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

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

Peter Jensen (NPI 1306826938)

Field	Value
Entity Type	Individual
Organization	Peter Jensen
Address	1208 Hilltop Dr
City	Rock Springs
State	WY
ZIP	82901
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 19, 2006

Payer Source	Total Paid
Medicare	$536K
Medicaid	$0

Key Findings

This provider’s revenue footprint is concentrated in Medicare with $536K in lifetime Medicare revenue and no Medicaid billing on file, making the practice effectively single‑payer from the available claims data. The NPI was enumerated on 2006-01-19 (~20 years ago), indicating a long-standing presence in the market but within a modest overall Medicare revenue scale.

Revenue concentration is high: the precomputed top‑three Medicare codes account for 67.6% of total Medicare revenue, with J0178 alone representing $248.6K (46.4% of Medicare revenue). That level of dependence on a single drug/procedure line suggests that changes in utilization or reimbursement for intravitreal injections would materially affect practice revenue.

The code mix is consistent with an ophthalmology practice that combines medical retina care and cataract surgery: J0178 (aflibercept injections), 66984 (routine cataract extraction with intraocular lens), and 92014 (comprehensive established eye exam) are the top revenue drivers. Supporting codes such as 67028 (intravitreal injection as a separate procedure), 66982 (complex cataract), and diagnostic imaging codes (92134, 92133) show the clinic performs both in‑office medical retina treatments and surgical cataract services.

On the primary revenue driver J0178 the provider ranks #2190 of 3204 nationally (32nd percentile) and the data label classifies this as a typical, unremarkable volume for the code; this characterizes the practice as a modest national participant for aflibercept injections rather than a high‑volume outlier. By contrast, cataract surgery code 66984 ranks #5104 of 15965 nationally (68th percentile), indicating a somewhat stronger relative position in cataract procedures compared with peers.

Several non‑operative and diagnostic services show relatively high national percentiles, signaling strong outpatient throughput: 92014 ranks in the 84th percentile (described as typical, unremarkable volume), 92134 is in the 91st percentile, and 76519 ranks in the 95th percentile. Notably, 92004 (new patient comprehensive exam) is in the 96th percentile and 99212 is in the 97th percentile and both are labeled notably above typical national volume, which suggests above‑average new patient evaluation and lower‑level office visit activity for this provider.

Although the practice performs a range of services, revenue outside the top three codes is fragmented: many additional codes each contribute small shares (for example, 67028 $26.1K, 92134 $21.7K, 99213 $21.7K), indicating limited diversification beyond injections and cataract surgery. This pattern can concentrate operational focus on injection clinics and perioperative workflows while still generating supplemental revenue from diagnostic testing and routine office visits.

Specific clinical implications from the code mix point to a practice delivering frequent intravitreal anti‑VEGF therapy (J0178) consistent with treatment for retinal vascular disorders, alongside a steady cataract surgery volume (66984 and 66982) and comprehensive exam activity (92014/92004). Payers or partners evaluating network capacity should view this provider as a stable local source for combined medical‑retina injections and cataract surgery rather than a large regional surgical center.

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	360	$680	$248.6K
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…	220	$350	$76.1K
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…	480	$80	$37.3K
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.	310	$80	$26.1K
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.	800	$30	$21.7K
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…	340	$60	$21.7K
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…	40	$500	$20.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	210	$90	$18.9K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	20	$640	$12.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$240	$12.5K

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. Wyoming Distribution

Peter Jensen — 3 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	10	1,490	$690	$1M
67028	2	10	1,470	$100	$143.7K
66984	10	80	50	$410	$39.9K
66982	7	10	40	$600	$30.5K
J9035	2	10	510	$60	$28.4K
65820	4	10	20	$1,120	$26.8K
92014	12	80	190	$80	$21.5K
66821	12	30	40	$220	$14.9K
92136	5	10	440	$20	$10.7K
99213	113	850	110	$60	$9.9K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Brittney Statler	CO	Ophthalmology Physician	$3.7M	$0
Arthur Korotkin	CO	Ophthalmology Physician	$3.7M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K
Matthew Asano	CO	Ophthalmology Physician	$2M	$0
Peter Hovland	CO	Ophthalmology Physician	$1.8M	$0
James Levine	CO	Rheumatology Physician	$1.7M	$0
Navid Moradshahi	CA	Diagnostic Radiology Physician	$1.2M	$0
Angelo Santiago	WY	Specialist	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lsw, LLC	WY	Developmentally Disabled Services Day Training Agency	$0	$11.6M
Able Hands	WY	Developmentally Disabled Services Day Training Agency	$0	$9.6M
Sweetwater Pediatrics P.C.	WY	Primary Care Clinic/Center	$0	$2M
Pain Care Center, LLC	WY	Pain Medicine (Anesthesiology) Physician	$0	$1.6M
Southwest Counseling Service	WY	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.5M
Qrc LLC	WY	Case Management Agency	$0	$1.4M
University Of Utah Adult Services	WY	Emergency Medicine Physician	$0	$1.2M
Lcr Dental Rock Springs LLC	WY	Dentist	$0	$1.1M
Memorial Hospital Of Sweetwater County	WY	Internal Medicine Physician	$0	$1.1M
Aai Services LLC	WY	Case Management Agency	$0	$971.4K

Peter Jensen — 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