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

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

Thomas Harper (NPI 1346440583)

Field	Value
Entity Type	Individual
Organization	Thomas Harper
Address	3810 Springhurst Blvd
City	Louisville
State	KY
ZIP	40241
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 24, 2007

Payer Source	Total Paid
Medicare	$3.3M
Medicaid	$0

Key Findings

Practice profile and tenure: THOMAS HARPER is listed as an Ophthalmology Physician with NPI enumerated 2007-07-24 (~19 years ago), indicating long-standing Medicare participation and an established clinical presence in LOUISVILLE, KY. The provider's specialty and long tenure are consistent with a mature ophthalmology practice delivering both office-based exams and retina injections.

Revenue concentration and dependency: Medicare accounts for the entirety of recorded public-payer revenue at $3.3M while Medicaid shows none (no Medicaid billing on file), making this effectively a single-payer (Medicare) revenue profile for public programs. The top 3 Medicare codes (precomputed) account for 84.7% of total Medicare revenue, signaling a high concentration of income in a small set of services and potential sensitivity to utilization or reimbursement changes on those codes.

Top revenue drivers and service-line implications: The practice is heavily oriented toward intravitreal pharmacologic therapy and comprehensive ophthalmic exams — the largest single revenue driver is J0178 ($2.1M, 62.8% of Medicare revenue; 3K claims, $693 avg paid/claim), complemented by J2777 ($393.3K, 12.0%) and 92014 ($325.1K, 9.9%). This mix indicates a retina-focused office that delivers high volumes of anti-VEGF or related injections alongside high-volume established-patient comprehensive eye exams, rather than a surgery-centric or hospital-based specialty profile.

Clinical intensity and diagnostic support: High-volume diagnostic imaging and monitoring are present but secondary to injections; 92134 generated $105.5K (3.2% of Medicare revenue) and ranks as an extreme outlier nationally, indicating frequent use of retinal imaging consistent with ongoing management of retinal disease. Surgical procedures (e.g., 67028 at $212.7K, 6.5%) are performed but represent a smaller share of revenue, suggesting most patient care is office-based injections and monitoring rather than operative retina work.

Competitive standing on key codes: For J0178 the provider ranks #190 of 3204 (94th percentile) and is described as notably above typical national volume, placing them well above the median national injection provider on aflibercept use. For 92014 the provider ranks #16 of 35415 (100th percentile) and is labeled an extreme outlier, showing unusually high volume of comprehensive established-patient ophthalmology visits compared with national peers. These ranks together imply the provider is a major national outlier on both injection volume and established-patient exam volume.

Variation across injectable agents: In addition to high aflibercept volume (J0178), the provider bills J2777 (faricimab) with $393.3K (12.0% of Medicare revenue) and smaller contributions from other intravitreal biologics such as J3590 ($76.3K, 2.3%). J2777 sits at a mid-range national position (rank #768 of 2039, 62nd percentile) and appears typical in volume, indicating the practice uses a mix of agents but is most heavily weighted toward J0178.

Operational and contracting implications: The absence of Medicaid billing (none) means payers and analysts should treat this profile as highly Medicare-dependent; contracting or network strategies that focus on Medicaid populations will not capture this provider’s primary revenue stream. The concentrated reliance on a few injection and exam codes (84.7% of Medicare revenue from top three codes) suggests negotiations or changes affecting those codes could materially impact the provider’s revenue.

Risk and resilience considerations: The provider’s status as an extreme outlier on 92014 and notably above-typical volume on J0178 indicate strong market penetration for outpatient ophthalmic care and retina injections, but also create concentration risk — a small number of high-volume services dominate revenue. Analysts should consider how changes in clinical guidelines, drug availability, or reimbursement for J0178/J2777/92014 could disproportionately affect this practice given the reported code mix.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,960	$690	$2.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	13,560	$30	$393.3K
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…	3,870	$80	$325.1K
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	$80	$212.7K
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.	3,910	$30	$105.5K
J3590	Unclassified biologics	940	$80	$76.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	200	$150	$30.9K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	230	$120	$27K
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.	180	$90	$16.4K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$850	$16.2K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Kentucky Distribution

Thomas Harper — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	40	870	$690	$858.5K
J2777	9	30	11,040	$30	$399.1K
67028	1	50	650	$90	$72.9K
J2781	4	10	380	$120	$48.4K
J7312	6	10	190	$160	$43.9K
67036	13	20	20	$910	$28.1K
67041	6	10	20	$1,020	$24.5K
J3590	3	40	160	$60	$17K
92014	1	420	90	$80	$14K
99213	5,938	7,250	80	$50	$7.7K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Associates Of Southern Indiana PC	IN	Ophthalmology Physician	$0	$6.4M
Jacob Yunker	KY	Ophthalmology Physician	$3.8M	$0
Victor Neamtu	KY	Ophthalmology Physician	$1.5M	$980
Diley Perez Garcia	KY	Ophthalmology Physician	$608.4K	$7.6K
Kristopher Pugh	IN	Ophthalmology Physician	$439.3K	$0
Guruprasad Pattar	KY	Ophthalmology Physician	$391.2K	$0
Brennan Greene	KY	Ophthalmology Physician	$374K	$0
Curtis Jordan	IN	Ophthalmology Physician	$307.9K	$0
Charles Barr	KY	Ophthalmology Physician	$302.2K	$3.7K
Edwin Apenbrinck	IN	Ophthalmology Physician	$302.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Medical Associates, Inc.	KY	Internal Medicine Physician	$0	$135.1M
Norton Childrens Medical Group, LLC	KY	Pediatrics Physician	$0	$107.3M
Community Medical Associates, Inc.	KY	Multi-Specialty Clinic/Center	$0	$49M
Motc - Louisville LLC	KY	Prosthetic/Orthotic Supplier	$0	$5.4M
Gml Pain Md Psc	KY	Durable Medical Equipment & Medical Supplies	$0	$3.9M
Aspire Case Management LLC	KY	Case Management Agency	$0	$3.2M
Michael Mccall	KY	Dermatology Physician	$938.6K	$0
Timothy Brown	KY	Dermatology Physician	$874.6K	$0
Mark Haeberle	KY	Dermatology Physician	$651.4K	$23K
Robin Curry	KY	Sports Medicine (Family Medicine) Physician	$628.2K	$0

Thomas Harper — Billing Profile & Reimbursement Data

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Thomas Harper — 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