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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Adam Jorgensen (NPI 1366700460)

Field	Value
Entity Type	Individual
Organization	Adam Jorgensen
Address	2800 3rd St
City	Rapid City
State	SD
ZIP	57701
Taxonomy	Glaucoma Specialist (Ophthalmology) Physician
NPI Enumerated	April 26, 2012

Payer Source	Total Paid
Medicare	$359.2K
Medicaid	$0

Key Findings

This provider reports $359.2K in lifetime Medicare revenue and has no Medicaid billing on file, making their reimbursement profile effectively single‑payer (Medicare-only) in the available data. The absence of any Medicaid codes suggests limited or no participation in Medicaid programs rather than a balanced payer mix.

Revenue is concentrated: the precomputed top three Medicare codes (66984, 66991, 99213) account for 45.6% of total Medicare revenue, driven primarily by cataract and related surgical services. The three top-line contributors are 66984 ($105.8K; 29.5%), 66991 ($29.1K; 8.1%), and 99213 ($28.7K; 8.0%), indicating reliance on a small set of procedure and E/M codes for nearly half of Medicare income.

The provider’s code mix points to a surgical glaucoma/ophthalmology practice with substantial cataract activity: 66984 (314 claims) is the largest single revenue generator, and other procedural glaucoma and lens codes such as 66982 ($24.9K; 6.9%), 66183 ($20K; 5.6%), and 65855 ($16.6K; 4.6%) also contribute material revenue. This pattern—high-volume cataract extraction and intraocular lens services alongside drainage device and laser glaucoma procedures—suggests the practice performs both routine cataract surgery and interventional glaucoma care.

Competitive standing on key codes is mixed but generally within the typical national range: 66984 ranks at the 75th percentile (described as typical, unremarkable volume), 66991 is at the 86th percentile (typical, unremarkable volume), and 99213 sits at the 94th percentile (typical, unremarkable volume). These percentiles indicate the provider is a solid, above-median performer on some cataract and E/M measures nationally but is not positioned as a national outlier or dominant operator for these services.

New-patient and higher-complexity evaluations are a visible part of the mix: 92004 (comprehensive new-patient exam) generated $20.9K (5.8%) and is explicitly labeled as notably above typical national volume for this code. Established-patient higher-level visits also contribute meaningfully (99214 $20.5K; 5.7%), indicating a steady flow of both surgical referrals and longitudinal clinical care rather than a pure procedure-only practice.

Operational footprint appears stable in the local market: the NPI was enumerated on 2012-04-26 (~14 years ago), which supports a long-tenured presence in RAPID CITY, SD. That tenure, combined with the procedural mix, is consistent with an established specialist practice providing a mix of outpatient surgery and follow-up ophthalmic care.

Procedure-versus-diagnostics balance shows substantial throughput of both interventions and testing: large claim counts appear for E/M and diagnostic items (e.g., 99213: 487 claims; 92136: 453 claims) alongside major surgical volume (66984: 314 claims). This mix suggests internal capacity for pre- and post-operative diagnostics and routine follow-up rather than reliance on external diagnostic vendors.

Statistical labels on subcodes point to limited outliers: several high-contribution procedural and diagnostic codes are characterized as typical or unremarkable nationally (for example, 66982, 66984, 66991, 65855 are all described as typical, unremarkable volume), while 92004 is specifically identified as notably above typical national volume. A few specialized imaging codes show lower national standing (for example, 92134’s entry carries the label typical, unremarkable volume despite a low rank), indicating selective strengths rather than broad national dominance across all ophthalmic services.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	310	$340	$105.8K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	70	$450	$29.1K
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…	490	$60	$28.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	100	$290	$28.3K
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…	300	$90	$25.2K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	60	$450	$24.9K
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.	210	$100	$20.9K
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…	240	$80	$20.5K
66183	The provider inserts a small device into the anterior chamber of the eye that helps to reduce the intraocular pressure of the eye in patients with glaucoma.	30	$770	$20K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	110	$150	$16.6K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Adam Jorgensen — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66991	6	10	70	$1,370	$119.4K
66984	16	130	40	$410	$67.7K
66821	18	30	100	$230	$35.6K
66183	1	10	30	$1,520	$33.4K
66982	5	20	40	$580	$25K
92014	52	200	170	$80	$17.1K
99214	353	1,660	90	$70	$11.4K
92136	8	30	210	$30	$9.2K
65855	1	10	40	$150	$8.6K
99213	62	1,710	80	$50	$6.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
University Of Utah Adult Services	UT	Emergency Medicine Physician	$0	$6.9M
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
University Of Utah Adult Services	UT	Diagnostic Radiology Physician	$0	$4M
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
University Of Utah Adult Services	UT	Internal Medicine Physician	$0	$3.5M
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Behavior Management Systems, Inc.	SD	Community/Behavioral Health Agency	$0	$19.8M
Monument Health Rapid City Hospital, Inc	SD	Multi-Specialty Clinic/Center	$0	$18.7M
Monument Health Rapid City Hospital, Inc.	SD	General Acute Care Hospital	$0	$11.5M
Community Health Center Of The Black Hills Inc	SD	Federally Qualified Health Center (FQHC)	$0	$10.2M
Jrk Services, Inc	SD	Home Health Agency	$0	$10.1M
Black Hills Pediatrics, LLP	SD	Pediatrics Physician	$0	$9.7M
Rapid City Emergency Services PA	SD	Emergency Medicine Physician	$0	$8.2M
Wellspring Inc.	SD	Psychiatry Physician	$0	$7.4M
Radiology Associates Prof, LLC	SD	Diagnostic Radiology Physician	$0	$5.3M
Monument Health Rapid City Hospital, Inc.	SD	Multi-Specialty Clinic/Center	$0	$5.2M

Adam Jorgensen — 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