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

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

Peter Judson (NPI 1376541011)

Field	Value
Entity Type	Individual
Organization	Peter Judson
Address	191 Main St
City	Manchester
State	CT
ZIP	06042
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: Total Medicare revenue is $2.6M and there is no Medicaid billing on file, so Medicaid does not contribute to reported revenues and payer diversification is minimal. Analysts should treat this profile as Medicare‑dominated when assessing reimbursement exposure and network negotiations in Connecticut.

Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicare codes by revenue account for 82.1% of this provider's total Medicare revenue. Those top three are J0178 ($1.7M, 63.6%), J2777 ($337.6K, 12.8%), and 67028 ($149.9K, 5.7%), making the practice financially dependent on a handful of high‑value services.

The code mix indicates a medical‑retina/intravitreal injection service line with substantial drug‑administration activity: J0178 (aflibercept) and J2777 (faricimab) together drive the bulk of revenue alongside ophthalmic injection procedure 67028. This pattern is consistent with an ophthalmology practice organized around recurring intravitreal injections and associated monitoring, where drug reimbursement is the primary revenue engine.

J0178 is the dominant revenue driver and shows solid national standing: the provider billed 2.4K J0178 claims for $1.7M in revenue and ranks #342 of 3204 nationally (89th percentile; typical, unremarkable volume for this code). Despite being labeled "typical, unremarkable volume," J0178 represents 63.6% of the provider’s Medicare revenue, so fluctuations in utilization or reimbursement for this agent would materially affect overall income.

Diagnostic and monitoring services are billed at notably high volume relative to peers: 92134 has 2.3K claims for $77.9K in revenue and ranks #795 of 26868 providers nationally (97th percentile; extreme outlier, far above typical national volume), while 92012 (1.1K claims, $81.6K) ranks in the 98th percentile and 92014 (918 claims, $90.9K) ranks in the 94th percentile (both noted as "notably above typical national volume"). This combination of very high retinal imaging and frequent established‑patient visits supports a model of ongoing monitoring and follow‑up care for chronic retinal disease.

Other service lines and codes show modest supplemental revenue and typical national participation: J2778 (ranibizumab) generated $117.2K (651 claims) and ranks #598 of 1208 (50th percentile; typical), and procedure codes such as J3590 ($48.8K), 67210 ($12.3K), and 92250 ($4.9K) appear as ancillary streams. These ancillary codes indicate some use of unclassified biologics, retinal laser, and fundus photography but do not materially alter the practice’s overall dependency on anti‑VEGF injections.

Tenure is long enough to suggest an established practice footprint: the NPI was enumerated 2005‑07‑07 (~21 years ago), which supports interpretation of current billing patterns as mature rather than startup behavior. Combined with the concentrated revenue mix, the long tenure implies established referral and treatment workflows centered on intravitreal therapy.

From a payer and network strategy perspective, the combination of concentrated revenue (82.1% from the top 3 codes) and no Medicaid activity highlights two operational considerations: the practice has limited payer diversification and is highly exposed to changes in Medicare drug reimbursement or utilization patterns for intravitreal biologics. Contracting or utilization management efforts that target anti‑VEGF agents or injection visit frequency would therefore have outsized impact on this provider’s revenue profile.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,440	$690	$1.7M
J2777	Injection, faricimab‑svoa, 0.1 mg	11,640	$30	$337.6K
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.	1,440	$100	$149.9K
J2778	Injection, ranibizumab, 0.1 mg	650	$180	$117.2K
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…	920	$100	$90.9K
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…	1,060	$80	$81.6K
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.	2,290	$30	$77.9K
J3590	Unclassified biologics	20	$2,120	$48.8K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	30	$440	$12.3K
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	$130	$8.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Peter Judson — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	40	830	$690	$713.1K
J2777	11	30	8,190	$30	$340.4K
J3590	6	10	50	$2,090	$127.3K
J2778	6	20	410	$180	$117.8K
67028	5	50	540	$100	$66.4K
67210	2	10	30	$430	$19.7K
92014	12	580	100	$90	$18.6K
92012	9	300	120	$70	$15.2K
92235	23	30	40	$110	$14.8K
99214	6,132	6,480	90	$90	$14.2K

Showing 1–10 of 18

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants PC	CT	Ophthalmology Physician	$0	$25.8M
Ambulance Service Of Manchester, LLC	CT	Land Ambulance	$3.3M	$20.4M
Community Child Guidance Clinic, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$9.3M
Manchester Public Schools	CT	Local Education Agency (LEA)	$0	$6.5M
Ron Margolis	CT	Ophthalmology Physician	$3.5M	$0
Jerry Neuwirth	CT	Ophthalmology Physician	$2.5M	$0
Marion Stoj	CT	Ophthalmology Physician	$2.4M	$0
Scott Walter	CT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Ronald Albert	CT	General Practice Dentistry	$0	$1.3M
Greg Budoff	CT	Retina Specialist (Ophthalmology) Physician	$705.2K	$0

Peter Judson — Billing Profile & Reimbursement Data

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Peter Judson — 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

Nearby Providers

Frequently Asked Questions

References