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    OpenPayerNPI Medicare & MedicaidJohn Deans
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    John Deans — Billing Profile & Reimbursement Data

    NPI 1407210057 · Wilmington, NC · Ophthalmology Physician

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    John Deans is a ophthalmology physician provider located in Wilmington, North Carolina. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJohn Deans
    Address1801 New Hanover Medical Park Dr
    CityWilmington
    StateNC
    ZIP28403
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 11, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the dominant payer relationship: Total Medicare revenue is $2.4M and there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the available data. The absence of any Medicaid claims limits assessment of dual‑payer mix and suggests analyses should focus on Medicare-driven service lines and reimbursement sensitivity.

    Revenue is highly concentrated in a small set of drug administration codes: the top three Medicare codes account for 84.1% of this provider's total Medicare revenue, driven by J2777 ($986.6K, 40.9%), J0178 ($852.5K, 35.4%), and J2778 ($186.4K, 7.7%). This concentration indicates material business exposure to utilization and pricing of a few intravitreal biologics and implies that shifts in drug choice or reimbursement for these agents would have outsized impact on total revenue.

    Service-line mix points to an office-based retinal injection practice: the highest-revenue codes are J2777, J0178, and J2778 — all intravitreal drug injections used to treat retinal disease — and 67028 (1.4K claims, $120.6K, 5.0%) documents isolated intravitreal injection procedures. Together these codes and volumes are consistent with a clinic model built around frequent biologic injections supplemented by imaging and occasional procedures rather than a procedure-heavy surgical practice.

    Competitive standing on the top drug codes is modest but not dominant nationally: J2777 ranks #239 of 2039 (88th percentile; typical, unremarkable volume for this code), J0178 ranks #1062 of 3204 (67th percentile; typical, unremarkable volume for this code), and J2778 ranks #425 of 1208 (65th percentile; typical, unremarkable volume for this code). In plain terms, the provider is an active user of these agents with sizable dollar contribution, but the pattern is described in the data as typical rather than indicating national leadership.

    Diagnostic and imaging capacity appears stronger than average: 92134 (OCT) shows 1.7K claims and $50.2K in revenue and ranks in the 95th percentile (notably above typical national volume for this code), and 92004 (comprehensive new patient exam) is in the 96th percentile (notably above typical national volume). These notably above‑typical volumes for imaging and new‑patient comprehensive exams indicate the practice has substantial diagnostic throughput supporting its injection regimen.

    Office evaluation-and-management activity contributes a small share of revenue relative to drug administration: for example, 92014 accounts for 557 claims and $51.2K (2.1% of Medicare revenue) and is characterized as the 87th percentile (typical, unremarkable volume for this code). This pattern—high drug and imaging revenue with relatively modest E/M billing—is consistent with a procedure-driven retina clinic where injections and imaging drive economics more than E/M services.

    There are occasional procedural and surgical retina services but at low volume: CPT 67042 appears only 12 claims ($10.5K, 0.4% of revenue) and ranks in the 6th percentile (typical, unremarkable volume), indicating rare vitrectomy/operative cases on the Medicare file. The presence of J7312 (dexamethasone implant) and smaller bevacizumab billing (J9035) further suggests the practice uses a mix of intravitreal therapies beyond the two highest-revenue agents, but these are minor contributors to overall revenue.

    The provider has an established enrollment history with an NPI on file since 2016-04-11 (~10 years ago), which supports interpreting the reported Medicare activity as the product of a multi‑year, stable practice rather than a newly enumerated entrant; ongoing dependence on a narrow set of high-cost injectable therapies should be monitored for reimbursement or clinical‑practice shifts that could materially affect future revenue.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg34,020$30$986.6K
    J0178Injection, aflibercept, 1 mg1,230$690$852.5K
    J2778Injection, ranibizumab, 0.1 mg1,030$180$186.4K
    67028The 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.1,360$90$120.6K
    J3490Unclassified drugs40$1,960$72.3K
    92014An 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…560$90$51.2K
    92134The 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.1,670$30$50.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.200$110$21.4K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg100$160$15.6K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…390$30$10.6K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017840100950$690$881K
    J277797012,990$30$503.7K
    J27781750620$180$202.2K
    6702836120780$90$80K
    J73121720390$160$56.4K
    J3490418050$450$24.1K
    67042253020$990$23.8K
    9201486880110$80$17.7K
    9921415,64518,060110$80$15.1K
    J90357190140$50$13.4K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of North Carolina At Chapel HillNCAnesthesiology Physician$0$87.6M
    University Of North Carolina Hospitals At Chapel HillNCGeneral Acute Care Hospital$0$50.7M
    Unc Physicians Network LLCNCGeneral Practice Physician$0$47M
    Caldwell Memorial Hospital, Inc.NCGeneral Acute Care Hospital$0$28.8M
    Rex Hospital Inc.NCGeneral Acute Care Hospital$0$25.3M
    Unc Rockingham Health Care, Inc.NCGeneral Acute Care Hospital$0$10.3M
    University Of North Carolina Hospitals At Chapel HillNCDurable Medical Equipment & Medical Supplies$0$7.8M
    Caldwell Memorial Hospital, IncNCPediatrics Physician$0$7.3M
    Henry HoltNCOphthalmology Physician$2.7M$0
    Igor WestraNCRetina Specialist (Ophthalmology) Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilmington Medical Supply IncNCDurable Medical Equipment & Medical Supplies$0$47.8M
    A2z Home Medical Supplies, IncNCDurable Medical Equipment & Medical Supplies$0$47.4M
    Maxim Healthcare Services, Inc.NCHome Health Agency$0$33.8M
    Bayada Home Health Care, Inc.NCHome Health Agency$0$28.3M
    Physician Alliance For Mental Health, LLCNCCommunity/Behavioral Health Agency$0$28M
    Easter Seals Ucp North Carolina & Virgiinia, Inc.NCCommunity/Behavioral Health Agency$0$19.2M
    Bayada Home Health Care, Inc.NCDevelopmental Disabilities Clinic/Center$0$18M
    Therapy Works Of WilmingtonNCSpeech-Language Pathologist$0$12.2M
    Coastline Therapy Group, LLCNCSpeech-Language Pathologist$0$11.8M
    Pd Of Wilmington IncNCIn Home Supportive Care Agency$0$11.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    John Deans — 2 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina