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

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

Janet Hummer (NPI 1336180181)

Field	Value
Entity Type	Individual
Organization	Janet Hummer
Address	9202 N Meridian St Ste 100
City	Indianapolis
State	IN
ZIP	46260
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 10, 2006

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This provider’s Medicare footprint dominates their billing profile: total Medicare revenue is $2.8M while there is no Medicaid billing on file, making JANET HUMMER effectively a single-payer (Medicare) practitioner. The top 3 Medicare codes by revenue account for 92.3% of this provider's total Medicare revenue, indicating a highly concentrated revenue mix.

Service-line mix points to a retina-focused, injection-centric operation: the highest-revenue codes are J0178 (aflibercept) and J2777 (faricimab) plus 67028 (intravitreal injection), all of which are medications and procedures used to treat retinal disease. The presence of substantial imaging in the code set (92134) further supports that clinical activity centers on medical retina management rather than general ophthalmology.

Revenue concentration is extreme around a single drug: J0178 generates $2.2M and represents 77.8% of Medicare revenue, making it the dominant revenue driver for this provider. With the top three codes contributing 92.3% of Medicare revenue, this practice is highly exposed to changes in utilization, reimbursement, or formulary status for those specific therapies.

On national competitive standing for intravitreal injections, the provider ranks highly: J0178 is #152 of 3204 (95th percentile) and 67028 is #144 of 4255 (97th percentile), both described as notably above typical national volume. These ranks indicate the provider is a major national-volume participant for the principal injection codes rather than a modest player.

Use of unclassified biologics (J3590) is an outlier: 1.8K claims produced $121.2K (4.3% of Medicare revenue) and J3590 ranks #1 of 631 providers nationally (100th percentile), labeled an extreme outlier. That uniquely high ranking for an unclassified biologic code suggests an atypical billing mix for biologics relative to peers and warrants review for case-mix or coding practices if benchmarking or contracting.

High utilization of diagnostic retinal imaging reinforces the retina-service profile: 92134 shows 2.3K claims with $63K in revenue (2.2% of Medicare revenue) and ranks #768 of 26868 providers nationally (97th percentile), an extreme outlier. Frequent imaging alongside high injection volumes is consistent with ongoing management of chronic retinal conditions such as AMD or diabetic macular edema.

Evaluation-and-management codes are a relatively small share of receipts: 99213 accounts for 306 claims and $18.1K (0.6% of Medicare revenue) and ranks #58094 of 457151 providers (87th percentile), indicating routine office visits are modest compared with procedural/injection volume. This pattern suggests the practice model emphasizes procedure-based, same-day injection encounters rather than high-volume longitudinal office visit revenue.

Provider tenure shows long-standing Medicare participation: NPI enumerated 2006-06-10 (~20 years ago), indicating sustained presence in the Medicare program. Combined with the concentrated, high-volume injection and imaging profile, the tenure supports an established specialty practice focused on retinal therapeutics within the Medicare population.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,190	$690	$2.2M
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.	2,630	$90	$236.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,000	$30	$174K
J3590	Unclassified biologics	1,810	$70	$121.2K
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.	2,340	$30	$63K
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…	310	$60	$18.1K
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,…	220	$30	$5.7K
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…	40	$110	$5K
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…	40	$90	$3.3K
99203	The provider sees a new 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 provider…	20	$70	$1.5K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Janet Hummer — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	60	830	$690	$868.8K
J2777	22	40	6,750	$30	$395.6K
67028	5	80	550	$80	$78.6K
J3590	1	50	220	$60	$24.5K
99214	8,398	10,540	110	$80	$15.5K
99213	1,223	10,820	80	$50	$7.6K
92134	15	660	60	$30	$6K
99204	1,666	4,690	30	$100	$4.9K
99203	2,187	3,490	30	$70	$3.1K
92250	56	540	50	$20	$2.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Surgeons Of Indiana, PC	IN	Ophthalmology Physician	$0	$2.6M
Patrick Hopen	IN	Ophthalmology Physician	$581.5K	$0
Anthony Lombardo	IN	Ophthalmology Physician	$456.3K	$0
Paul Cacchillo	IN	Ophthalmology Physician	$429.8K	$0
Michael Orr	IN	Ophthalmology Physician	$429.3K	$0
Stephen Kimmell	IN	Optometrist	$353K	$460
Joseph Carr	IN	Ophthalmology Physician	$342.9K	$0
Ahmar Sajjad	IN	Ophthalmology Physician	$329.8K	$4.2K
Michael Hodkin	IN	Ophthalmology Physician	$295.7K	$0
Shaun Swindler	FL	Ophthalmology Physician	$202.9K	$100

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Hospital & Health Care Center, Inc.	IN	General Acute Care Hospital	$0	$58.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$28.6M
St Vincent Pediatric Subspecialties	IN	Pediatrics Physician	$0	$20.8M
St Vincent Physician Services Hospital And Health Care Center	IN	Family Medicine Physician	$0	$14M
Imaging Associates Of Indiana, PC	IN	Diagnostic Radiology Physician	$0	$9.7M
Rebecca Bolon	IN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$9M
Shadeland Anesthesia & Pain Associates Inc.	IN	Interventional Pain Medicine Physician	$0	$7.1M
Singh Bullard Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$7M
Alta Healthcare	IN	Home Health Agency	$0	$6.6M
Indiana Hemophilia & Thrombosis Center, Inc.	IN	Hematology & Oncology Physician	$0	$5.6M

Janet Hummer — 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