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

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

Tyler Ofstad (NPI 1407199607)

Field	Value
Entity Type	Individual
Organization	Tyler Ofstad
Address	175 Timberwolf Pkwy
City	Kalispell
State	MT
ZIP	59901
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 5, 2013

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

Practice is strongly retina-focused with intravitreal anti-VEGF therapy driving operations: J0178 (aflibercept) alone accounts for $598.6K and 53.7% of Medicare revenue, and J2777 (faricimab) contributes $172.3K (15.5%), while 67028 (isolated intravitreal injection) contributes $85.2K (7.6%). The predominance of these injection drugs and the separate injection procedure code indicates the practice’s workflow centers on frequent, office-based retinal injections and related follow-up care.

Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 76.8% of this provider's total Medicare revenue. This degree of concentration signals operational and reimbursement exposure tied to a small set of high-value drug and injection codes.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.1M and there is no Medicaid billing on file. The absence of Medicaid volume means the provider’s public-payer exposure is concentrated in Medicare, which has implications for contract negotiations and risk when evaluating payer diversification.

Competitive standing on the leading drug is modest: J0178 ranks #1426 of 3204 providers nationally (55th percentile; typical, unremarkable volume for this code), indicating average national participation in aflibercept use rather than dominance. Similarly, J2777 ranks #1402 of 2039 (31th percentile; typical, unremarkable volume for this code), showing lower relative faricimab usage versus peers.

Diagnostic imaging is a relative strength: 92134 (retinal OCT imaging) generates $36.7K (3.3% of Medicare revenue) from 1.3K claims and ranks #1731 of 26868 providers nationally (94th percentile; notably above typical national volume for this code). High utilization of retinal imaging aligns with a retina-specialist service line and supports frequent monitoring consistent with anti-VEGF treatment protocols.

The provider performs some surgical and cataract-related services but these are secondary to injections: 66984 (intraocular lens insertion after cataract removal) accounts for $75.3K (6.8%) and ranks #5695 of 15965 (64th percentile; typical, unremarkable volume), while 66821 (YAG capsulotomy) contributes $11.8K (1.1%) and ranks #4704 of 10087 (53th percentile; typical, unremarkable volume). This mix suggests occasional operative work in addition to a predominantly medical retina practice.

Coding patterns show pockets of above-average and below-average national activity: J7999 (compounded drug) is relatively prominent, with $31.7K (2.8%) and a rank of #179 of 1333 (87th percentile; typical, unremarkable volume), implying meaningful use of compounded therapies; by contrast, fluorescein angiography 92235 is minimal at $1.3K and ranks #2085 of 2192 (2th percentile; typical, unremarkable volume), indicating low utilization of that modality. These contrasts reinforce a practice model focused on injection therapy plus OCT imaging rather than dye-based angiography.

Provider tenure shows established presence in the market: the NPI was enumerated on 2013-04-05 (~13 years ago), which supports interpretation of these patterns as mature practice behaviors rather than early-career anomalies. The consistent Medicare billing profile over that period makes the revenue and service-line concentrations meaningful for competitive and contracting analyses.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	870	$690	$598.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	5,940	$30	$172.3K
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.	910	$90	$85.2K
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…	190	$410	$75.3K
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…	470	$80	$39.1K
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.	1,310	$30	$36.7K
J7999	Compounded drug, not otherwise classified	470	$70	$31.7K
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…	290	$60	$18.1K
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…	170	$90	$14.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$230	$11.8K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Montana Distribution

Tyler Ofstad — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	20	460	$680	$663.4K
J2777	8	10	10,170	$30	$351.2K
66984	28	120	50	$490	$78.1K
67028	9	20	390	$90	$73.7K
J7999	6	10	470	$70	$45.4K
92014	33	170	190	$80	$22.7K
66821	29	70	50	$220	$18.3K
99214	642	1,810	100	$70	$12.4K
92012	54	50	80	$60	$11.9K
92136	22	30	270	$30	$8.9K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Glacier Eye Clinic PC	MT	Ophthalmology Physician	$0	$2.3M
Aaron Alme	MT	Ophthalmology Physician	$2.1M	$0
Mark Remington	MT	Ophthalmology Physician	$665.6K	$0
Roger Barth	MT	Ophthalmology Physician	$422.8K	$0
August Stein	MT	Ophthalmology Physician	$391.4K	$0
Mark Goerlitz-jessen	MT	Ophthalmology Physician	$259.5K	$0
Caleb Morris	NV	Ophthalmology Physician	$227.2K	$0
William Stoddard	MT	Ophthalmology Physician	$165.9K	$0
Nicholas Ranson	MO	Ophthalmology Physician	$144.3K	$0
Jonathan Olsen	MT	Optometrist	$125.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Flathead Industries	MT	Community/Behavioral Health Agency	$0	$40.7M
A Plus Health Care Inc	MT	In Home Supportive Care Agency	$0	$28.2M
Gabriel Dawson	MT	Pediatric Dentistry	$0	$10.7M
Kalispell Regional Medical Center Inc	MT	General Acute Care Hospital	$0	$8.8M
Benefis Community Care, Inc.	MT	Case Management Agency	$0	$6.8M
Kiddsteeth PLLC	MT	Pediatric Dentistry	$0	$6.7M
Kalispell Regional Medical Center, Inc	MT	Clinic/Center	$0	$6.2M
Kalispell Public Schools	MT	Local Education Agency (LEA)	$0	$6M
Kalispell Regional Medical Center Inc	MT	Psychiatry Physician	$0	$5.9M
Kalispell Regional Medical Center Inc	MT	Emergency Medicine Physician	$0	$5.4M

Tyler Ofstad — 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