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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Anne Keating (NPI 1306089750)

Field	Value
Entity Type	Individual
Organization	Anne Keating
Address	3171 44th St S Unit 101
City	Fargo
State	ND
ZIP	58104
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 15, 2009

Payer Source	Total Paid
Medicare	$436K
Medicaid	$0

Key Findings

ANNE KEATING is an ophthalmology physician in FARGO, ND with an NPI enumerated on 2009-04-15 (~17 years ago). Lifetime Medicare revenue on file is $436K and there is none (no Medicaid billing on file), indicating this profile is effectively single-payer Medicare in scale for the available data.

Revenue concentration is high: the provider’s top three Medicare codes — J0178 ($156.6K, 35.9%), 66984 ($94.6K, 21.7%), and 92014 ($32.1K, 7.4%) — together account for 65.0% of total Medicare revenue. This concentration suggests a small number of procedures drive the majority of billings and payments.

The code mix points to a surgical and injection-focused ophthalmology practice: J0178 (aflibercept injections, 228 claims, $687 avg paid/claim) and 66984 (cataract extraction with IOL, 333 claims, $284 avg paid/claim) are the largest revenue drivers, with 92014 (comprehensive established eye exam, 391 claims) supporting ongoing clinic visits. Together these codes indicate routine management of retinal disease with intravitreal injections plus a high volume of cataract surgery and associated pre/postoperative care.

Competitive standing versus national Medicare peers is mixed by service line. J0178 ranks #2508 of 3204 (22th percentile) and is characterized as typical, unremarkable volume for this code, while 66984 ranks #3775 of 15965 (76th percentile) and 92014 ranks #7205 of 35415 (80th percentile), both described as typical but at higher percentile positions — implying modest-to-strong relative activity on cataract surgery and comprehensive exams but only typical activity in aflibercept injections.

There is a notable statistical outlier in E/M billing: 99204 accounts for $24.9K (5.7% of Medicare revenue) from 233 claims and is labeled an extreme outlier (ranks #3075 of 227068 providers, 99th percentile). That level of high-complexity new-patient E/M volume is far above typical national volume and suggests unusually frequent high-acuity new patient evaluations or a concentrated intake pattern for complex cases.

The provider’s procedural breadth includes specialty surgeries and laser procedures beyond cataract and injections: 65756 (penetrating corneal transplant, 21 claims, $18.1K, 4.1% of revenue) and 66821 (YAG capsulotomy, 97 claims, $24.5K, 5.6% of revenue) indicate capacity for corneal and secondary cataract care. Ranks for these codes are described as typical (65756 49th percentile; 66821 76th percentile), supporting the view of a surgically active ophthalmology practice with multiple procedural streams.

Diagnostic imaging and testing are a material part of visit volume but lower per-claim revenue: 92134 (retinal imaging, 445 claims, $12.5K), 92136 (IOL calculations, 221 claims, $6.4K), and 92133 (optic nerve imaging, 201 claims, $5K) reflect frequent use of ophthalmic imaging to support surgical and retinal workups. The combination of high claim counts and modest average paid/claim values is consistent with an outpatient clinic workflow that relies on imaging for case management and surgical planning.

Payer mix and contracting implications are straightforward: with $436K in Medicare revenue and none for Medicaid, this provider’s visible revenue footprint is concentrated in Medicare. That single-payer exposure affects market positioning and network negotiations in-state, because there is no Medicaid billing on file to demonstrate participation in state Medicaid networks or reliance on that payer for volume.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	230	$690	$156.6K
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…	330	$280	$94.6K
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…	390	$80	$32.1K
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…	230	$110	$24.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	100	$250	$24.5K
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…	350	$60	$21.6K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	20	$860	$18.1K
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.	450	$30	$12.5K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$440	$12.2K
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.	110	$90	$10.1K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Anne Keating — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	10	20	440	$680	$445.3K
66984	17	100	50	$350	$61.2K
67028	21	30	290	$80	$40.6K
65756	3	10	30	$1,130	$34K
66982	11	20	40	$590	$29.4K
66821	11	30	80	$230	$27.3K
92014	23	170	160	$70	$15.6K
99214	858	1,470	90	$60	$10.4K
92136	15	30	240	$30	$8.3K
99213	98	1,490	80	$50	$5.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Duluth Clinic, Ltd	MN	Multi-Specialty Clinic/Center	$0	$51.7M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Innovis Health, LLC	ND	General Acute Care Hospital	$0	$25.5M
St Mary's Regional Health Center	MN	Rural Health Clinic/Center	$0	$21.5M
St. Marys Regional Health Center	MN	Rural Acute Care Hospital	$0	$18.7M
Essentia Health Virginia, LLC	MN	General Acute Care Hospital	$0	$12.9M
St Mary's Regional Health Center	MN	Family Medicine Physician	$0	$6.8M
Innovis Health LLC	ND	Family Medicine Physician	$0	$5.1M
Avera St Marys	SD	Multi-Specialty Clinic/Center	$0	$4.6M
Deer River Healthcare Center, Inc.	MN	Critical Access Hospital	$0	$4.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Therapy Partners, Inc.	ND	Early Intervention Provider Agency	$0	$7M
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Fargo Maple View LLC	ND	Alzheimer Center (Dementia Center)	$0	$4M
Beyond Boundaries Occupational Therapy, Inc.	ND	Multi-Specialty Clinic/Center	$0	$3.9M
Max Johnson	ND	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
St. Sophie's, LLC	ND	Adolescent and Children Mental Health Clinic/Center	$0	$2.7M
Shangri-la Home Care	ND	Home Health Agency	$0	$2M
Beyond Boundaries Speech Language Therapy, Inc.	ND	Speech-Language Pathologist	$0	$2M
About Smiles Dental, LLC	ND	Dental Clinic/Center	$0	$1.7M
Center For Pain Medicine Surgery Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.2M	$0

Anne Keating — 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