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

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

Polly Quiram (NPI 1366471013)

Field	Value
Entity Type	Individual
Organization	Polly Quiram
Address	7760 France Ave S
City	Minneapolis
State	MN
ZIP	55435
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 2, 2006

Payer Source	Total Paid
Medicare	$3.7M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused ophthalmology practice with $3.7M in total Medicare revenue and no Medicaid billing on file; there is no Medicaid revenue reported for comparison, so the provider functions as a single-payer Medicare participant in the available data. The NPI was enumerated on 2006-07-02 (~20 years ago), indicating an established clinical presence in Minneapolis over a multi-decade span.

Revenue for this provider is highly concentrated: the precomputed top-3 Medicare codes account for 85.8% of total Medicare revenue, and a single code, J0178, represents $2.6M or 71.0% of Medicare revenue. That concentration signals that intravitreal aflibercept administrations are the primary revenue driver for the practice.

The code mix and descriptions indicate a retina-focused medical ophthalmology operation centered on intravitreal injections and posterior-segment diagnostics: high-volume drug injection codes (J0178, J2777, J2778, Q5128, J9035) and retina procedures (67028, 92134) dominate billing. Detailed examples include J0178 (injection, aflibercept), J2777 (injection, faricimab), and 67028 (isolated intravitreal injection procedure), which together reflect a procedural workflow built around anti-VEGF therapy and retina care.

Competitive standing is strong nationally on several retina measures: J0178 ranks #86 of 3204 providers nationally (97th percentile; notably above typical national volume for this code), making the provider a high-volume aflibercept user relative to peers. Retina imaging is also unusually high — 92134 ranks #430 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code) — indicating unusually large volume of posterior-segment imaging compared with national peers.

Several supporting codes show typical or mixed national standing: J2777 (11.3K claims, $327.1K revenue) and Q5128 (779 claims, $168.3K revenue) are described as typical, unremarkable volumes (both at the 55th percentile labels), and J2778 is similarly typical at the 52nd percentile label. Meanwhile, 67028 (2.2K claims, $219.2K revenue) is noted as notably above typical national volume (rank #274 of 4255; 94th percentile), reinforcing the provider’s strength in intravitreal procedures.

From a business risk and negotiation perspective, the dependence on a single drug code (J0178 at $691 avg paid/claim making up $2.6M) and the top-3 concentration at 85.8% create revenue concentration risk: changes in drug utilization patterns, reimbursement, or supplier relationships tied to these injections could materially affect practice revenue. At the same time, the high volumes for J0178 and retina imaging give the provider potential leverage as a high-capacity retinal care site when negotiating medical or pharmaceutical contracts.

The absence of any Medicaid billing on file means the provider’s publicly recorded payer mix lacks Medicaid exposure; contracting and access strategies that rely on Medicaid recipients would not be supported by the current billing footprint. This payer profile should be treated as Medicare-centric when benchmarking reimbursement performance or referral patterns.

Tenure and service profile together suggest an established specialty practice: with an NPI enumerated ~20 years ago and dominant procedural codes for anti-VEGF injections and retinal diagnostics, the provider appears to operate a long-standing retina-focused ophthalmology service line rather than a general ophthalmology or mixed-primary-care practice.

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	3,810	$690	$2.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	11,280	$30	$327.1K
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.	2,240	$100	$219.2K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	780	$220	$168.3K
J2778	Injection, ranibizumab, 0.1 mg	670	$180	$122.1K
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.	2,950	$30	$85.6K
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…	770	$60	$49.3K
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…	530	$90	$47.8K
J9035	Injection, bevacizumab, 10 mg	580	$60	$31.6K
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…	70	$120	$8.1K

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. Minnesota Distribution

Polly Quiram — 4 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	40	580	$690	$743.4K
J2777	8	20	6,120	$30	$411.1K
Q5128	11	20	1,410	$220	$393.8K
J2778	8	20	500	$180	$121K
67028	6	80	420	$90	$64.8K
J9035	7	40	220	$50	$16.9K
92014	30	830	100	$80	$11.9K
92012	8	200	60	$60	$8.8K
92235	11	40	40	$110	$6.9K
92134	8	580	40	$30	$4.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$204M
Regions Hospital	MN	General Acute Care Hospital	$0	$44.4M
Vitreoretinal Surgery PLLC	MN	Ophthalmology Physician	$0	$27.8M
Saint Joseph Mercy Livingston Hospital	MI	General Acute Care Hospital	$0	$18.3M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$14.8M
Group Health, Inc.	MN	Clinical Medical Laboratory	$2.4M	$11.5M
Group Health, Inc.	MN	Multi-Specialty Clinic/Center	$0	$13M
Group Health, Inc.	MN	Pediatric Dentistry	$0	$5.6M
David Williams	MN	Retina Specialist (Ophthalmology) Physician	$5.5M	$0
David Parke	MN	Ophthalmology Physician	$4.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Professional Resource Network - Prn - Corporation	MN	Home Health Agency	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Mental Health Systems PC	MN	Psychologist	$0	$11M
Premier Obgyn Of Minnesota PLLC	MN	Obstetrics & Gynecology Physician	$0	$7M
Noran Neurological Clinic P.A.	MN	Specialist	$0	$6M
Nura Surgical Center LLC	MN	Ambulatory Surgical Clinic/Center	$5.3M	$581.7K
Southdale Pediatric Associates, Ltd	MN	Multi-Specialty Clinic/Center	$0	$5.3M
Sundeep Dev	MN	Ophthalmology Physician	$4.5M	$0

Polly Quiram — Billing Profile & Reimbursement Data

Sign up for Polly Quiram — Billing Profile & Reimbursement Data policy alerts

Polly Quiram — Billing Profile & Reimbursement Data

Sign up for Polly Quiram — Billing Profile & Reimbursement Data policy alerts

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