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

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

Wayne Davis (NPI 1265663017)

Field	Value
Entity Type	Individual
Organization	Wayne Davis
Address	3600 Amron Ct
City	Columbia
State	MO
ZIP	65202
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 28, 2009

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider reports $2.4M in lifetime Medicare revenue and has no Medicaid billing on file, making the practice effectively single‑payer in scope with Medicare as the dominant revenue source. Absence of Medicaid activity suggests limited participation in state programs and a payer mix concentrated on Medicare beneficiaries.

Revenue is highly concentrated in a small set of injection-related codes: the precomputed top‑3 Medicare codes account for 89.5% of this provider's total Medicare revenue. The three leading codes are J0178 ($1.5M; 64.5%), J2777 ($488.9K; 20.8%), and 67028 ($100.2K; 4.3%), indicating most dollars flow from anti‑VEGF biologics and their associated injection procedure.

The CPT/HCPCS mix signals a retina‑focused ophthalmology practice that delivers high volumes of in‑office intravitreal biologic therapy: J0178 (aflibercept) and J2777 (faricimab) dominate claims and dollars, and 67028 documents the separate intravitreal injection procedure. Supporting services billed at scale—particularly retinal imaging and intermediate eye exams—align with ongoing monitoring and treatment workflows typical of medical retina care.

Competitive standing on the injection codes is modest to moderately high but not dominant: J0178 ranks #435 of 3204 (86th percentile; typical, unremarkable volume), J2777 ranks #643 of 2039 (68th percentile; typical, unremarkable volume), and 67028 ranks #1082 of 4255 (75th percentile; typical, unremarkable volume). These ranks indicate the provider performs above the median national volume for these therapies but remains within the expected distribution rather than as a national outlier or market leader.

Two diagnostic/visit codes are extreme outliers relative to national peers: 92012 ranks #203 of 17177 (99th percentile; extreme outlier) and 92134 ranks #797 of 26868 (97th percentile; extreme outlier). This combination—very high intermediate exam volume plus high retinal imaging (OCT)—points to intensive follow‑up and monitoring capacity, consistent with frequent injection follow‑ups and retinal disease surveillance.

Higher complexity new visits are also notable: 99204 ranks #8884 of 227068 (96th percentile; notably above typical national volume), suggesting the practice sees a meaningful number of moderate‑complexity new patient encounters in addition to follow‑up care. This supports a clinical profile that mixes ongoing treatment visits with referral or consult intake activity.

Procedural breadth beyond injections appears limited: the provider reports some surgical activity such as 67042 (11 claims, $826 avg paid/claim, $9.1K revenue) but at very low volume relative to injection and imaging services. The data suggest occasional surgical intervention capability but an operating model centered on office‑based injections and diagnostics rather than high surgical throughput.

The NPI was enumerated 2009-07-28 (~17 years ago), indicating a long‑tenured practice. Combined with the heavy reliance on a small set of injection and monitoring codes (89.5% of Medicare revenue from the top three), the provider is an established, Medicare‑dependent retina practice that could be sensitive to changes in reimbursement or utilization for anti‑VEGF agents and associated office procedures.

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	2,200	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	16,860	$30	$488.9K
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.	1,240	$80	$100.2K
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…	1,410	$60	$81.8K
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.	2,290	$30	$59.5K
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…	730	$70	$53.7K
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…	160	$110	$16.9K
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…	110	$90	$10.5K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	10	$830	$9.1K
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,…	170	$20	$4K

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. Missouri Distribution

Wayne Davis — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	5	60	820	$690	$683.3K
J2777	14	50	11,730	$30	$388.9K
67028	19	80	600	$90	$69.7K
67042	29	30	20	$1,070	$26.8K
92014	51	730	120	$80	$18K
92012	3	330	70	$60	$8.8K
99213	4,827	8,730	70	$50	$7K
92134	15	570	60	$30	$6.8K
92235	6	40	50	$100	$6.6K
99204	102	4,360	30	$100	$4.8K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mari Keithahn	MO	Ophthalmology Physician	$4.3M	$231.7K
Clint Kellogg	MO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Jerry Blair	MO	Ophthalmology Physician	$1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Community Training, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$71.5M
Sisters Supportive Living, Inc.	MO	Developmentally Disabled Services Day Training Agency	$0	$45.4M
State Of Missouri	MO	Developmentally Disabled Services Day Training Agency	$0	$27.5M
Drd Management, Inc	MO	Substance Use Disorder Rehabilitation Clinic/Center	$45.1K	$6.5K
Thomas Andrews	MO	Geriatric Medicine (Family Medicine) Physician	$31.2K	$0

Wayne Davis — Billing Profile & Reimbursement Data

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Wayne Davis — 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