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

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

Stanley Fuller (NPI 1396034658)

Field	Value
Entity Type	Individual
Organization	Stanley Fuller
Address	116 Minnie St
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 6, 2011

Payer Source	Total Paid
Medicare	$916.2K
Medicaid	$0

Key Findings

This NPI is listed as an Ophthalmology Physician and was enumerated on 2011-04-06 (~15 years ago), indicating an established Medicare billing history in Fairbanks, AK. The procedure mix and high-share medications below are consistent with an ophthalmology practice offering both medical retina injections and surgical cataract services rather than a strictly general optometry clinic.

Medicare is effectively the sole payer in the dataset: total Medicare revenue is $916.2K and there is no Medicaid billing on file. This provider should be considered single‑payer (Medicare)-dependent for the available public claims data, which has implications for payer negotiations and revenue risk concentration.

Revenue is highly concentrated: the precomputed top-3 Medicare codes (J0178, 66984, 67028) account for 78.5% of this provider's total Medicare revenue. That concentration — driven primarily by J0178 (injection, aflibercept) at 55.8% of Medicare revenue — signals a business model where anti‑VEGF drug administration is the dominant revenue generator.

J0178 (55.8% of Medicare revenue) ranks #1570 of 3204 providers nationally (51th percentile; typical, unremarkable volume), so the provider’s aflibercept administration volume is middling at a national level and not unusually high. By contrast, 66984 (15.9% of Medicare revenue) ranks #4294 of 15965 providers nationally (73th percentile; typical, unremarkable volume), indicating a relatively higher-than-average position in cataract surgery volume compared with peers.

67028 (6.9% of Medicare revenue) ranks #2076 of 4255 providers nationally (51th percentile; typical, unremarkable volume), which aligns with the view that intravitreal injection procedures are a routine part of this practice but not outlier-level in volume. Together the rank/percentile pattern across J0178, 66984, and 67028 portrays a practice that is clinically focused on injections and cataract surgery but is not a dominant national outlier for those procedures.

One notable statistical outlier appears outside the top-3 revenue drivers: 99204 (new patient, moderate complexity) generated $39K (4.3% of Medicare revenue) from 258 claims and ranks #2176 of 227068 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). This unusually high ranking for 99204 suggests an unusually large number of higher‑level new patient visits relative to national peers and may reflect local referral patterns, a practice intake strategy, or coding/visit mix concentrated on detailed new-patient assessments.

The ancillary and diagnostic code mix supports a retina‑and‑surgery practice model: 92134 (retinal imaging) contributed $31.4K (3.4% of Medicare revenue) and ranks #2477 of 26868 providers nationally (91th percentile; typical, unremarkable volume), while 92136 (IOL measurements) contributed $10.4K (1.1% of Medicare revenue) and ranks in the 91th percentile among peers. The presence of J7999 (compounded drug) at $16.8K (1.8% of Medicare revenue) and 66821 (YAG capsulotomy) at $10.5K (1.1% of Medicare revenue) further corroborates a mix of in-office procedures and drug administration supporting surgical and post‑operative ophthalmic care.

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	750	$690	$511K
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…	270	$530	$145.2K
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.	560	$110	$63.2K
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…	440	$120	$51.9K
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…	260	$150	$39K
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.	830	$40	$31.4K
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…	250	$80	$20.7K
J7999	Compounded drug, not otherwise classified	230	$70	$16.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$320	$10.5K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	450	$20	$10.4K

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. Alaska Distribution

Stanley Fuller — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	10	680	$690	$686.5K
66984	8	60	40	$640	$86.7K
67028	3	10	390	$110	$65.8K
99214	97	1,210	90	$100	$16.2K
66821	14	30	30	$280	$13.9K
J7999	1	10	110	$80	$8.7K
99213	153	1,290	70	$70	$8.5K
92136	3	20	120	$30	$6.6K
99204	3	460	30	$140	$6.1K
92134	3	110	50	$30	$4.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Clinic Of Fairbanks, Inc	AK	Ophthalmology Physician	$0	$4M
Damien Delzer	AK	Optometrist	$171.2K	$0
Ronald Zamber	AK	Ophthalmology Physician	$111K	$0
Jeremy Fulk	AK	Optometrist	$83.7K	$0
Natalie Macke	AK	Optometrist	$47.1K	$0
Larry Coon	AK	Optometrist	$37.1K	$0
Rebecca Wilbur	AK	Optometrist	$23K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Fairbanks Memorial Hospital, LLC	AK	General Acute Care Hospital	$0	$83.6M
Fairbanks Resource Agency Inc	AK	Community/Behavioral Health Agency	$0	$48M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Restore LLC	AK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.3M
Tanana Valley Clinic LLC	AK	Multi-Specialty Clinic/Center	$0	$15.2M

Stanley Fuller — 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