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

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

Jackie Nguyen (NPI 1326094533)

Field	Value
Entity Type	Individual
Organization	Jackie Nguyen
Address	53 Sewall Street
City	Portland
State	ME
ZIP	04102
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 26, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

This provider’s billed activity is effectively single‑payer Medicare: Total Medicare revenue on file is $1.8M while Total Medicaid revenue is none (no Medicaid billing on file). The absence of any Medicaid billing on file means payers and network managers should treat the visible payer mix as heavily concentrated in Medicare reimbursements.

Revenue is highly concentrated in three injectable drug codes: J0178 accounts for $782.9K (43.6% of Medicare revenue), J2777 accounts for $668.2K (37.2%), and J2778 accounts for $120.9K (6.7%); these top three codes together represent 87.5% of the provider’s Medicare revenue. That concentration signals the practice’s financial dependence on a small number of high‑value drug administration codes.

The code mix points to a medical retina/intravitreal injection–focused ophthalmology practice: dominant use of J0178 (aflibercept), J2777 (faricimab‑svoa), and J2778 (ranibizumab) along with procedure code 67028 for intravitreal injection procedures. This pattern indicates most clinical throughput is centered on recurring in‑office injections and drug administration rather than a broad mix of surgical or chronic care E/M services.

Competitive standing versus national peers is mixed by drug: J2777 volume is relatively strong (rank #438 of 2039, 79th percentile; described as typical, unremarkable volume for this code but high relative to many peers), while J0178 is mid‑range (rank #1143 of 3204, 64th percentile; typical, unremarkable volume) and J2778 is near median (rank #576 of 1208, 52th percentile; typical, unremarkable volume). Overall, the provider is a modest-to-strong participant for faricimab administration but not a dominant national outlier for aflibercept or ranibizumab.

Diagnostic imaging activity is a notable strength: 92134 appears with 1.7K claims and $53.1K revenue (3.0% of Medicare revenue) and ranks #1311 of 26868 providers nationally (95th percentile; notably above typical national volume). High OCT/retinal imaging volume supports the clinical pattern of frequent retinal disease monitoring that accompanies anti‑VEGF treatment regimens.

The practice’s visit mix emphasizes procedures over higher‑complexity evaluation and management: injection procedure 67028 shows 922 claims and $91.3K revenue (5.1% of Medicare revenue) with a rank of #1488 of 4255 providers (65th percentile; typical, unremarkable volume), while routine E/M 99213 has substantial volume (374 claims, $24.7K, rank #43296 of 457151, 90th percentile; typical) and higher‑complexity 99214 is very low (17 claims, $1.7K, rank #446875 of 479517, 6th percentile; typical). This suggests most patient contacts are procedure‑driven injection visits with limited billing for higher‑complexity office management.

The provider has an established registration history, enumerated (registered) 2006-05-26 (~20 years ago), indicating long tenure in the Medicare program; that longevity likely supports a stable referral and patient base for recurrent injection therapy. For network planning and competitor analysis, this tenure combined with concentrated anti‑VEGF volume signals a steady, procedure‑oriented practice rather than a recently established clinic ramping up services.

The absence of Medicaid billing (no Medicaid billing on file) creates payer concentration risk and may limit access to Medicaid populations; contractors and payers should note the provider’s revenue exposure is almost entirely Medicare‑based. For organizations evaluating network adequacy or reimbursement negotiations, the provider’s dependency on a few high‑revenue drug codes and lack of Medicaid activity are important operational factors to consider.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,140	$690	$782.9K
J2777	Injection, faricimab‑svoa, 0.1 mg	23,040	$30	$668.2K
J2778	Injection, ranibizumab, 0.1 mg	690	$180	$120.9K
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.	920	$100	$91.3K
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.	1,710	$30	$53.1K
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…	370	$90	$32.8K
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…	370	$70	$24.7K
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.	90	$110	$9.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	50	$110	$5.1K
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…	30	$130	$4.1K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Jackie Nguyen — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	20	990	$690	$652.2K
J2777	3	10	9,840	$30	$407.6K
J2778	4	10	690	$180	$155.6K
67028	8	30	410	$90	$51.1K
92014	22	240	150	$80	$14.7K
92235	6	10	50	$90	$7.5K
99214	2,286	2,500	70	$70	$7.2K
92134	3	180	50	$30	$4.5K
99213	59	2,350	50	$50	$4.3K
99204	328	810	30	$100	$3.6K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eyecare Medical Group	ME	Ophthalmology Physician	$0	$3.5M
Eyecare Medical Group	ME	Ambulatory Surgical Clinic/Center	$1.7M	$878.1K
Aaron Parnes	ME	Ophthalmology Physician	$2.4M	$0
Scott Steidl	ME	Ophthalmology Physician	$1.8M	$0
Robert Daly	ME	Ophthalmology Physician	$194.5K	$0
Richard France	ME	Ophthalmology Physician	$188.8K	$0
Adam Sise	ME	Ophthalmology Physician	$167K	$0
Samuel Solish	ME	Ophthalmology Physician	$131.7K	$0
Jordan Sterrer	ME	Ophthalmology Physician	$128.1K	$0
Natan Kahn	ME	Ophthalmic Plastic and Reconstructive Surgery Physician	$108.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Shalom House, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$81.9M
Mercy Hospital	ME	General Acute Care Hospital	$0	$35.5M
Maxim Healthcare Services, Inc.	ME	Home Health Agency	$0	$28.1M
Quality Care Access, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Al-shawk Home Healthcare, LLC	ME	Personal Care Attendant	$0	$7M
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Hand Of Mercy Health Care, LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mainehealth	ME	General Acute Care Hospital	$0	$5.5M

Jackie Nguyen — 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