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.

Peter Belin (NPI 1275929259)

Field	Value
Entity Type	Individual
Organization	Peter Belin
Address	3601 W 76th St Ste 325
City	Edina
State	MN
ZIP	55435
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 7, 2015

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider’s revenue footprint is concentrated entirely in Medicare: total Medicare revenue is $1.9M and there is no Medicaid billing on file, making the practice effectively single‑payer from the claims data available. Analysts should treat Medicaid-related contracting and utilization as non‑material for this entity based on the current dataset.

Revenue is highly concentrated in a small set of drug/injection codes: the precomputed top 3 Medicare codes account for 77.3% of total Medicare revenue, with J0178 alone representing $1.1M (56.8% of Medicare revenue). This degree of concentration indicates that a small number of intravitreal drug administrations drive the bulk of the practice’s Medicare receipts.

The code mix points to a retina‑focused ophthalmology practice that primarily delivers intravitreal anti‑VEGF therapy. High‑revenue drug codes include J0178 (aflibercept, 1 mg; 1.5K claims, $689 avg paid/claim, $1.1M), Q5128 (ranibizumab‑eqrn biosimilar; 910 claims, $217 avg paid/claim, $197.5K), and J2777 (faricimab; 6.2K claims, $29 avg paid/claim, $181K), and procedure 67028 (1.2K claims, $93 avg paid/claim, $114.9K) is consistent with intravitreal injections billed as isolated procedures.

Diagnostic imaging and office E/M patterns show robust use of retinal diagnostics alongside procedure volume: 92134 has 2K claims, $29 avg paid/claim, $56.8K and ranks in the 96th percentile (notably above typical national volume), indicating heavy reliance on computerized retinal imaging in follow‑up and treatment monitoring. Established‑patient eye exams (92012 and 92014) also appear in the top codes, supporting ongoing longitudinal management of retinal disease.

The provider offers some surgical retinal interventions, but these are a smaller revenue component compared with injection therapy. Surgical codes such as 67108 ($22.2K; 24 claims, $925 avg paid/claim) and 67041 ($16.8K; 19 claims, $884 avg paid/claim) are present, suggesting capability for repair and vitrectomy procedures but at lower frequency and revenue share relative to anti‑VEGF injections.

Competitive standing is mixed across code types: J0178 ranks #804 of 3204 providers (75th percentile) and is described as "typical, unremarkable volume for this code," which implies above‑median but not dominant national positioning for aflibercept administrations. Q5128 ranks #151 of 373 (60th percentile; typical) while J2777 ranks #1362 of 2039 (33th percentile; typical), indicating modest national presence for faricimab relative to peers. At the same time, the notably above‑typical volumes for 92134 and 99204 (92nd–96th percentile descriptors) signal strength in imaging and new‑patient moderate‑complexity visits.

The provider has an established Medicare enrollment history (NPI enumerated 2015-04-07 (~11 years ago)), which, combined with the heavy dependence on a few high‑revenue injection codes, suggests a stable retina practice that could be sensitive to shifts in anti‑VEGF utilization, reimbursement rates, or formulary changes. Risk to revenue concentration is material because the top three codes account for 77.3% of Medicare revenue, so payer policy changes affecting those drugs would likely have outsized financial impact.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,530	$690	$1.1M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	910	$220	$197.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,240	$30	$181K
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	$90	$114.9K
J2778	Injection, ranibizumab, 0.1 mg	490	$180	$90K
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.	1,960	$30	$56.8K
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…	580	$70	$38K
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…	20	$930	$22.2K
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…	240	$90	$21.5K
J9035	Injection, bevacizumab, 10 mg	360	$50	$19.3K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Peter Belin — 3 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	40	580	$690	$743.4K
J2777	12	20	6,120	$30	$411.1K
Q5128	10	20	1,410	$220	$393.8K
J2778	11	20	500	$180	$121K
67028	14	80	420	$90	$64.8K
67108	3	10	10	$1,230	$34.4K
67041	5	10	20	$1,090	$25.1K
J9035	14	40	220	$50	$16.9K
92014	151	830	100	$80	$11.9K
92012	12	200	60	$60	$8.8K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hennepin Healthcare System, Inc	MN	General Acute Care Hospital	$420.8K	$708.9M
Hennepin County	MN	Case Manager/Care Coordinator	$0	$34.9M
Vitreoretinal Surgery PLLC	MN	Ophthalmology Physician	$0	$27.8M
Hennepin Healthcare System, Inc	MN	Home Health Agency	$0	$23.2M
Hennepin Healthcare System, Inc	MN	Clinic/Center	$0	$12.3M
David Williams	MN	Retina Specialist (Ophthalmology) Physician	$5.5M	$0
David Parke	MN	Ophthalmology Physician	$4.8M	$0
Sundeep Dev	MN	Ophthalmology Physician	$4.5M	$0
John Davies	MN	Ophthalmology Physician	$3.9M	$0
Polly Quiram	MN	Ophthalmology Physician	$3.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Professional Resource Network - Prn - Corporation	MN	Home Health Agency	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Mental Health Systems PC	MN	Psychologist	$0	$11M
Premier Obgyn Of Minnesota PLLC	MN	Obstetrics & Gynecology Physician	$0	$7M
Noran Neurological Clinic P.A.	MN	Specialist	$0	$6M
Nura Surgical Center LLC	MN	Ambulatory Surgical Clinic/Center	$5.3M	$581.7K
Southdale Pediatric Associates, Ltd	MN	Multi-Specialty Clinic/Center	$0	$5.3M
Robert Mittra	MN	Ophthalmology Physician	$3.1M	$0

Peter Belin — 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