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

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

Robert Parnes (NPI 1407824360)

Field	Value
Entity Type	Individual
Organization	Robert Parnes
Address	246 Eastern Blvd N
City	Hagerstown
State	MD
ZIP	21740
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$3.3M
Medicaid	$0

Key Findings

ROBERT PARNES is a retina specialist by taxonomy with an NPI enumerated on 2006-03-08 (~20 years ago), indicating long-standing Medicare participation and likely established referral relationships in HAGERSTOWN, MD. The longevity supports a steady clinical footprint focused on retinal disease management rather than a recent entrant or short-term practice.

Medicare dominates this provider’s payer mix: lifetime Medicare revenue is $3.3M and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare)-exposed. The absence of Medicaid activity means Medicaid policy or network changes would have limited direct revenue impact but also indicates no Medicaid patient volume to diversify payer risk.

Revenue is highly concentrated in a few high-value codes: the precomputed top three Medicare codes (J2777, J0178, 92014) account for 87.4% of the provider’s Medicare revenue. In particular, J2777 accounts for $1.5M (45.8%), J0178 for $1.2M (34.3%), and 92014 for $246.1K (7.3%), signaling dependence on intravitreal biologic therapy and comprehensive ophthalmologic evaluations as the core revenue drivers.

The code mix indicates a procedure- and infusion-oriented retina practice: dominant use of J2777 (faricimab) with 53.1K claims and J0178 (aflibercept) with 1.7K claims, accompanied by high volumes of retinal imaging and follow-up exams (92014, 92134). This pattern aligns with a medical retina model focused on frequent, office-based intravitreal injections and diagnostic imaging rather than primarily surgical volume.

Several codes mark this provider as a national outlier for specific services. 92014 ranks #99 of 35415 (100th percentile) and is described as an extreme outlier, indicating exceptionally high Medicare exam volume; 92134 ranks #549 of 26868 (98th percentile) and is also an extreme outlier, reflecting unusually large retinal imaging throughput compared to national peers.

Competitive standing differs by code: J2777 ranks #94 of 2039 (95th percentile) and is noted as notably above typical national volume, positioning the provider as a leading user of faricimab nationally; by contrast, J0178 ranks #712 of 3204 (78th percentile) and is characterized as typical/unremarkable volume for aflibercept, indicating strong but not exceptional use of that agent.

Surgical and other service lines are present but limited: codes for vitrectomy and related procedures (67028, 67036, 67042) generate smaller shares of revenue (for example, 67028 contributes $176.8K or 5.3% of Medicare revenue) and have modest to low national ranks, suggesting surgery is an occasional part of the practice rather than its primary focus. Ancillary items such as J3490 and J9035 appear at low revenue shares, indicating some use of unclassified or lower-cost drug billing but not as major revenue streams.

The practice’s financial exposure is concentrated in high-volume biologic dispensing and follow-up office care, so payer reimbursement shifts for intravitreal agents or changes to Medicare coverage policy for these drugs could disproportionately affect this provider. Given the lack of Medicaid volume, strategic or operational changes to broaden payer mix would be required to materially diversify revenue sources.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	53,100	$30	$1.5M
J0178	Injection, aflibercept, 1 mg	1,670	$690	$1.2M
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…	2,680	$90	$246.1K
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.	1,990	$90	$176.8K
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.	2,700	$30	$80.9K
J3490	Unclassified drugs	30	$1,720	$56.6K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	240	$120	$28.8K
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.	200	$110	$22.2K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$920	$14.7K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	130	$110	$14.7K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Robert Parnes — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	28	100	950	$690	$887.3K
J2777	7	70	8,520	$30	$487.3K
J2781	17	20	620	$120	$258.6K
67028	25	120	700	$100	$101.5K
J3490	82	100	70	$450	$62.1K
92014	18	620	210	$90	$44K
67042	19	30	20	$1,060	$25.4K
67036	15	20	20	$960	$22K
67210	11	20	30	$430	$21K
92235	29	90	70	$110	$19.5K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adam Gerstenblith	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Adam Wenick	MD	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Raza Shah	MD	Ophthalmology Physician	$681.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dr. David M. Vieth 2, P.C.	MD	General Practice Dentistry	$0	$77.8M
Potomac Case Management Services, Inc.	MD	Case Management Agency	$0	$28M
Phoenix Health Center LLC	MD	Methadone Clinic	$507.7K	$21.4M
Awakenings Recovery Center, LLC	MD	Substance Abuse Rehabilitation Facility	$0	$19.8M
Qualitycare Internet, LLP	MD	Mental Health Counselor	$0	$19.4M
Walnut Street Community Health Center, Inc.	MD	Federally Qualified Health Center (FQHC)	$0	$19.3M
Board Of Education Of Washington County	MD	Local Education Agency (LEA)	$0	$19.1M
Center For Pain Management, LLC	MD	Interventional Pain Medicine Physician	$0	$18.9M
Metro Treatment Of Maryland LP	MD	Community/Behavioral Health Agency	$361K	$16.6M
The Western Maryland Counseling Center	MD	Community/Behavioral Health Agency	$0	$16.5M

Robert Parnes — 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