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

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

Peter Lombard (NPI 1336117217)

Field	Value
Entity Type	Individual
Organization	Peter Lombard
Address	736 Route 4 Ste 103
City	Sinajana
State	GU
ZIP	96910
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$575.7K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is tightly concentrated: the top three codes (J0178, 92014, 66984) together account for 67.7% of total Medicare revenue, with J0178 contributing $250K (43.4%), 92014 $70K (12.2%), and 66984 $69.6K (12.1%). Such concentration means a small set of services—an intravitreal anti-VEGF drug, high-level established-patient exams, and cataract extraction with IOL insertion—drive the bulk of billing.

The CPT/HCPCS mix is consistent with a comprehensive ophthalmology practice that combines medical retina care, surgical cataract services, and high-volume diagnostic imaging: J0178 and 67028 reflect intravitreal injection activity, 66984 and 66982 reflect cataract surgery, and codes like 92250, 92134, and 92133 reflect extensive retinal imaging and photography. This blend indicates the office offers both procedural surgery and ongoing medical management for retinal disease rather than a single narrow specialty.

Payer mix is effectively single-payer: lifetime Medicare revenue is $575.7K and there is no Medicaid billing on file. The absence of Medicaid activity suggests the practice’s patient revenue exposure and contracting leverage are concentrated in the Medicare population.

On competitive standing, the provider shows above-typical national volume for office-based comprehensive established exams (92014 ranks #2131 of 35415, 94th percentile, described as notably above typical) and is an extreme outlier for fundus photography (92250 ranks #481 of 25087, 98th percentile, described as far above typical). These high percentiles indicate the practice is a major local producer of diagnostic imaging and established-patient ophthalmic visits relative to peers nationally.

By contrast, procedural volume for the top billed drug and surgeries is more modest: J0178 (injection, aflibercept) ranks #2159 of 3204 (33th percentile, typical, unremarkable volume) and 66984 (standard cataract with IOL) ranks #6393 of 15965 (60th percentile, typical, unremarkable volume). In plain terms, the practice is not a national leader in injection throughput or cataract surgical volume even though those codes are the largest revenue contributors for this provider.

There are notable statistical signals within the code mix: 92250 is labeled an "extreme outlier, far above typical national volume," implying an unusually high on‑site imaging capacity or patient population requiring frequent fundus photography, while other device/drug codes such as J7312 (dexamethasone implant) are described as typical and rank low relative to a small national cohort. This contrast suggests the clinic emphasizes imaging and office-based follow-up more than some specialty drug implants.

The provider has an established billing history, with NPI enumeration on 2006-03-08 (~20 years ago), consistent with a long-tenured independent or small-group ophthalmology practice. That tenure, combined with a diagnostic-heavy footprint, suggests stable operations and an embedded referral or follow-up workflow for chronic retinal conditions.

Smaller but consistent revenue lines (examples: 92134, 92136, 92133 imaging codes; J7999 compounded drug; 67028 intravitreal injection procedure) show the practice offers a diversified ophthalmic service set beyond the top three codes, supporting both procedural and ancillary revenue streams. These secondary codes help round out a practice profile that is clinically broad—surgery, injections, and intensive imaging—while financial reliance remains concentrated in the three revenue-driving codes.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	380	$650	$250K
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…	890	$80	$70K
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…	150	$460	$69.6K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	60	$620	$33.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	80	$320	$25.6K
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.	240	$90	$22.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	780	$30	$20.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	110	$160	$17.8K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	170	$70	$12K
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…	110	$90	$10.7K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Guam Distribution

Peter Lombard — 10 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	1	10	320	$660	$209.6K
66984	2	10	90	$650	$104.5K
66982	2	10	40	$700	$41.5K
92014	1	10	200	$80	$22.8K
J7312	1	10	110	$160	$17.8K
15823	2	10	30	$550	$13.8K
67028	1	10	160	$90	$13.4K
66821	1	10	30	$320	$13K
92012	2	10	110	$70	$6.9K
99204	9	50	30	$110	$6.7K

Showing 1–10 of 22

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rsa - Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.4M
Pacific Med & Nephrology	GU	Multi-Specialty Clinic/Center	$0	$2.3M
Guam Fire Department	GU	Land Ambulance	$277.5K	$1.3M
Advanced Eyecare, LLC	GU	Ophthalmology Physician	$0	$813.8K
Robert Nerves	GU	Nephrology Physician	$238.7K	$0
Kunsun Lee	GU	Dentist	$0	$168.2K
Ideal Vision Center LLC	GU	Clinic/Center	$0	$81.5K
Saied Safabakhsh	GU	Nephrology Physician	$68K	$0
Evangeline Claassens	GU	Family Nurse Practitioner	$39.4K	$0
Carla Haddock	GU	Family Nurse Practitioner	$34K	$0

Peter Lombard — Billing Profile & Reimbursement Data

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Peter Lombard — 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

Nearby Providers

Frequently Asked Questions

References