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

Why is the Medicaid comparison limited to West Virginia 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. West Virginia (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.

Richard Hatfield (NPI 1316941297)

Field	Value
Entity Type	Individual
Organization	Richard Hatfield
Address	331 Laidley St
City	Charleston
State	WV
ZIP	25301
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 9, 2005

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

Scale and payer mix: This provider reports Total Medicare revenue of $2.2M and has no Medicaid billing on file (none below), making the practice effectively single-payer (Medicare) in scale based on the available claims. That concentration means analyses of utilization and revenue should focus on Medicare patterns rather than any Medicaid activity.

Revenue concentration: The provider’s Medicare revenue is highly concentrated in a very small set of services — the precomputed top 3 Medicare codes by revenue account for 81.8% of total Medicare revenue, with a single code, J0178, representing $1.5M (68.6%) of the $2.2M total. This level of concentration implies that changes in utilization or reimbursement for J0178 would materially affect the provider’s Medicare revenue.

Service-line profile: The claims and code mix are characteristic of a retina-focused, injection-centered ophthalmology practice: high-volume intravitreal drug administration (J0178 with 2.2K claims, $686 avg paid/claim, $1.5M revenue) plus separate intravitreal injection procedures (67028 with 1.3K claims, $83 avg paid/claim, $111.7K revenue). Diagnostic retinal imaging (92134 with 2K claims, $29 avg paid/claim, $56.7K revenue) also features prominently, consistent with ongoing monitoring of retinal disease between injections.

Competitive standing on top drug: For J0178 the provider ranks #422 of 3204 nationally (87th percentile), which signals higher-than-average national volume for aflibercept injections even though the code note labels the volume as "typical, unremarkable." By contrast, J2777 (faricimab) ranks #1335 of 2039 (34th percentile) and 67028 ranks #962 of 4255 (77th percentile), indicating uneven competitive positioning across different intravitreal drugs and the separate injection procedure.

Diagnostic imaging is an outlier: 92134 (retinal imaging/OCT) is reported at 2K claims and $56.7K revenue and ranks #1078 of 26868 providers nationally (96th percentile), described as "notably above typical national volume." This suggests the practice operates substantial in-house imaging capacity and relies on frequent diagnostic imaging as part of its retinal care workflow.

Clinical mix vs office visits: E/M and comprehensive visit codes generate only modest Medicare revenue relative to drugs and procedures (for example, 99213: 219 claims, $58 avg paid/claim, $12.7K revenue (0.6%); 92014: 766 claims, $81 avg paid/claim, $62K revenue (2.8%)). The relative scarcity of visit-based revenue versus high-volume injectable and imaging codes indicates a procedure-oriented revenue model rather than one driven by traditional office encounters.

Adoption of newer and high-cost therapies: The provider bills a range of intravitreal drug codes beyond aflibercept, including J2777 (faricimab, $183.1K revenue, 8.2%) and J2781 (pegcetacoplan, $97.2K revenue, 4.4%), with J2781 ranked #164 of 490 (66th percentile). Coupled with a nontrivial amount billed as J3490 (Unclassified drugs: 35 claims, $1779 avg paid/claim, $62.3K revenue), this pattern points to uptake of newer or varied pharmacologic treatments in the retina service line and occasional use of high-cost unclassified agents.

Tenure and stability: The provider’s NPI was enumerated on 2005-06-09 (~21 years ago), indicating long-term presence in the Medicare program. That tenure, combined with the concentrated procedure/drug revenue mix, suggests an established retina practice with persistent procedural volume over time.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,230	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	6,540	$30	$183.1K
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.	1,350	$80	$111.7K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	810	$120	$97.2K
J2778	Injection, ranibizumab, 0.1 mg	400	$180	$72.4K
J3490	Unclassified drugs	40	$1,780	$62.3K
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…	770	$80	$62K
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.	1,960	$30	$56.7K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	40	$370	$12.8K
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…	220	$60	$12.7K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. West Virginia Distribution

Richard Hatfield — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — West Virginia

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	10	2,090	$690	$1.7M
J2777	6	10	8,490	$30	$456.6K
J2781	1	10	810	$120	$97.5K
67028	4	10	770	$80	$94.4K
J3490	2	10	40	$1,970	$77K
J2778	2	10	370	$180	$74.3K
67210	5	10	60	$380	$21.3K
92014	10	180	120	$70	$16.3K
99214	2,372	2,740	100	$70	$11.8K
J9035	6	10	90	$50	$9.3K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants, PLLC	WV	Retina Specialist (Ophthalmology) Physician	$0	$13.6M
Abraham Mitias	WV	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Daniel Richardson	WV	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Scott Jamerson	WV	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
David Hunt	WV	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Robert Dundervill	WV	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Chaitanya Indukuri	TX	Ophthalmology Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charleston Area Medical Center Inc	WV	General Acute Care Hospital	$0	$200.1M
Wv Birth To Three	WV	Early Intervention Provider Agency	$0	$59.9M
Charleston Area Medical Center, Inc.	WV	General Acute Care Hospital	$0	$50.9M
Children's Home Society Of West Virginia	WV	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$44.1M
Kanawha County Emergency Ambulance Authority	WV	Land Ambulance	$2.3M	$31.9M
Maxim Healthcare Services, Inc.	WV	Home Health Agency	$0	$19.9M
All-aid Services, Inc.	WV	Home Health Agency	$0	$16.3M
The Arc Of The Three Rivers, Inc.	WV	Case Management Agency	$0	$15.6M
Dolan & Kalaskey Ltd	WV	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$8.3M
Mindoula Health Inc.	WV	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.7M

Richard Hatfield — 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