciscan Health Lafayette	IN	Land Ambulance	$1.4M	$8.8M
Help At Home, LLC	IN	Nursing Care Agency	$0	$8.3M
Lafayette School Corporation	IN	Local Education Agency (LEA)	$0	$5.3M
Lafayette Pediatric Dentistry & Orthodontics	IN	Dentist	$0	$4.1M
Arnett Clinic, LLC	IN	Clinical Medical Laboratory	$330.3K	$1.1M
Matthew Orton	IN	Radiation Oncology Physician	$782.4K	$0

Rodney Kusumi — 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

Nearby Providers

Frequently Asked Questions

References