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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Patrick Kelty (NPI 1407932304)

Field	Value
Entity Type	Individual
Organization	Patrick Kelty
Address	2424 Century Pl Se
City	Hickory
State	NC
ZIP	28602
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

PATRICK KELTY’s billing is effectively single‑payer: Total Medicare revenue is $2.4M and there is no Medicaid billing on file (none). The provider’s NPI was enumerated on 2006-10-31 (~20 years ago), indicating a long-established Medicare billing history.

Revenue is highly concentrated in a small set of drug and injection codes: the precomputed top 3 Medicare codes (J0178, J2777, 67028) account for 87.9% of the provider’s Medicare revenue. That concentration signals that a few procedure/drug lines drive the vast majority of receipts rather than a broad mix of office visits or procedures.

The practice’s service mix is consistent with a retina-focused ophthalmology operation: J0178 (aflibercept injection), J2777 (faricimab), and 67028 (intravitreal injection as a separate procedure) dominate the book of business, and retinal imaging (92134) also appears in the top codes. This combination points to a workflow centered on intravitreal medication administration supported by diagnostic retinal imaging and occasional surgical retina procedures.

At the code level the provider is an active but not dominant national participant for its leading drug codes: J0178 shows 2.3K claims, $690 avg paid/claim, $1.6M revenue and ranks #400 of 3204 providers nationally (88th percentile) while J2777 shows 15.7K claims, $28 avg paid/claim, $440.2K revenue and ranks #677 of 2039 providers nationally (67th percentile); both are characterized in the source as "typical, unremarkable volume." This profile is consistent with a high-volume local injector rather than a small number of extreme national outliers.

One statistical standout in the mix is 92134 (computerized retinal imaging): 2K claims, $28 avg paid/claim, $55.7K revenue, ranking #1044 of 26868 providers nationally (96th percentile) and labeled "notably above typical national volume." The elevated relative volume of OCT suggests substantial imaging capacity supporting diagnosis and monitoring of retinal disease in addition to injection services.

Although the operation is injection- and imaging-centric, the provider also bills a modest amount for surgical and higher-complexity visits: for example, 66984 (cataract extraction with intraocular lens) appears with 74 claims and $26.9K revenue, and 67041 (vitrectomy) appears with 25 claims and $21.5K revenue. These entries indicate occasional surgical activity and higher-reimbursement procedures are present but represent only a small share of total Medicare revenue.

Comparing claim counts to reimbursement per unit highlights different revenue drivers within the injection portfolio: J0178 produces $1.6M from 2.3K claims at $690 avg paid/claim, while J2777 produces $440.2K from 15.7K claims at $28 avg paid/claim. This contrast shows the practice’s revenue mix is shaped both by high‑unit reimbursements for certain biologic products and by high claim volumes for others, affecting operational throughput and inventory/administration planning.

Given the heavy reliance on anti‑VEGF and related intravitreal therapy (the top 3 codes accounting for 87.9% of Medicare revenue), the provider’s Medicare revenue profile will be particularly sensitive to drug-specific reimbursement changes, payer coverage shifts, or changes in clinical guidelines for retinal therapeutics. Analysts evaluating competitive positioning or contract negotiation should prioritize drug-administration volumes and imaging capacity when benchmarking this provider.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,290	$690	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	15,720	$30	$440.2K
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.	1,390	$90	$119.5K
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.	1,990	$30	$55.7K
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…	510	$90	$44.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	200	$160	$31K
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…	70	$360	$26.9K
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…	410	$60	$25.1K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	30	$860	$21.5K
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…	210	$80	$17.5K

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

Claims Volume vs. North Carolina Distribution

Patrick Kelty — 1 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	100	950	$690	$881K
J2777	30	70	12,990	$30	$503.7K
67028	32	120	780	$90	$80K
66984	413	580	230	$70	$73.7K
J7312	14	20	390	$160	$56.4K
67041	2	10	20	$1,050	$23.2K
92014	277	880	110	$80	$17.7K
66821	195	310	50	$100	$16.5K
99214	1,535	18,060	110	$80	$15.1K
J9035	46	90	140	$50	$13.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Williams	NC	Ophthalmology Physician	$2.4M	$0
Enrique Calderon	NC	Ophthalmology Physician	$713K	$0
Richard Chang	NC	Ophthalmology Physician	$360.2K	$0
James Harris	NC	Ophthalmology Physician	$333.6K	$0
Peter Lipscomb	NC	Ophthalmology Physician	$302.2K	$0
Roderick Hargrove	NC	Ophthalmology Physician	$181.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.4M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M

Patrick Kelty — 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