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

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

April Harris (NPI 1316940422)

Field	Value
Entity Type	Individual
Organization	April Harris
Address	6561 E Carondelet Dr
City	Tucson
State	AZ
ZIP	85710
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 23, 2005

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant — and effectively sole — public-payer revenue stream reported: Total Medicare revenue is $3.4M and there is no Medicaid billing on file, indicating the practice operates as essentially single-payer (Medicare) in the available claims data. The absence of Medicaid billing suggests limited exposure to state Medicaid populations and payer diversification risk concentrated on Medicare reimbursement dynamics.

Revenue is highly concentrated in a small set of drug and procedure codes: the top 3 Medicare codes by revenue account for 76.9% of this provider's total Medicare revenue, driven primarily by J2777, J0178, and 67028. Specifically, J2777 generated $1.3M (39.2% of Medicare revenue), J0178 generated $1.1M (32.4%), and 67028 generated $181.5K (5.3%), underscoring dependence on a narrow set of high-revenue services.

The code mix is characteristic of a retina-focused ophthalmology practice that runs a high-volume intravitreal injection program: J2777 (faricimab) and J0178 (aflibercept) together drive the majority of revenue, while procedural codes for intravitreal injection (67028) and retinal imaging (92134) appear as major adjunct services. These data imply an in-office drug administration workflow supported by diagnostic imaging and routine E&M visits rather than a general ophthalmology mix.

Operational implications are clear from raw claim counts and unit payments: J2777 shows 45.9K claims with $29 avg paid/claim and $1.3M revenue, while J0178 shows 1.6K claims with $688 avg paid/claim and $1.1M revenue, indicating both very high claim volume for one drug and high per-claim reimbursement for the other. This pattern suggests significant inventory/administration logistics and that revenue volatility could be concentrated around shifts in utilization between high-volume, low-unit-pay drugs and lower-volume, high-unit-pay biologics.

Competitive standing is mixed: for J2777 the provider ranks #130 of 2039 (94th percentile) and for J0178 ranks #752 of 3204 (77th percentile), both labeled in the source as "typical, unremarkable volume" for those codes despite relatively high percentiles; this indicates a meaningful national presence on these retina drug codes but not necessarily market dominance. At the same time, several codes show much stronger statistical signals — 92134 (3.3K claims, $97K revenue) ranks #265 of 26868 (99th percentile) and is described as an "extreme outlier, far above typical national volume," meaning the provider’s retinal imaging throughput is unusually high relative to peers.

Clinical throughput and face-to-face care are also notable: 99214 appears with 1.9K claims and $171.4K revenue (5.0% of Medicare revenue) and is flagged as an "extreme outlier, far above typical national volume for this code," reflecting a heavy volume of established-patient office visits. High-volume E&M alongside high procedural and drug billing suggests the practice maintains substantial longitudinal patient follow-up consistent with chronic retina disease management.

Beyond the two dominant biologics, the provider bills a range of ancillary drug and procedure codes that provide modest diversification: J3490 (unclassified drugs) accounted for $102.2K (3.0%); J2778 (ranibizumab) accounted for $159.9K (4.7%); and J7999 (compounded drug) accounted for $21.6K (0.6%). These line items indicate use of additional therapeutic agents and compounding services but do not materially reduce concentration risk from the top two revenue drivers.

The provider’s billing record shows long tenure: NPI enumerated 2005-05-23 (~21 years ago), which aligns with the sustained high volumes observed in imaging and E&M codes. This longevity, combined with concentrated drug/procedure revenue and extreme outlier status on several codes, signals an established retina specialty practice with stable Medicare referral patterns and operational scale focused on intravitreal therapy and retinal diagnostics.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	45,900	$30	$1.3M
J0178	Injection, aflibercept, 1 mg	1,600	$690	$1.1M
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.	1,970	$90	$181.5K
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…	1,900	$90	$171.4K
J2778	Injection, ranibizumab, 0.1 mg	870	$180	$159.9K
J3490	Unclassified drugs	60	$1,620	$102.2K
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.	3,350	$30	$97K
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…	1,080	$80	$90.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	230	$160	$36.5K
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	$120	$26.9K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arizona Distribution

April Harris — 5 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	12	50	780	$690	$734.8K
J2777	3	50	9,000	$30	$525.8K
Q5128	15	20	520	$220	$207.5K
J2778	11	30	550	$180	$198K
67028	15	60	1,240	$90	$119K
J7312	17	20	270	$160	$48.9K
J7999	33	50	490	$70	$46.8K
92242	9	10	40	$200	$23.5K
J9035	14	20	210	$50	$22.5K
92014	21	650	140	$80	$21.5K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
Mark Walsh	AZ	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Sean Garrity	AZ	Ophthalmology Physician	$3.4M	$0
Cameron Javid	AZ	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ryan Wong	AZ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Andreas Gonzalez	AZ	Ophthalmology Physician	$2.4M	$0
Anthony Joseph	AZ	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
William Stevenson	NV	Retina Specialist (Ophthalmology) Physician	$964K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Easter Seals Blake Foundation	AZ	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.8M
Cobros Iii, LLC	AZ	Community/Behavioral Health Agency	$0	$61.4M
Easter Seals Blake Foundation	AZ	Community/Behavioral Health Agency	$0	$24.3M
Saguaro Senior Living, Inc.	AZ	Assisted Living Facility	$0	$22.5M
Arizona Total Care LLC	AZ	Multi-Specialty Clinic/Center	$0	$16.7M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$164.3K	$14.2M
Solace Behavioral Health LLC	AZ	Community/Behavioral Health Agency	$0	$11.9M
Devereux Foundation	AZ	Mental Illness Community Based Residential Treatment Facility	$0	$8.7M
Caring Connections For Special Needs, LLC	AZ	Community/Behavioral Health Agency	$0	$7.5M
Rapidray LLC	AZ	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$406.4K	$732.1K

April Harris — Billing Profile & Reimbursement Data

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April Harris — 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