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

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

Eric Brinton (NPI 1326272295)

Field	Value
Entity Type	Individual
Organization	Eric Brinton
Address	5169 S Cottonwood St
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 7, 2009

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

ERIC BRINTON is effectively a Medicare-focused retina specialist: lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file, so the provider operates as a single-payer (Medicare) clinician in the dataset. The NPI was enumerated 2009-05-07 (~17 years ago), indicating an established practice tenure in the market.

Revenue is highly concentrated in intravitreal drug therapy: the precomputed top-three codes (J0178, J2777, J2781) account for 83.7% of this provider's total Medicare revenue. J0178 alone contributes $506.5K (39.8%) and J2777 contributes $482K (37.8%), showing the practice’s financial dependence on anti-VEGF and related retina injections.

The provider’s operational pattern mixes high-cost-per-claim biologic use and high-volume low-unit-price drug administration: J0178 shows 732 claims at $692 avg paid/claim for $506.5K revenue, while J2777 shows 16.6K claims at $29 avg paid/claim for $482K revenue. This combination suggests a practice workflow that delivers frequent office-based injections alongside fewer, higher-priced injected agents.

Clinical and procedural services outside drug administration are present but secondary: 67028 (injection into the vitreous) accounts for $58.7K (4.6%) with 631 claims, and imaging/office visit codes such as 92014 ($45.5K, 3.6%) and 92134 ($25.3K, 2.0%) appear in the top codes. These entries are consistent with a retina clinic that pairs diagnostic imaging and E/M follow-up with intravitreal therapy.

Competitive standing on key drugs is modest and broadly typical: J0178 ranks #1585 of 3204 (50th percentile; typical, unremarkable volume), J2777 ranks #651 of 2039 (68th percentile; typical, unremarkable volume), and J2781 ranks #213 of 490 (55th percentile; typical, unremarkable volume). None of the top medication codes position the provider as a dominant national outlier; volumes are around the middle-to-upper tiers but described as typical in the supplied labels.

Ancillary drug and unclassified charges contribute meaningfully to revenue mix: J3490 (unclassified drugs) accounts for $67.6K (5.3%) and ranks #1617 of 2838 (42th percentile; typical, unremarkable volume). The presence of J3490 at 5.3% indicates some use of non-standard or miscellaneous drug billing in addition to the named intravitreal agents.

The claims-level profile suggests predictable retina-specialty throughput rather than episodic high-intensity procedures: several common ophthalmology and retina codes (92014, 92134, 67028) appear with typical volumes and modest revenue shares, supporting a steady clinic workflow of evaluation, imaging, and repeated injections. Given the 17-year enumeration and the concentrated revenue in intravitreal drugs, the practice appears clinically focused on chronic retina disease management in a Medicare population.

For payer strategy and contracting, the provider should be viewed as Medicare-centric with no Medicaid footprint; any network or utilization initiatives aimed at retinal biologics should prioritize Medicare reimbursement channels given the absence of Medicaid billing on file. The heavy reliance on three drugs (J0178, J2777, J2781 = 83.7% of Medicare revenue) makes reimbursements and access for those specific therapies the primary business levers for this provider.

Medicare: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	730	$690	$506.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	16,620	$30	$482K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	650	$120	$77.4K
J3490	Unclassified drugs	50	$1,350	$67.5K
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.	630	$90	$58.7K
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…	530	$90	$45.5K
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.	840	$30	$25.3K
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…	90	$110	$9.3K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	80	$20	$1.4K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Eric Brinton — 0 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

9 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	40	620	$690	$683.2K
J2777	10	20	13,140	$30	$523.9K
J3490	18	30	80	$1,690	$199.5K
J2781	11	20	960	$120	$126.6K
67028	23	60	440	$90	$61.7K
92014	34	330	140	$70	$16.6K
92134	23	250	70	$30	$7.6K
99204	160	1,790	30	$100	$4.1K
92201	5	20	30	$20	$2.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Victoria Knudsen	UT	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Robert Kwun	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Kirk Winward	UT	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
James Howard	UT	Retina Specialist (Ophthalmology) Physician	$2M	$0
Rick Nordgren	UT	Retina Specialist (Ophthalmology) Physician	$888.1K	$0
Gregory Brinton	UT	Retina Specialist (Ophthalmology) Physician	$673.5K	$0
Retina Associates Of Utah, PLLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$653.5K
Rachael Jacoby	UT	Ophthalmology Physician	$137K	$0
James Kohler	UT	Ophthalmology Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Eric Brinton — Billing Profile & Reimbursement Data

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Eric Brinton — 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