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.

Eric Subong (NPI 1396788725)

Field	Value
Entity Type	Individual
Organization	Eric Subong
Address	200 Westerly Rd
City	Bellingham
State	WA
ZIP	98226
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$4.2M
Medicaid	$0

Key Findings

Practice revenue is strongly Medicare‑driven: the provider reports Total Medicare revenue of $4.2M and has no Medicaid billing on file, making this effectively a single‑payer (Medicare) billing profile with no recorded Medicaid activity. This concentration means payer policy changes to Medicare could have outsized impact on the practice.

Revenue concentration is extreme around intravitreal biologics: the precomputed top‑3 Medicare codes account for 81.4% of the provider's Medicare revenue, and a single code, J2777, accounts for $2.9M (68.0% of total Medicare revenue). That level of concentration indicates the practice’s revenue stream is heavily dependent on administration of a single high‑use drug product.

Service line signals indicate a retina‑focused ophthalmology practice: the dominant codes are intravitreal injections (J2777, J0178, 67028) and retina imaging/procedures (92242, 92134, 92250). High volumes of drug injection codes together with angiography and OCT imaging are consistent with medical retina care (e.g., management of macular degeneration/diabetic macular edema) rather than a primary cataract‑only practice.

Competitive standing on J2777 is at the national extreme: the provider ranks #18 of 2039 nationally for J2777 (99th percentile) and is labeled an "extreme outlier, far above typical national volume for this code," indicating the practice is a major national outlier in faricimab administration. By contrast, J0178 ($386.7K, 9.1% of Medicare revenue) and 67028 ($181.2K, 4.3% of Medicare revenue) are in much more typical volume ranges.

Multiple diagnostic and E/M codes show unusually high ambulatory throughput: 92012 (1.5K claims, $98.9K) ranks #186 of 17177 (99th percentile, extreme outlier) and 99204 (210 claims, $26.5K) ranks in the 98th percentile nationally. These high percentiles for both intermediate/ comprehensive eye exams and for new‑patient E/M suggest substantial clinic visit volume feeding the injection and imaging service lines.

Other imaging and diagnostic codes are notably above typical national volume, supporting the clinical focus: 92242 ($97K) ranks #15 of 206 (93th percentile, notably above typical national volume), 92134 ($62.3K) ranks in the 96th percentile, and 92250 ($21.1K) ranks in the 98th percentile. Taken together, this mix is consistent with frequent multimodal retinal evaluation accompanying therapeutic injections.

Scope and procedural breadth extend into retinal surgery though at modest scale: the provider billed for vitrectomy and related procedures (67036, 67042, 67110) with small claim counts and rank percentiles in the mid to low ranges, which suggests that while surgical retina procedures are performed, they are not the primary revenue driver compared to injections and imaging. These codes complement a retina practice model that is primarily office‑based therapeutics plus selective surgery.

Tenure and market presence: the NPI was enumerated on 2006-06-14 (~20 years ago), indicating long‑standing enrollment in Medicare. The combination of long tenure and extreme national ranking on J2777 positions this provider as a high‑volume, established Medicare injector in the ophthalmology/retina space rather than a new or transient billing pattern.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	99,420	$30	$2.9M
J0178	Injection, aflibercept, 1 mg	560	$690	$386.7K
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.	1,660	$110	$181.2K
J3490	Unclassified drugs	70	$2,100	$155.4K
J2778	Injection, ranibizumab, 0.1 mg	650	$180	$117.3K
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…	1,450	$70	$98.9K
92242	The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…	460	$210	$97K
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…	860	$90	$79.2K
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.	2,010	$30	$62.3K
J3590	Unclassified biologics	20	$2,120	$38.2K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Eric Subong — 8 of 21 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

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	1	50	12,780	$30	$599.7K
J0178	44	90	470	$680	$597.2K
J2778	9	30	510	$180	$117.1K
67028	17	110	550	$90	$72.9K
J3490	29	70	70	$50	$51.2K
67042	35	40	30	$1,190	$39.2K
67036	15	20	20	$1,140	$28.6K
J3590	6	10	20	$980	$24.4K
66821	226	260	50	$230	$20.4K
92242	1	20	50	$210	$19.7K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Amador Subong	WA	Ophthalmology Physician	$2.5M	$0
Laura Teasley	CA	Ophthalmology Physician	$2.4M	$0
Scott Warden	WA	Ophthalmology Physician	$2.3M	$0
David Drucker	WA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
George Ko	WA	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
George Peters	MA	Ophthalmology Physician	$1.6M	$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 Eric Subong, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lummi Indian Business Council	WA	Recovery Care Clinic/Center	$0	$26.1M
Lummi Indian Business Council	WA	Clinic/Center	$0	$23.3M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$8.6M
Lummi Indian Business Council	WA	Dental Clinic/Center	$0	$8.5M
Infusion Solutions Inc	WA	Home Infusion Agency	$73.8K	$8.3M
Lummi Indian Business Council	WA	Counselor	$0	$7.8M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$6.4M
Sea Mar Community Health Centers	WA	Federally Qualified Health Center (FQHC)	$0	$4.8M
Bellingham Oral Surgery And Dental Implants	WA	Specialist	$0	$4M
North Whatcom Fire & Rescue Services	WA	Land Ambulance	$204.5K	$2.8M

Eric Subong — 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