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

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

Jeremy Wolfe (NPI 1356365514)

Field	Value
Entity Type	Individual
Organization	Jeremy Wolfe
Address	3555 W 13 Mile Rd
City	Royal Oak
State	MI
ZIP	48073
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 27, 2006

Payer Source	Total Paid
Medicare	$3.7M
Medicaid	$0

Key Findings

Revenue concentration is highly focused: the provider reports $3.7M in total Medicare revenue and the top three Medicare codes (J2777, J0178, J2778) account for 80.6% of that Medicare revenue, with J2777 at 36.4%, J0178 at 35.0%, and J2778 at 9.3%. This indicates the practice’s financial performance is driven almost entirely by intravitreal drug administration.

The clinical/service mix is consistent with an injection-centric retina practice: very high counts for intravitreal therapies (J2777: 46.2K claims, $1.3M revenue; J0178: 1.9K claims, $1.3M revenue; J2778: 1.9K claims, $342.7K revenue) show routine management of wet AMD and other macular disease with pharmacologic agents. Combined with frequent evaluation-and-management visits and retinal imaging, the pattern points to an ambulatory retina clinic structured around recurring injection visits and same-day diagnostics.

Competitive standing on the leading drug is above typical: J2777 ranks #126 of 2039 providers nationally (94th percentile) and is described as notably above typical national volume, signaling that this provider is a major national user of faricimab relative to peers. By contrast, J0178 (ranks #597 of 3204, 81th percentile) and J2778 (ranks #238 of 1208, 80th percentile) are characterized as typical, unremarkable volumes, indicating the practice is especially concentrated on J2777 while maintaining expected levels for other anti-VEGF agents.

Evaluation-and-management billing is an extreme outlier: 99214 appears 2K times for $190.2K revenue and the provider ranks #1315 of 479517 providers nationally (100th percentile; extreme outlier). This suggests very high E/M throughput and frequent moderate-complexity follow-up visits, consistent with a high-volume clinic that manages chronic retinal disease with frequent patient encounters.

In-office diagnostic capacity is elevated: retinal imaging codes are billed at above-typical volumes (92134: 2K claims, $60.3K revenue, ranks in the 96th percentile; 92250: 579 claims, $15.1K revenue, ranks in the 96th percentile). These patterns support an operational model that pairs injections with same-day imaging and interpretation, indicating on-site diagnostics that facilitate rapid treatment decisions during visit workflows.

The provider performs some procedural and surgical services but at modest scale: intravitreal injection as a procedure code 67028 shows 1.8K claims for $184.8K, while vitrectomy-related codes (67042: 15 claims, $13.6K) appear infrequently. This mix indicates the practice is primarily interventional with injections and diagnostics, with occasional surgical cases rather than a surgery-focused retina practice.

Use of unclassified drug and biologic codes is notable but not extreme: J3490 shows 63 claims with $118.4K revenue and a high $1880 avg paid/claim, while J3590 shows 80 claims for $25K revenue. The presence of these more expensive, nonstandard billing entries suggests episodic use or billing of high-cost products beyond the main anti-VEGF agents and may warrant attention when comparing pharmacy procurement and reimbursement patterns.

This provider is effectively single-payer in the dataset: Medicare activity totals $3.7M while there is no Medicaid billing on file, so Medicaid does not contribute to the measured revenue mix. With an NPI enumeration date of 2006-07-27 (~20 years ago), the long tenure aligns with an established, high-throughput Medicare retina practice and implies a stable patient base that concentrates revenue exposure in Medicare.

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
J2777	Injection, faricimab‑svoa, 0.1 mg	46,210	$30	$1.3M
J0178	Injection, aflibercept, 1 mg	1,860	$690	$1.3M
J2778	Injection, ranibizumab, 0.1 mg	1,880	$180	$342.7K
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…	2,000	$100	$190.2K
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.	1,760	$110	$184.8K
J3490	Unclassified drugs	60	$1,880	$118.4K
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.	2,010	$30	$60.3K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	200	$160	$32.3K
J3590	Unclassified biologics	80	$310	$25K
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…	270	$80	$20.3K

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. Michigan Distribution

Jeremy Wolfe — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	16	110	680	$690	$630.2K
J2777	2	60	7,200	$30	$321K
J2778	17	50	730	$180	$240.5K
67028	11	160	440	$90	$57.6K
J7312	9	10	230	$150	$36.1K
J3590	49	80	140	$80	$19.6K
67042	15	30	20	$1,030	$18.6K
67036	2	10	20	$910	$16.4K
92014	246	1,080	100	$80	$14.8K
99214	10	15,470	80	$80	$11.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$84.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$61.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstreet Urgent Care Of Michigan	MI	Urgent Care Clinic/Center	$0	$37.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Associated Retinal Consultants, PC	MI	Ophthalmology Physician	$0	$21.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Judson Center, Inc.	MI	Community/Behavioral Health Agency	$0	$21.2M
Allergy & Asthma Associates Of Mi PC	MI	Allergy & Immunology Physician	$0	$15.9M
Community Homes, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Sandeep Randhawa	MI	Retina Specialist (Ophthalmology) Physician	$7M	$0
American Anesthesiology Of Michigan PC	MI	Anesthesiology Physician	$0	$5.7M
Joshua Robinson	MI	Ophthalmology Physician	$3.7M	$0
Tamer Mahmoud	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
George Williams	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kimberly Drenser	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Alan Ruby	MI	Ophthalmology Physician	$2.4M	$0

Jeremy Wolfe — 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