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

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

Ralph Paylor (NPI 1407807928)

Field	Value
Entity Type	Individual
Organization	Ralph Paylor
Address	502 E New Haven Ave
City	Melbourne
State	FL
ZIP	32901
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,300	$690	$895.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,380	$30	$214K
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.	1,150	$90	$103.4K
J2778	Injection, ranibizumab, 0.1 mg	570	$180	$102.6K
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…	660	$90	$58.6K
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.	1,180	$30	$35.4K
J7999	Compounded drug, not otherwise classified	410	$60	$25.4K
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…	30	$90	$2.7K
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…	20	$60	$1.4K
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.	10	$90	$1.2K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Ralph Paylor — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	96	250	800	$690	$817.6K
J2777	121	170	12,810	$30	$549.2K
J2778	64	110	660	$180	$234.1K
67028	105	300	710	$90	$91.1K
92014	345	2,180	160	$80	$28.5K
99214	27,394	32,760	140	$90	$25K
J7999	35	190	130	$70	$16.4K
99213	25,514	30,010	80	$60	$12K
92134	170	1,610	110	$30	$11.9K
92004	1,625	1,730	50	$100	$7.8K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vrinda Hershberger	FL	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Matthew Adams	TX	Retina Specialist (Ophthalmology) Physician	$873.3K	$0
David Weiser	FL	Ophthalmology Physician	$815.7K	$0
Sathy Bhavan	CA	Ophthalmology Physician	$268.1K	$0
Jason Ross	DE	Ophthalmology Physician	$230.3K	$0
Kandee Coppala	FL	Certified Registered Nurse Anesthetist	$132.2K	$0
Jack Ross	CT	Anesthesiology Physician	$41.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brevard Physician Associates, PLLC	FL	Anesthesiology Physician	$0	$12.7M
Holmes Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$12.3M
Circles Of Care, Inc.	FL	Psychiatric Hospital	$0	$11.8M
Central Florida Kidney Centers Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.5M
Health First Medical Group, LLC	FL	General Practice Physician	$0	$7.7M
Florida Clinical Laboratory, Inc	FL	Clinical Medical Laboratory	$4.7M	$549K
Sumeet Thareja	FL	Specialist	$4M	$0
Hetal Vaishnav	FL	Ophthalmology Physician	$2M	$0
Melbourne Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$935.1K	$1.1M
Gary Ganiban	FL	Ophthalmology Physician	$1.7M	$0

Ralph Paylor — Billing Profile & Reimbursement Data

Sign up for Ralph Paylor — Billing Profile & Reimbursement Data policy alerts

Ralph Paylor — Billing Profile & Reimbursement Data

Sign up for Ralph Paylor — Billing Profile & Reimbursement Data policy alerts

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References