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

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

Brooke Nesmith (NPI 1295020667)

Field	Value
Entity Type	Individual
Organization	Brooke Nesmith
Address	530 N Lorraine Ave Ste 200
City	Wichita
State	KS
ZIP	67214
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 14, 2011

Payer Source	Total Paid
Medicare	$3.7M
Medicaid	$0

Key Findings

This provider’s claim mix is consistent with an interventional retina practice focused on intravitreal pharmacotherapy and specialty retinal procedures. The top revenue-driving HCPCS/CPT entries are J0178, J2777, and J2778 — all anti‑VEGF or related intravitreal injections — and procedural/support codes such as 67028 and imaging code 92134 also appear in the top lines, indicating an office that delivers both frequent injections and high-volume retinal diagnostics.

Revenue is highly concentrated in a small set of Medicare codes: the top 3 codes (J0178, J2777, J2778) account for 87.7% of this provider’s total Medicare revenue. Individually, J0178 generated $2.2M (60.0% of Medicare revenue), J2777 generated $642.1K (17.3%), and J2778 generated $391.3K (10.5%), showing dependence on intravitreal drug administration as the primary revenue source.

Payer mix is effectively single‑payer Medicare: total Medicare revenue is $3.7M and there is no Medicaid billing on file, which suggests the provider’s publicly reported volume and revenue are concentrated entirely in the Medicare population rather than split across Medicare and Medicaid. This limits inferences about Medicaid participation or state‑level payer dynamics for this clinician.

On competitive standing for key drugs, the provider is a national high‑volume participant for the highest‑revenue drug: J0178 (3.2K claims, $691 avg paid/claim, $2.2M revenue) ranks #139 of 3204 providers nationally (96th percentile; notably above typical national volume for this code). J2777 (22.1K claims, $29 avg paid/claim, $642.1K revenue) ranks #462 of 2039 (77th percentile; typical, unremarkable volume), and J2778 (2.2K claims, $180 avg paid/claim, $391.3K revenue) ranks #196 of 1208 (84th percentile; typical, unremarkable volume), indicating market leadership on aflibercept specifically and solid but less dominant volume in the other anti‑VEGF agents.

Procedure and imaging volumes show concentrated operational throughput: 67028 (2.4K claims, $87 avg paid/claim, $207.6K revenue) ranks #219 of 4255 providers nationally (95th percentile; notably above typical national volume for this code), and 92134 (2.8K claims, $27 avg paid/claim, $76K revenue) ranks #485 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). Together these suggest a practice workflow built around frequent injection encounters supported by high‑throughput retinal imaging.

Office evaluation-and-management activity is substantial for established patients relative to national peers: 99213 shows 811 claims, $56 avg paid/claim, $45.4K revenue and ranks #10452 of 457151 providers nationally (98th percentile; notably above typical national volume for this code). This high relative rank for a basic E/M code implies a steady base of returning Medicare patients managed in clinic visits in addition to injection procedures.

The provider reports use of unclassified biologics: J3590 appears with 491 claims, $69 avg paid/claim, $33.9K revenue and ranks #70 of 631 providers nationally (89th percentile; typical, unremarkable volume). The presence of J3590 alongside specific anti‑VEGF codes may reflect episodic use of non‑specified biologics or billing of miscellaneous biologic agents in limited volume.

The provider has an established Medicare billing history dating to NPI enumeration on 2011-06-14 (~15 years ago), which supports interpretation that the high volumes for injection and imaging codes reflect sustained practice patterns and an established referral footprint rather than a short-term spike in activity.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,230	$690	$2.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	22,140	$30	$642.1K
J2778	Injection, ranibizumab, 0.1 mg	2,170	$180	$391.3K
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.	2,390	$90	$207.6K
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.	2,810	$30	$76K
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…	810	$60	$45.4K
J3590	Unclassified biologics	490	$70	$33.9K
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…	30	$800	$24.6K
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…	150	$110	$16.3K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$820	$12.3K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kansas Distribution

Brooke Nesmith — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	30	1,770	$690	$1.3M
J2777	6	30	12,060	$30	$575.7K
J2778	4	20	860	$180	$297.6K
67028	5	40	1,170	$90	$111.4K
67108	3	20	20	$1,130	$24.8K
J3590	2	20	200	$100	$24.1K
67036	5	10	20	$930	$21.4K
67041	8	10	20	$970	$21.4K
92014	341	530	180	$70	$18.5K
99214	4,124	4,310	120	$70	$16.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New York Eye & Ear Infirmary	NY	Special Hospital	$0	$38.9M
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0
Pavan Reddy	KS	Hematology & Oncology Physician	$6.7M	$0
Jonathan Feistmann	NY	Ophthalmology Physician	$2.7M	$3.1M
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Thomas Finley	OK	Ophthalmology Physician	$4.8M	$0
Daniel Feiler	KS	Ophthalmology Physician	$4.8M	$0
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Christopher Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Resources LLC	KS	Home Health Agency	$0	$97.3M
Paradigm Services Inc	KS	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$42.4M
Wesley Medical Center LLC	KS	General Acute Care Hospital	$0	$30.2M
Gracemed Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$18.3M
Healthcore Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$15.3M
Diversified Family Services LLC	KS	Home Health Agency	$0	$13.9M
Alpha Service	KS	Developmentally Disabled Services Day Training Agency	$0	$12.1M
Carepoint Emergency Medicine Kansas LLC	KS	Emergency Medicine Physician	$0	$11.8M
Hunter Health Clinic Inc	KS	Federally Qualified Health Center (FQHC)	$0	$10.4M
Ascension Via Christi Hospitals Wichita Inc.	KS	General Acute Care Hospital	$0	$8.9M

Brooke Nesmith — 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