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    OpenPayerNPI Medicare & MedicaidBlake Cooper
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    Blake Cooper — Billing Profile & Reimbursement Data

    NPI 1275579567 · Lenexa, KS · Ophthalmology Physician

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    Blake Cooper is a ophthalmology physician provider located in Lenexa, Kansas. This profile covers 16 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
    OrganizationBlake Cooper
    Address8600 Quivira Rd Ste 100
    CityLenexa
    StateKS
    ZIP66215
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 22, 2006

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the claims data: total Medicare revenue is $2.4M while there is no Medicaid billing on file, so payer exposure is concentrated in the Medicare population and the practice relies on Medicare for its recorded volumes and revenues. The absence of Medicaid billing on file limits conclusions about the provider's engagement with Medicaid patients and suggests payer mix risk if networks or reimbursement change.

    Revenue is highly concentrated in a very small set of injection drugs: the top three Medicare codes by revenue account for 87.7% of this provider's total Medicare revenue, led by J2777 (68.6%) with J0178 (12.6%) and J2778 (6.4%) adding the bulk of the remainder. That concentration indicates the provider’s Medicare financial performance is driven overwhelmingly by a few high-cost injectable biologics.

    The code mix and volumes indicate a retina-oriented, procedure-heavy practice: J2777 (57K claims) and other intravitreal injection codes (J0178, J2778) dominate revenue, while office E/M codes and routine visits (for example 99213 at $10.6K and 99214 at $10.5K, each 0.4% of Medicare revenue) contribute very small proportions. Procedural and drug reimbursement, rather than office visit E/M billing, appears to be the principal commercial activity recorded for Medicare.

    For J2777 the provider is a high-volume national outlier: J2777 generates $1.7M (68.6% of Medicare revenue) and the provider ranks #76 of 2039 nationally (96th percentile; notably above typical national volume for this code), identifying the provider as a prominent national user of faricimab by Medicare claims. This high rank for a single drug code marks the provider as a major player in that specific therapeutic space compared with peers.

    By contrast, the provider’s use of J0178 and J2778 is unremarkable relative to peers: J0178 produced $303.7K (12.6% of Medicare revenue) and ranks #2035 of 3204 providers nationally (36th percentile), while J2778 produced $154.8K (6.4% of Medicare revenue) and ranks #487 of 1208 providers nationally (60th percentile). These ranks show a mixed competitive position across different anti-VEGF products — dominant for J2777 but typical or modest for other agents.

    Diagnostic imaging is another area of outsized activity: 92134 (2.3K claims, $63K, 2.6% of Medicare revenue) ranks #771 of 26868 providers nationally (97th percentile; extreme outlier, far above typical national volume for this code), indicating exceptionally high OCT imaging volume that complements the high injection throughput and supports a retina-focused workflow. High imaging volume suggests in-office diagnostic capacity that aligns with frequent procedural visits for injections.

    The provider’s procedural ophthalmology codes beyond injections are present but not dominant: 67028 (1.2K claims, $103K, 4.3% of Medicare revenue) and 92235 (90 claims, $8.8K, 0.4%) show routine retina procedures and angiography support the injection-driven practice, while photography and ultrasound codes are relatively minor contributors. Together these patterns point to an operation organized around interventional retina care with ancillary diagnostic procedures.

    The NPI was enumerated on 2006-06-22 (~20 years ago), indicating a long-tenured Medicare billing history; that longevity, combined with concentrated high-volume billing for J2777 and very high OCT use, is consistent with an established retina practice that has scaled specific procedural lines over time. However, the lack of any Medicaid billing on file means network access and patient-mix exposure are narrowly concentrated, which is important for payer negotiations and risk assessments.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg57,010$30$1.7M
    J0178Injection, aflibercept, 1 mg440$690$303.7K
    J2778Injection, ranibizumab, 0.1 mg860$180$154.8K
    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.1,170$90$103K
    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.2,330$30$63K
    92012For 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…560$60$32.7K
    92014An 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…340$90$29.5K
    J3590Unclassified biologics90$280$24.5K
    99213The 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…200$50$10.6K
    99214The provider sees an established 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…130$80$10.5K

    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

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017826301,770$690$1.3M
    J277733012,060$30$575.7K
    J27781020860$180$297.6K
    6702819401,170$90$111.4K
    J35902020200$100$24.1K
    92014140530180$70$18.5K
    992142,1194,310120$70$16.4K
    92235123060$90$12.3K
    992131,0314,33090$50$8.7K
    920121324070$60$8.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Thomas FinleyOKOphthalmology Physician$4.8M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethesda Lutheran CommunitiesKSMental Illness Intermediate Care Facility$0$17.6M
    Cherub Medical Supply, LLCKSDurable Medical Equipment & Medical Supplies$0$6.3M
    Mawd Pathology Group IncKSAnatomic Pathology & Clinical Pathology Physician$660$5.9M
    Gregory FoxKSOphthalmology Physician$4M$0
    Ravi SinghKSOphthalmology Physician$3.9M$0
    Cpf Senior Living - Lenexa LLCKSAssisted Living Facility$0$3.8M
    Beatty SuiterKSOphthalmology Physician$3.5M$0
    Ryan ChristensenKSOphthalmology Physician$3.3M$0
    180 Medical, Inc.KSDurable Medical Equipment & Medical Supplies$0$2.7M
    Midwest Division-oprmc LLCKSGeneral Acute Care Hospital$0$2.6M

    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. Kansas Distribution
    Blake Cooper — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas