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

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

George Peters (NPI 1336151604)

Field	Value
Entity Type	Individual
Organization	George Peters
Address	281 Lincoln St
City	Worcester
State	MA
ZIP	01605
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 13, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

GEORGE PETERS (WORCESTER, MA) is an Ophthalmology Physician with an NPI enumerated 2006-08-13 (~20 years ago). His billed activity is concentrated in Medicare with reported total Medicare revenue of $1.6M and no Medicaid billing on file, making him effectively a single-payer (Medicare-focused) provider in the available claims data.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top three Medicare codes account for 77.7% of this provider's total Medicare revenue. Those top codes are J0178 $858.1K (52.6%), J2777 $261K (16.0%), and J2778 $148.9K (9.1%), which together drive the majority of billings and indicate that drug therapy is the primary revenue engine.

The code mix (dominant J0178, J2777, J2778 alongside procedure codes such as 67028) points to a medical-retina practice model centered on intravitreal injections and in-office retinal procedures. For example, 67028 appears with 976 claims and $86.9K revenue (5.3%), reinforcing that injections and separate vitreous procedures are a routine operational focus.

Reimbursement profile shows a skew toward a high-cost-per-claim agent: J0178 carries an average paid/claim of $681 and supplies $858.1K in revenue, whereas J2777 has a low average paid/claim of $29 but a large claim volume (9K claims) producing $261K. This pattern indicates revenue reliance on high average-pay agents plus volume of lower-unit-cost drug administrations, rather than a diversified income base across many small office-evaluation codes.

Competitive standing on core codes is modest rather than dominant: J0178 ranks #1040 of 3204 providers nationally (67th percentile; typical, unremarkable volume for this code), J2777 ranks #1079 of 2039 (47th percentile; typical, unremarkable volume), and J2778 ranks #502 of 1208 (58th percentile; typical, unremarkable volume). In contrast, the imaging code 92134 is an outlier on the high side — 1.5K claims, $43.6K revenue, and ranks #1520 of 26868 providers nationally (94th percentile; notably above typical national volume for this code) — suggesting above-typical OCT/retinal imaging throughput relative to national peers.

Ambulatory evaluation and management and exam codes appear at typical volumes for an ophthalmologist but do not drive top-line revenue: 92014 (773 claims, $66.5K revenue) ranks #2764 of 35415 providers nationally (92th percentile; typical, unremarkable volume for this code), and 99214 contributes $17.2K (205 claims) and is described as typical, unremarkable. This indicates that while routine exams and E/M visits support care, they are secondary to injection and imaging revenue.

The absence of any Medicaid billing on file means payer mix is heavily weighted to Medicare; contracting and financial planning should assume exposure primarily to Medicare fee schedules and an older patient population. Lack of Medicaid activity reduces state-level Medicaid comparators and suggests limited engagement with Medicaid-covered care or populations in the claims window.

Long tenure (NPI enumerated ~20 years ago) combined with a concentrated intravitreal/in-office imaging profile is consistent with an established retina-focused practice rather than a recent entrant or broadly diversified ophthalmology clinic. That historical stability, together with high imaging volumes (92134) and concentrated drug revenue, frames this provider as an experienced, Medicare-centered retina practitioner with a modest national footprint on high-cost injectable agents.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,260	$680	$858.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	9,000	$30	$261K
J2778	Injection, ranibizumab, 0.1 mg	820	$180	$148.9K
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.	980	$90	$86.9K
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…	770	$90	$66.5K
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.	1,500	$30	$43.6K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	300	$120	$36K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	170	$160	$26.7K
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…	420	$60	$26.6K
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…	210	$80	$17.2K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Massachusetts Distribution

George Peters — 0 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	29	90	790	$690	$826.5K
J2777	20	50	7,080	$30	$343.1K
J2778	8	30	560	$180	$200.7K
J2781	4	10	550	$120	$117.4K
67028	39	120	570	$100	$80.7K
J7312	3	10	220	$160	$35.7K
92014	137	1,070	160	$90	$30.1K
J7999	3	10	90	$150	$27.2K
J9035	77	80	250	$50	$19.7K
99214	4,540	15,410	110	$80	$15.6K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sunil Gupta	FL	Retina Specialist (Ophthalmology) Physician	$11.4M	$36.1K
Ryan Tarantola	FL	Retina Specialist (Ophthalmology) Physician	$5.5M	$0
John Myers	FL	Retina Specialist (Ophthalmology) Physician	$5.4M	$0
Saurabh Patel	FL	Retina Specialist (Ophthalmology) Physician	$5.3M	$0
Vision Care Of Maine LLC	ME	Ophthalmology Physician	$0	$5M
Eric Subong	WA	Ophthalmology Physician	$4.2M	$0
Daniel Kiernan	FL	Ophthalmology Physician	$2.7M	$572.1K
Laura Teasley	CA	Ophthalmology Physician	$2.4M	$0
Scott Warden	WA	Ophthalmology Physician	$2.3M	$0
Ahmet Ozkok	FL	Ophthalmology Physician	$2.1M	$193.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Spectrum Health Systems, Inc	MA	Addiction (Substance Use Disorder) Counselor	$6M	$187.4M
Edward M. Kennedy Community Health Center, Inc	MA	Federally Qualified Health Center (FQHC)	$0	$55.2M
Prestige Adult Foster Care LLC.	MA	In Home Supportive Care Agency	$0	$54.1M
Autism Therapuetic Services LLC	MA	Early Intervention Provider Agency	$0	$23M
Catholic Charities Of The Diocese Of Worcester	MA	Developmentally Disabled Services Day Training Agency	$0	$17.2M
City Home Care, LLC	MA	Home Health Agency	$0	$15.9M
Autism Intervention Specialists	MA	Behavior Analyst	$0	$13.4M
Pinnacle Home Healthcare Services, Inc	MA	Home Health Agency	$0	$13.3M
Adcare Hospital Of Worcester, Inc.	MA	General Acute Care Hospital	$0	$13.2M
The Bridge Of Central Massachusetts, Inc.	MA	Community/Behavioral Health Agency	$0	$5.5M

George Peters — 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