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

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

Charles Mccanna (NPI 1295141893)

Field	Value
Entity Type	Individual
Organization	Charles Mccanna
Address	2500 W Layton Ave
City	Milwaukee
State	WI
ZIP	53221
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 3, 2014

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Medicare accounts for the entirety of recorded public‑payer revenue with Total Medicare revenue of $1.1M and Medicaid billing listed as none (no Medicaid billing on file). That concentration means payer negotiations, utilization patterns, and revenue trends will be driven almost entirely by Medicare fee schedules and patient mix rather than dual‑payer dynamics.

Revenue is highly concentrated in a small set of intravitreal injection and injection‑related procedure codes: the precomputed top 3 Medicare codes account for 77.7% of this provider's total Medicare revenue. J0178 alone contributes $641.9K revenue (58.6% of this provider's total Medicare revenue), with J2777 at $139.5K (12.7%) and 67028 at $70.2K (6.4%), indicating a narrow set of services drive most dollars.

The code mix and top revenue drivers point to a retina/medical ophthalmology practice model focused on intravitreal pharmacotherapy and office‑based injections: high volumes for J0178 (986 claims, $651 avg paid/claim) and J2777 (5.6K claims, $25 avg paid/claim) plus the injection procedure 67028 (780 claims) highlight repetitive, drug‑administration encounters as the core service line. Support services for retina management are present — for example, 92134 (997 claims, $28.9K revenue) — indicating in‑office imaging and follow‑up are integrated into the care pathway.

Competitive standing by code is mixed: J0178 ranks #1299 of 3204 providers nationally (59th percentile) and is characterized as typical volume rather than dominant, while J2777 ranks #1448 of 2039 (29th percentile) and J2781 ranks #376 of 490 (23th percentile), both described as typical, unremarkable volumes. By contrast, retinal imaging code 92134 ranks #2174 of 26868 providers nationally (92th percentile) — a relatively high national rank — although its narrative label in the source remains "typical, unremarkable volume for this code," suggesting solid imaging throughput without extreme outlier status.

The practice performs some procedural and surgical ophthalmology work beyond injections: 66984 (cataract extraction with IOL) generated $54.8K revenue (5.0% of Medicare revenue) over 142 claims, and perioperative/supplemental codes such as 92136 and 92133 appear in the top codes. This mix implies a hybrid model that couples high‑frequency injection visits with periodic cataract and diagnostic services, which can stabilize revenue when drug utilization fluctuates.

The provider has an established Medicare presence: NPI enumerated on 2014-07-03 (~12 years ago), indicating a multi‑year billing history that supports trend analysis for injection volumes, imaging utilization, and procedural throughput. Tenure of ~12 years also suggests any observed patterns (for example, heavy reliance on aflibercept, J0178) are likely persistent rather than ephemeral.

Several low‑volume, low‑percentile codes appear alongside the high‑volume injection work, signifying occasional niche procedures: 66821 (15 claims, $3.7K revenue) ranks #9292 of 10087 providers nationally (6th percentile) and 68841 (15 claims, $180 revenue) ranks #567 of 583 providers nationally (2th percentile), both noted as typical, unremarkable volumes in the source. These items indicate the provider occasionally bills for less common interventions (e.g., YAG capsulotomy and lacrimal implant procedures) but these do not materially move overall revenue.

The absence of Medicaid billing (none below) has strategic implications for network coverage and patient access: the provider’s public‑payer revenue stream is concentrated in Medicare ($1.1M), which could limit exposure to Medicaid populations and influence contracting priorities or referral patterns for lower‑income patients. Analysts should treat this entity as effectively Medicare‑centric when assessing market share, access, and competitive positioning in Wisconsin.

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	990	$650	$641.9K
J2777	Injection, faricimab‑svoa, 0.1 mg	5,580	$30	$139.5K
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.	780	$90	$70.2K
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…	140	$390	$54.8K
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…	560	$80	$43K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	350	$110	$39.6K
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…	370	$80	$30.9K
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.	1,000	$30	$28.9K
J9035	Injection, bevacizumab, 10 mg	380	$50	$19.7K
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…	130	$40	$5.4K

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. Wisconsin Distribution

Charles Mccanna — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	60	440	$690	$488.1K
J2777	18	30	7,290	$30	$332K
66984	221	310	350	$50	$66.4K
J2781	2	10	350	$120	$43.9K
67028	21	110	310	$80	$43.7K
J9035	19	70	110	$50	$14.5K
66821	167	180	40	$100	$13K
92014	36	720	120	$70	$12.9K
99214	552	9,800	80	$70	$9.2K
92134	27	600	60	$30	$4.7K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cole Rojas	WI	Ophthalmology Physician	$182.2K	$0
Hart Moss	WI	Cornea and External Diseases Specialist Physician	$150.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$0	$11.1M
Fresenius Medical Care Midwest Dialysis, LLC	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.6M
Dva Renal Healthcare Inc	WI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.2M
Sixteenth Street Community Health Centers, Inc.	WI	Federally Qualified Health Center (FQHC)	$0	$3.9M
Advanced Pain Management Sc	WI	Pain Medicine Physician	$0	$3.8M
Best Care Pediatrics LLC	WI	Pediatrics Physician	$0	$2.4M
Informe Healthcare In, LLC	WI	Internal Medicine Physician	$0	$1.4M
Ryan Vogel	WI	Retina Specialist (Ophthalmology) Physician	$915.5K	$70.2K
Joshua Agranat	WI	Retina Specialist (Ophthalmology) Physician	$740.9K	$0
Turgut Zia	WI	Internal Medicine Physician	$252.7K	$760

Charles Mccanna — 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