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

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

Dennis Oconnell (NPI 1396763652)

Field	Value
Entity Type	Individual
Organization	Dennis Oconnell
Address	15901 E Briarwood Cir Unit 100
City	Aurora
State	CO
ZIP	80016
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 17, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider’s billed services are concentrated in retina-focused ophthalmology: the practice’s top revenue drivers are intravitreal injections and related retinal procedures, dominated by codes J2777, J0178, J0179 and J7312 alongside retinal imaging and office visits. The code mix (high volumes of injection codes plus 92134 and E/M codes) is consistent with a practice structured around repeat therapeutic injections and ongoing monitoring rather than broad multispecialty ophthalmic surgery.

Revenue concentration is high: the precomputed top 3 Medicare codes by revenue account for 75.2% of this provider's total Medicare revenue, with J2777 reported at $772.6K (49.2%), J0178 at $302.7K (19.3%), and 67028 at $106K (6.7%). This indicates the provider’s Medicare revenue is heavily dependent on a small set of procedure and drug codes.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.6M while there is no Medicaid billing on file. The absence of Medicaid activity suggests the provider’s commercial/Medicaid-facing footprint is minimal or not captured in the available state Medicaid data, concentrating reimbursement exposure on Medicare.

Competitive standing across individual codes is mixed. J2777 ranks #353 of 2039 providers nationally (83th percentile; typical, unremarkable volume for this code), showing relatively higher national placement but still characterized in the source as typical; J0178 ranks #2040 of 3204 (36th percentile; typical, unremarkable volume), while 92134 is a clear outlier in activity, ranking #1420 of 26868 providers nationally (95th percentile; notably above typical national volume), and 99213 also ranks notably high at #16603 of 457151 (96th percentile; notably above typical national volume).

Operationally, the practice pairs high-volume drug administration with monitoring: 92134 appears with 1.6K claims and $49.4K in revenue (3.1% of Medicare revenue) and 99213 appears with 650 claims and $41.6K (2.6% of Medicare revenue). These data points support a care pathway of frequent therapeutic injections followed by diagnostic imaging and routine office follow-up for management of retinal disease.

There is concentrated revenue risk around a single high-cost injectable: J2777 alone accounts for $772.6K (49.2%) of Medicare revenue, making the practice sensitive to changes in utilization patterns, reimbursement rates, or drug mix for that specific code. Additional non-specific drug billing appears via J3490 ($83.1K, 5.3%) and J7999 ($22.3K, 1.4%), indicating some revenue from unclassified or compounded drug claims but at much smaller scale.

Provider tenure is long-standing: the NPI was enumerated 2006-07-17 (~20 years ago), consistent with an established clinical practice that has sustained Medicare billing patterns over an extended period. That duration supports interpretation of the billing profile as stable rather than a short-term anomaly.

The complete absence of Medicaid billing on file (none below) combined with a Medicare total of $1.6M implies the patient population served is likely Medicare-dominant and that payer negotiations, referral networks, and growth opportunities will need to be evaluated through a Medicare-centric lens rather than statewide Medicaid performance.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	26,640	$30	$772.6K
J0178	Injection, aflibercept, 1 mg	440	$690	$302.7K
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.	1,080	$100	$106K
J0179	Injection, brolucizumab-dbll, 1 mg	400	$240	$96.9K
J3490	Unclassified drugs	40	$2,030	$83.1K
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.	1,590	$30	$49.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	270	$160	$42.6K
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…	650	$60	$41.6K
J2778	Injection, ranibizumab, 0.1 mg	130	$180	$24.3K
J7999	Compounded drug, not otherwise classified	290	$80	$22.3K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Dennis Oconnell — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	39	60	740	$690	$618.3K
J2777	5	40	8,910	$30	$456.1K
J2778	21	20	600	$180	$199.7K
J0179	1	10	400	$240	$96.9K
67028	24	80	670	$100	$73.3K
J7312	3	10	220	$160	$37.4K
J3490	43	60	50	$290	$23.1K
J7999	14	50	230	$70	$21.5K
99214	2,976	8,160	80	$80	$11.3K
92134	22	440	60	$30	$7.8K

Showing 1–10 of 15

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hanna Cares, LLC	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$10.5M
Complete Care Counseling Agency	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$9.5M
Colorado Addiction Recovery Services	CO	Substance Use Disorder Rehabilitation Clinic/Center	$0	$7.3M
Reich Healthsystem LLC	CO	In Home Supportive Care Agency	$0	$6.9M
Aw Home Care, Inc	CO	Personal Care Attendant	$0	$5.6M
Monaco And Evans Dental, P.C.	CO	General Practice Dentistry	$0	$5.3M
Recovery Omega	CO	Substance Use Disorder Rehabilitation Hospital Unit	$0	$4.8M
Me Physical Therapy LLC	CO	Physical Therapist	$0	$4.3M
Capitol Peak Home Care Services	CO	Home Health Agency	$0	$4M
Cher, LLC	CO	Diagnostic Radiology Physician	$244.4K	$232.1K

Dennis Oconnell — 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