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

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

David Drucker (NPI 1386669562)

Field	Value
Entity Type	Individual
Organization	David Drucker
Address	1530 N 115th St
City	Seattle
State	WA
ZIP	98133
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 12, 2006

Payer Source	Total Paid
Medicare	$1.8M
Medicaid	$0

Key Findings

Practice profile and primary service line: DAVID DRUCKER's Medicare billing is dominated by retina-focused, office-based medical retina care, with the drug administration code J2777 (faricimab) accounting for $1.1M of Medicare revenue and 36.8K claims. High volumes of diagnostic imaging codes such as 92134 (2.6K claims, $86.8K) and fundus photography 92250 (939 claims, $27.2K) further support a service mix centered on intravitreal therapeutics plus retina imaging and monitoring rather than high-volume inpatient or broad multispecialty services.

Revenue concentration risk and operational implications: The top three Medicare codes account for 75.5% of this provider's total Medicare revenue, indicating a highly concentrated revenue base tied to a small set of services. With J2777 alone representing $1.1M (60.6% of Medicare revenue), the practice’s financial performance appears heavily dependent on ongoing intravitreal biologic administration and related visits.

Payer mix and scale: This provider is effectively single-payer from the available data, reporting $1.8M in total Medicare revenue and no Medicaid billing on file. The absence of Medicaid activity suggests limited exposure to that payer population and a Medicare-centric patient panel or contracting footprint.

Competitive standing on drug administration: Although J2777 is the single largest revenue driver, its national rank is #193 of 2039 (91th percentile) and the data labels this as "typical, unremarkable volume for this code," indicating that while J2777 dominates this provider’s book of business, the provider is not unusually dominant nationally for faricimab administration. By contrast, other drug codes such as J0178 (218 claims, $144.1K) sit lower at the 20th percentile and are likewise described as "typical, unremarkable volume."

High-volume diagnostic and follow-up care: Several ophthalmic diagnostic and established-patient E/M codes are statistical outliers, with 92012 ranked #156 of 17177 providers (99th percentile; "extreme outlier") and 92134 ranked #637 of 26868 providers (98th percentile; "extreme outlier"). These outsized volumes for intermediate eye exams and retinal imaging indicate an intensive follow-up and monitoring workflow consistent with chronic retina disease management.

Surgical and procedural mix: The provider performs intravitreal injections coded both as drug administrations and procedure codes: 67028 shows 846 claims and $83.8K in revenue (4.8% of Medicare revenue), while 67042 (vitrectomy/ILM peel) is present but limited (20 claims, $19.9K). This pattern suggests a practice that is primarily medical retina-focused with some less-frequent surgical interventions.

New patient and referral intake: New-patient E/M code 99204 appears at 200 claims and $26.6K (1.5% of Medicare revenue) and is labeled as "notably above typical national volume," which points to a steady influx of complex new referrals into the practice. Coupled with high diagnostic imaging and established-patient visits, this suggests ongoing referral-driven growth and a pipeline of patients requiring recurring care.

Tenure and market presence: The provider's NPI was enumerated on 2006-07-12 (~20 years ago), indicating long-term establishment in the market. That tenure, together with repeated high-volume imaging and injection activity, signals an established retina practice with sustained Medicare-facing operations rather than a newly formed or transient clinic.

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
J2777	Injection, faricimab‑svoa, 0.1 mg	36,840	$30	$1.1M
J0178	Injection, aflibercept, 1 mg	220	$660	$144.1K
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…	1,560	$80	$118.6K
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.	2,550	$30	$86.8K
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.	850	$100	$83.8K
J2778	Injection, ranibizumab, 0.1 mg	430	$180	$76.9K
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…	650	$90	$60.7K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	940	$30	$27.2K
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…	200	$130	$26.6K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$1,000	$19.9K

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. Washington Distribution

David Drucker — 5 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	10	50	12,780	$30	$599.7K
J0178	70	90	470	$680	$597.2K
J2778	17	30	510	$180	$117.1K
67028	43	110	550	$90	$72.9K
67042	22	40	30	$1,190	$39.2K
92242	15	20	50	$210	$19.7K
92014	56	790	110	$80	$16.8K
92012	2	220	70	$70	$12.9K
J9035	27	40	70	$50	$10.9K
67210	5	10	20	$400	$9.9K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Subong	WA	Ophthalmology Physician	$4.2M	$0
Laura Teasley	CA	Ophthalmology Physician	$2.4M	$0
Scott Warden	WA	Ophthalmology Physician	$2.3M	$0
George Ko	WA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
George Peters	MA	Ophthalmology Physician	$1.6M	$0
Ariel Tyring	WA	Ophthalmology Physician	$1.5M	$0
Sharel Ongchin	WA	Ophthalmology Physician	$1.3M	$0
Linda Day	MI	Retina Specialist (Ophthalmology) Physician	$395.6K	$0
Jay Haynie	WA	Optometrist	$394.5K	$0
David Skale	WA	Ophthalmology Physician	$235K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neighborcare Health	WA	Federally Qualified Health Center (FQHC)	$0	$16.2M
International Community Health Services	WA	Federally Qualified Health Center (FQHC)	$0	$11.5M
Shoreline Fire Department	WA	Land Ambulance	$350.3K	$10.2M
Uw Medicine Northwest	WA	General Acute Care Hospital	$0	$5.7M
Northwest Kidney Centers	WA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.7M
Therapeutic Health Services	WA	Methadone Clinic	$0	$3.3M
Kristi Bailey	WA	Ophthalmology Physician	$937.7K	$0
Vinod Doreswamy	WA	Allergy & Immunology Physician	$702.1K	$0
Yuli Mccann	WA	Rheumatology Physician	$469.6K	$0
Megan Shaw	WA	Rheumatology Physician	$466.2K	$0

David Drucker — 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