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NPI 1336409051 · Lake Charles, LA · Retina Specialist (Ophthalmology) Physician
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Jonathan Perkins is a retina specialist (ophthalmology) physician provider located in Lake Charles, Louisiana. This profile covers 17 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | Jonathan Perkins |
| Address | 2800 1st Ave Ste C |
| City | Lake Charles |
| State | LA |
| ZIP | 70601 |
| Taxonomy | Retina Specialist (Ophthalmology) Physician |
| NPI Enumerated | May 29, 2012 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $1.7M |
| Medicaid | $160.4K |
This provider’s reimbursement is heavily Medicare-weighted: total Medicare revenue is $1.7M compared with $160.4K in Medicaid revenue, so Medicare is the principal payer on file. Both payers are active in the record, but scale is markedly larger on Medicare based on the reported totals.
Medicare revenue is highly concentrated in intravitreal biologic therapy and related ophthalmology exams: the precomputed top three Medicare codes account for 85.4% of Medicare revenue, driven by J0178, J2777, and 92014. J0178 (1.5K claims, $997.2K revenue) and J2777 (12.4K claims, $358.4K revenue) reflect routine administration of anti‑VEGF/antibody agents, while 92014 (1.7K claims, $133.6K revenue) captures comprehensive established ophthalmology visits that support ongoing injection management.
Medicaid revenue shows an even higher concentration in a narrow set of services: the precomputed top three Medicaid codes account for 92.1% of Medicaid revenue, primarily 92014, 67028, and 92134. On Medicaid the largest single code is 92014 (1.5K claims, $72.4K revenue), with 67028 (428 claims, $41.5K revenue) and 92134 (2.5K claims, $34.8K revenue) making up the bulk of remaining revenue, indicating that evaluation, injection procedures, and retinal imaging are the dominant billings for this payer.
Operational profile implied by the code mix is consistent with a retina-focused outpatient practice that runs a high-volume injection clinic plus diagnostic imaging capacity. High claim counts for intravitreal drug administration (Medicare J0178 1.5K claims and J2777 12.4K claims) together with substantial claim volumes for retinal imaging (Medicare 92134 4.7K claims; Medicaid 92134 2.5K claims) and comprehensive exams (Medicare 92014 1.7K claims; Medicaid 92014 1.5K claims) suggest routine, repeat visit workflows, medication handling, and imaging/read-report throughput.
National competitive standing is mixed by code: injection drug codes are reported as typical volumes while diagnostic exam and imaging codes are extreme statistical outliers. Specifically, Medicare 92014 ranks #442 of 35415 (99th percentile; extreme outlier, far above typical national volume for this code) and Medicare 92134 ranks #62 of 26868 (100th percentile; extreme outlier, far above typical national volume for this code), whereas J0178 ranks #851 of 3204 (73th percentile; typical, unremarkable volume for this code) and J2777 ranks #851 of 2039 (58th percentile; typical, unremarkable volume for this code).
In-state (Medicaid) competitive standing is more modest: Medicaid 92014 ranks #272 of 655 (59th percentile; typical, unremarkable volume for this code), 67028 ranks #29 of 53 (46th percentile; typical, unremarkable volume for this code), and 92134 ranks #29 of 133 (79th percentile; typical, unremarkable volume for this code). Those in-state percentiles indicate average to above-average utilization locally but not the same extreme national concentration seen in some Medicare imaging/exam codes.
The revenue concentration into a very small set of codes creates sensitivity to utilization or reimbursement shifts: the top 3 Medicare codes drive 85.4% of Medicare revenue (notably J0178 and J2777), and the top 3 Medicaid codes drive 92.1% of Medicaid revenue (notably 92014, 67028, and 92134). Any material change in access to or reimbursement for these specific injection, exam, or imaging services could have outsized impact on this provider’s billed revenue profile.
Provider tenure is established: NPI enumerated 2012-05-29 (~14 years ago), indicating a prolonged period over which these service patterns and payer relationships have likely been developed and maintained. This longevity, combined with concentrated code utilization, suggests stable specialty practice behavior rather than an emergent or transient billing pattern.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
17 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J0178 | Injection, aflibercept, 1 mg | 1,460 | $680 | $997.2K |
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 12,360 | $30 | $358.4K |
| 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… | 1,670 | $80 | $133.6K |
| 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. | 1,180 | $90 | $101.6K |
| 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. | 4,740 | $10 | $61.6K |
| J9035 | Injection, bevacizumab, 10 mg | 470 | $50 | $24.8K |
| 67228 | In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space… | 50 | $240 | $11K |
| 67108 | The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or… | 10 | $880 | $10.5K |
| 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,… | 790 | $10 | $10.2K |
| 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. | 100 | $100 | $9.4K |
Showing 1–10 of 17
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.
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Full comparison — all codes billed, vs. state median
17 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 5 | 50 | 300 | $680 | $371.5K |
| J2777 | 9 | 30 | 6,660 | $30 | $309.4K |
| 67028 | 7 | 70 | 410 | $80 | $44.3K |
| 92014 | 8 | 470 | 170 | $80 | $23.9K |
| 67108 | 9 | 10 | 20 | $1,100 | $22K |
| 67210 | 12 | 10 | 40 | $380 | $16.5K |
| 92012 | 316 | 350 | 100 | $60 | $11.7K |
| 92235 | 15 | 40 | 70 | $90 | $11.3K |
| J9035 | 6 | 40 | 130 | $50 | $10.8K |
| 67228 | 4 | 10 | 30 | $250 | $8.2K |
Showing 1–10 of 17
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
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Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 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… | 1,480 | $50 | $72.4K |
| 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. | 430 | $100 | $41.5K |
| 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. | 2,490 | $10 | $34.8K |
| J9035 | Injection, bevacizumab, 10 mg | 240 | $40 | $8.5K |
| 92226 | N/A | 150 | $10 | $1.8K |
| 92225 | N/A | 180 | $10 | $1.1K |
| 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,… | 30 | $30 | $1K |
| 92202 | 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… | 30 | $10 | $260 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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… | 272 | 660 | 1,070 | $60 | $129.3K |
| 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. | 29 | 50 | 470 | $60 | $95.8K |
| J9035 | Injection, bevacizumab, 10 mg | 20 | 40 | 240 | $30 | $34.1K |
| 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. | 29 | 130 | 490 | $10 | $19.4K |
| 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,… | 177 | 210 | 200 | $20 | $17.5K |
| 92226 | N/A | 23 | 30 | 450 | $10 | $5.5K |
| 92225 | N/A | 6 | 20 | 60 | $10 | $2.3K |
| 92202 | 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… | 21 | 20 | 110 | $1 | $1.3K |
Other providers in the same ZIP code as Jonathan Perkins, ranked by combined Medicare and Medicaid revenue.
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