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.

Douglas Litchfield (NPI 1316994130)

Field	Value
Entity Type	Individual
Organization	Douglas Litchfield
Address	200 S 5th St
City	Bismarck
State	ND
ZIP	58504
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 27, 2006

Payer Source	Total Paid
Medicare	$864.2K
Medicaid	$0

Key Findings

This provider’s Medicare activity dominates their public billing record: total Medicare revenue is $864.2K and there is no Medicaid billing on file, so the practice appears effectively single‑payer from a public-program perspective. The NPI was enumerated 2006-05-27 (~20 years ago), indicating long-standing participation in Medicare billing.

Revenue is highly concentrated in a few ophthalmology therapeutics and procedures: the precomputed top 3 Medicare codes by revenue account for 75.3% of this provider's total Medicare revenue, driven by J2777 (38.4%), J0178 (27.5%), and 66984 (9.4%). This concentration signals that a small set of procedure and drug codes are the primary commercial drivers of the provider’s Medicare receipts.

The service mix indicates a retina‑focused interventional practice with cataract surgery and diagnostic work: J2777 (faricimab injections), J0178 (aflibercept injections) and 66984 (cataract surgery with IOL) together dominate revenue, while codes such as 92014 (established comprehensive eye exams) and 92134 (retinal OCT imaging) reflect ongoing diagnostic and follow-up care that supports injection and surgical volumes. The presence of both high-volume intravitreal drug codes and surgical cataract code suggests the provider delivers both medical retina injections and procedural ophthalmology services.

J2777 shows very high claim volume (11.5K claims, $332.3K revenue, $29 avg paid/claim) but is characterized in the data as "typical, unremarkable volume" nationally (rank #905 of 2039, 55th percentile; typical, unremarkable volume). J0178 (342 claims, $238K revenue, $696 avg paid/claim) is a more modest national participant (rank #2234 of 3204, 30th percentile; typical, unremarkable volume), while 66984 (223 claims, $80.9K revenue, $363 avg paid/claim) ranks #5028 of 15965 (68th percentile; typical, unremarkable volume), indicating the provider is not a dominant national outlier but has relatively stronger standing on cataract surgery.

Diagnostic and follow-up services show notable throughput: 92014 (823 claims, $69.1K revenue) and 92134 (1.2K claims, $32.2K revenue) both rank in the 93rd percentile nationally and are labeled "typical, unremarkable volume," which together suggest high-frequency office and retinal imaging activity that supports ongoing treatment regimens rather than episodic care. High percentile rankings for these codes indicate above-average diagnostic caseload relative to peers, even while the dataset labels volume as typical.

The intravitreal injection portfolio reflects different unit economics and operational patterns: J2777 posts large claim count at a low avg paid/claim ($29) while J0178 posts far fewer claims at a much higher avg paid/claim ($696), and 67028 (368 claims, $30.9K revenue, $84 avg paid/claim; rank #2522 of 4255, 41th percentile; typical, unremarkable volume) further documents isolated intravitreal injection activity. This mix implies workflow and billing that include both high-frequency, low-unit‑payment drug administrations and less frequent, higher‑value drug administrations.

The absence of any Medicaid billing on file ("none below") means this provider’s publicly reported revenue and utilization are concentrated in Medicare only; that creates payer concentration risk for analyses and suggests limited visibility into care delivered to Medicaid beneficiaries or care routed through other organizations for that population. Analysts should treat competitive and access conclusions as Medicare‑centric when profiling this provider.

Across office visit E/M codes the provider shows more activity at established-patient levels (99213: 277 claims, $17.2K revenue, rank #66475 of 457151, 85th percentile; typical, unremarkable volume) than at new-patient levels (99204 and 99203 combined lower claim counts and revenues), consistent with a practice that manages ongoing follow-up for chronic retinal and post-surgical patients rather than a high inflow of new consults. This pattern aligns with the heavy weighting toward injection and imaging codes in the revenue mix.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	11,460	$30	$332.3K
J0178	Injection, aflibercept, 1 mg	340	$700	$238K
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	$360	$80.9K
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…	820	$80	$69.1K
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.	1,150	$30	$32.2K
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.	370	$80	$30.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	80	$260	$21.4K
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…	280	$60	$17.2K
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…	120	$90	$10K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	170	$40	$7.5K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Douglas Litchfield — 3 of 17 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

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	20	440	$680	$445.3K
J2777	3	10	7,410	$30	$412.9K
66984	22	100	50	$350	$61.2K
67028	10	30	290	$80	$40.6K
66821	14	30	80	$230	$27.3K
92014	5	170	160	$70	$15.6K
99214	626	1,470	90	$60	$10.4K
92136	16	30	240	$30	$8.3K
99213	157	1,490	80	$50	$5.8K
92134	5	140	70	$20	$4.8K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Elie Fahed	WY	Medical Oncology Physician	$1.9M	$0
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pride Inc.	ND	Developmentally Disabled Services Day Training Agency	$0	$71.1M
Sanford Bismarck	ND	Multi-Specialty Clinic/Center	$0	$43.9M
Support Systems, Inc.	ND	Community/Behavioral Health Agency	$0	$37.7M
Bridging The Dental Gap Inc	ND	Dental Clinic/Center	$0	$6.8M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$6.6M
Pride Inc.	ND	Community/Behavioral Health Agency	$0	$5.7M
Pride Inc	ND	Community/Behavioral Health Agency	$0	$4.9M
Dakota Surgery & Laser Center LLC	ND	Ambulatory Surgical Clinic/Center	$1.7M	$28.4K
The Kid's Therapy Center LLC	ND	Community/Behavioral Health Agency	$0	$1.5M
City Of Bismarck	ND	State or Local Public Health Clinic/Center	$111.3K	$1.3M

Douglas Litchfield — 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