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

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

Jefferson Berryman (NPI 1275995714)

Field	Value
Entity Type	Individual
Organization	Jefferson Berryman
Address	700 W Kent Ave
City	Missoula
State	MT
ZIP	59801
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 23, 2016

Payer Source	Total Paid
Medicare	$556.2K
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $556.2K and there is no Medicaid billing on file (listed as "none"). The NPI was enumerated on 2016-03-23 (~10 years ago), so the billing footprint covers roughly a decade of Medicare activity.

Revenue is highly concentrated in a small set of services: the precomputed top three Medicare codes (99214, 66984, 66991) account for 53.4% of total Medicare revenue. Specifically, 99214 produced $135.3K (24.3% of Medicare revenue), 66984 produced $103.7K (18.6%), and 66991 produced $58.2K (10.5%).

The code mix indicates a combined office-visit and surgical ophthalmology practice focused on cataract and glaucoma care. High surgical revenue from 66984 (cataract extraction + IOL, $103.7K) and 66991 (IOL insertion with drainage device, $58.2K) alongside large E/M volume for 99214 ($135.3K) suggests the practice performs substantial procedural work while maintaining significant clinic-based evaluation and management.

Diagnostic and testing volume is substantial and supports surgical throughput and postoperative care: 92083 (visual field testing) shows 620 claims and $27.3K revenue and ranks as an "extreme outlier," while 92133 (optic nerve imaging) shows 637 claims and $16.6K revenue and also ranks as an "extreme outlier." These large counts of coded testing imply integrated in-office diagnostics used for perioperative assessment and ongoing glaucoma/retina management.

For select codes this provider is a national outlier for volume: 99214 ranks #3269 of 479517 providers nationally (99th percentile; extreme outlier) and 92133 ranks #316 of 24968 (99th percentile; extreme outlier), indicating unusually high national volumes for both office visits and OCT/optic nerve imaging. 92083 similarly ranks #381 of 25484 (98th percentile; extreme outlier), reinforcing the pattern of heavy diagnostic throughput.

Surgical competitive standing is mixed: cataract surgery (66984) is within a typical national range (ranks #4218 of 15965, 74th percentile; typical, unremarkable volume) while combined IOL + drainage procedures (66991) are notably higher than peers (ranks #53 of 1445, 96th percentile; notably above typical national volume). This suggests strength in performing more complex cataract cases that include glaucoma drainage interventions.

The glaucoma procedure portfolio shows a range of intervention types with modest revenue contribution: 66180 (shunt implantation) produced $24K (4.3%) and ranks #48 of 375 (86th percentile; typical, unremarkable volume), 65855 (trabecular laser) produced $21.4K (3.8%) and ranks #167 of 2796 (94th percentile; typical, unremarkable volume), and 66174 (canaloplasty-type expansion) produced $18K (3.2%) and ranks #207 of 741 (71st percentile; typical, unremarkable volume). These entries indicate a practice offering multiple glaucoma treatment modalities but without uniformly exceptional national volume across all device codes.

Operationally, the combination of high E/M counts (99214: 1.6K claims), substantial diagnostic testing (92083: 620 claims; 92133: 637 claims; 92136: 410 claims) and concentrated surgical revenue suggests a clinic workflow built around high patient throughput, in-office diagnostics, and regular post-op follow-up. Because total Medicare revenue is $556.2K and Medicaid activity is absent, the practice’s financial exposure is concentrated to Medicare payment policy and volumes rather than a diversified payer mix.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The 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…	1,560	$90	$135.3K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	280	$370	$103.7K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	110	$520	$58.2K
99213	The 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…	540	$60	$31.7K
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…	270	$110	$30.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	620	$40	$27.3K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	30	$890	$24K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	120	$180	$21.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$280	$19.8K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	40	$410	$18K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Jefferson Berryman — 7 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66991	1	10	50	$1,370	$79.5K
66984	17	120	50	$490	$78.1K
66180	2	10	30	$1,190	$33.4K
66183	1	10	20	$1,500	$31.6K
92014	113	170	190	$80	$22.7K
66174	2	10	30	$700	$21.5K
66821	25	70	50	$220	$18.3K
99214	3	1,810	100	$70	$12.4K
92136	6	30	270	$30	$8.9K
92134	26	160	100	$30	$7.8K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Group Health, Inc.	MN	Pediatric Dentistry	$0	$5.6M
Polly Quiram	MN	Ophthalmology Physician	$3.7M	$0
Jacek Kotowski	MT	Ophthalmology Physician	$3.4M	$0
Scott Guess	MT	Ophthalmology Physician	$2.7M	$72.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Western Montana Mental Health Center	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$87.8M
Opportunity Resources Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$48.5M
Missoula Developmental Service Corp	MT	Non-emergency Medical Transport (VAN)	$0	$33.6M
Express Personnel Services	MT	Nursing Care Agency	$0	$20.4M
3 Rivers Mental Health Solutions LLC	MT	Community/Behavioral Health Agency	$0	$16.7M
Missoula County Public Schools	MT	Local Education Agency (LEA)	$0	$16.3M
Meadowlark Home Care LLC	MT	Home Health Agency	$0	$12.9M
Client Dedicated Services, Inc	MT	Home Health Agency	$0	$10.6M
Children's Dentistry Of The Rockies	MT	Pediatric Dentistry	$0	$10.1M
Missoula Pediatric Dentistry PC	MT	Pediatric Dentistry	$0	$9.3M

Jefferson Berryman — Billing Profile & Reimbursement Data

Sign up for Jefferson Berryman — Billing Profile & Reimbursement Data policy alerts

Jefferson Berryman — Billing Profile & Reimbursement Data

Sign up for Jefferson Berryman — Billing Profile & Reimbursement Data policy alerts

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