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

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

Alice Kennedy (NPI 1396130555)

Field	Value
Entity Type	Individual
Organization	Alice Kennedy
Address	924 Main St
City	Conway
State	AR
ZIP	72032
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 3, 2015

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

ALICE KENNEDY is a retina specialist (Ophthalmology) practicing in CONWAY, AR with an NPI enumerated 2015-04-03 (~11 years ago), indicating roughly a decade of Medicare billing history to evaluate for longitudinal patterns. The provider's specialty and tenure support comparing procedural and drug-focused revenue lines typical for retina practices.

This provider is effectively single-payer in the available data: total Medicare revenue is $1.4M and there is no Medicaid billing on file. That absence of Medicaid activity means payer mix, network access, and utilization analysis should be focused on Medicare-only performance and reimbursement dynamics.

Revenue is highly concentrated in a small set of drugs and procedures: the precomputed top 3 Medicare codes by revenue account for 83.7% of this provider's total Medicare revenue, and J0178 alone represents $857.5K (60.8% of total Medicare revenue). Such concentration implies that fluctuations in drug pricing, supply, or reimbursement for J0178 could materially affect this provider's revenue stream.

The code mix and top revenue drivers show an operation that is procedure- and drug- driven: J0178 (aflibercept), J2777 (faricimab), and 67028 (intravitreal injection) are the top revenue codes, pointing to routine intravitreal anti-VEGF injections and related isolated injection procedures as the core service line. This pattern is consistent with a retina practice focused on medical management of retinal disease (e.g., AMD, DME) rather than exclusively surgical retina or general ophthalmology.

Competitive standing on the national scale for the drug/ injection codes is modest to typical: J0178 ranks #1047 of 3204 providers (67th percentile, labeled typical), J2777 ranks #1095 of 2039 (46th percentile, typical), and 67028 ranks #1396 of 4255 (67th percentile, typical). Those percentiles indicate the provider is not a dominant national player for anti-VEGF administration but operates at a typical to moderately above-typical volume for these key injection services.

There are notable statistical outliers in diagnostics and low-complexity office visits: 92134 (retinal imaging) is in the 95th percentile and described as notably above typical national volume, while 99212 (established patient, straightforward visit) is an extreme outlier at the 99th percentile. Together these signals suggest a high throughput of imaging and short follow-up visits consistent with frequent monitoring between injection visits.

Surgical retina procedures are present but represent a much smaller share of revenue: 67039 shows 27 claims and $18K revenue (1.3% of Medicare revenue) and ranks #25 of 121 providers (78th percentile), and 67042 accounts for $12.2K (0.9%). This indicates the practice performs some vitrectomy/retinal surgical work but that surgical cases are not the primary revenue driver compared with intravitreal drug therapy.

From a payer or network contracting perspective, priorities should include oversight of high-cost drug utilization (J0178 at $857.5K and accounting for 60.8% of Medicare revenue), monitoring of follow-up visit patterns driven by a high volume of 99212 visits ($21.1K), and evaluation of imaging utilization given 92134 is notably above typical volume. The lack of Medicaid billing simplifies state-level network exposure but concentrates risk and utilization management responsibility within Medicare reimbursement and drug administration policies.

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
J0178	Injection, aflibercept, 1 mg	1,250	$690	$857.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,820	$30	$247K
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.	990	$80	$76.4K
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.	1,800	$30	$46.7K
J2778	Injection, ranibizumab, 0.1 mg	200	$180	$36.1K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	150	$150	$23.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	620	$30	$21.1K
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.	190	$100	$18.4K
67039	The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…	30	$670	$18K
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…	260	$60	$16.1K

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. Arkansas Distribution

Alice Kennedy — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	30	390	$690	$538.3K
J2777	12	20	12,180	$30	$504.5K
J2778	13	20	270	$180	$85K
67028	12	40	270	$80	$51.1K
J7312	4	10	190	$160	$42.6K
J7999	9	30	100	$130	$20.6K
92014	322	370	150	$70	$19.1K
99214	2,102	4,300	130	$70	$18.8K
67039	2	10	30	$650	$18.2K
67042	2	10	10	$800	$10.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Le	FL	Diagnostic Radiology Physician	$10.7M	$0
April Lopez	TX	Family Nurse Practitioner	$6.7M	$0
Rohit Adyanthaya	VA	Ophthalmology Physician	$4.1M	$0
Ricky Alaniz	TX	Optometrist	$77.9K	$3.7M
Jeremiah Brown	TX	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Khawly	TX	Ophthalmology Physician	$3.2M	$0
Howard Martin	TX	Dermatopathology (Pathology) Physician	$3M	$0
John King	AR	Retina Specialist (Ophthalmology) Physician	$2.8M	$57.3K
Moises Chica	TX	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Cedric Pratt	AR	Retina Specialist (Ophthalmology) Physician	$2.6M	$5.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Finnegans Inc.	AR	Durable Medical Equipment & Medical Supplies	$0	$59.7M
Paul & Ashley Fry, LLC	AR	In Home Supportive Care Agency	$0	$13.4M
Birch Tree Communities, Inc.	AR	Community/Behavioral Health Agency	$0	$11M
Bhc Pinnacle Pointe Hospital	AR	Adolescent and Children Mental Health Clinic/Center	$0	$10.8M
Birch Tree Communities Inc	AR	Community/Behavioral Health Agency	$0	$7.8M
Reach Therapy Services LLC	AR	Physical Therapist	$0	$4.9M
Conway Community Services	AR	General Acute Care Hospital	$0	$4.1M
Arcare	AR	Federally Qualified Health Center (FQHC)	$0	$3.9M
Finnegans Inc.	AR	Parenteral & Enteral Nutrition Supplies (DME)	$0	$2.2M
Conway Vein And Vascular	AR	Clinic/Center	$1.8M	$6.5K

Alice Kennedy — 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