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

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

Jorge Arango (NPI 1295764983)

Field	Value
Entity Type	Individual
Organization	Jorge Arango
Address	160 Healthwest Dr
City	Dothan
State	AL
ZIP	36303
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 3, 2006

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

This provider is effectively single‑payer in the dataset: Total Medicare revenue is $1.9M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s recorded revenue base. That payer mix indicates Medicare beneficiaries are the sole public-payer population reflected in this billing profile.

Revenue is highly concentrated in intravitreal drug codes: the top three Medicare codes (Q5128, J2777, J0178) account for 73.7% of the provider’s Medicare revenue, with Q5128 at 37.2%, J2777 at 22.1%, and J0178 at 14.4%. This concentration shows that a few injectable therapies dominate the practice’s billed services.

The procedure mix and volumes point to an injection-centric retina practice: Q5128 shows 3.3K claims ($701.1K revenue), J2777 shows 14.3K claims ($415.9K revenue), and J0178 shows 390 claims ($271.4K revenue), and the isolated intravitreal injection code 67028 appears with 1.4K claims ($124.1K). Together these codes indicate routine, frequent intravitreal pharmacologic treatment delivered in the office setting rather than a surgery-heavy practice.

Clinical throughput is high based on evaluation-and-management volumes: 99213 has 1.4K claims and $88.8K revenue and ranks at the 99th percentile (described as an extreme outlier, far above typical national volume), while 99214 posts 740 claims and $54.8K revenue at the 95th percentile (notably above typical). These E/M outlier levels suggest a busy follow-up and management load consistent with recurring injection schedules.

Diagnostic imaging usage supports an active retinal service-line: 92134 has 2.3K claims and $60.9K revenue and ranks in the 97th percentile (notably above typical national volume), indicating frequent OCT or similar posterior-segment imaging to guide and monitor therapy. High imaging volume aligns with the injection-dominant revenue mix and the maintenance-driven care model for retinal disease.

Competitive standing is mixed across drug codes: Q5128 ranks #29 of 373 providers nationally at the 92th percentile (yet noted as typical, unremarkable volume), indicating relatively strong placement for that biosimilar in the national distribution; by contrast J2777 ranks #740 of 2039 (64th percentile) and J0178 ranks #2148 of 3204 (33th percentile), portraying the practice as a modest national participant overall but with a relatively elevated role for Q5128.

The practice performs few high-intensity surgical retina procedures: 67042 appears with 20 claims and $15.8K revenue (47th percentile, typical volume), and other surgical codes are minimal. This pattern reinforces that the business model is centered on office-based injections and imaging rather than frequent operating-room procedures.

This provider has an established billing history with an NPI enumerated on 2006-07-03 (~20 years ago), which together with $1.9M in Medicare revenue suggests a long-tenured local practice specializing in ophthalmologic retina care for Medicare patients. The long tenure plus concentrated revenue in specific intravitreal therapies implies stability in a niche, Medicare-driven service line.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	3,260	$220	$701.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	14,340	$30	$415.9K
J0178	Injection, aflibercept, 1 mg	390	$700	$271.4K
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.	1,430	$90	$124.1K
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…	1,430	$60	$88.8K
J2778	Injection, ranibizumab, 0.1 mg	400	$180	$73.2K
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.	2,260	$30	$60.9K
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…	740	$70	$54.8K
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…	260	$110	$28.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	160	$150	$24.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Jorge Arango — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	31	40	920	$690	$706.2K
Q5128	1	10	2,990	$220	$644.6K
J2777	5	20	7,140	$30	$267.9K
67028	11	40	990	$90	$82.5K
J2778	4	10	290	$180	$69.9K
J7312	7	10	280	$150	$63.3K
67042	12	20	20	$940	$24.6K
J9035	24	40	410	$50	$24.5K
66821	119	150	50	$110	$17.2K
99214	378	7,330	120	$80	$16.8K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Warren Thompson	AL	Ophthalmology Physician	$2.7M	$0
James Barton	AL	Optometrist	$134.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dothan Pediatric Clinic, P. A.	AL	Pediatrics Physician	$0	$56.6M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$7M
180 Medical, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$6.8M
Aba Associates LLC	AL	Behavior Analyst	$0	$6.7M
Dothan Behavioral Medicine Clinic PC	AL	Child & Adolescent Psychiatry Physician	$0	$6.5M
Physician Management Services Of Alabama LLC	AL	Family Medicine Physician	$0	$4.2M
Foundations Pediatric Therapy	AL	Rehabilitation Clinic/Center	$0	$3.1M
Milestones Psychology And Therapy Inc	AL	Professional Counselor	$0	$2.6M
Jawaunna Blackmon	AL	Hematology & Oncology Physician	$2.1M	$0
Wiregrass Therapy Associates, LLC	AL	Hearing and Speech Clinic/Center	$0	$1.9M

Jorge Arango — Billing Profile & Reimbursement Data

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Jorge Arango — 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