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

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

Barry Welch (NPI 1437157484)

Field	Value
Entity Type	Individual
Organization	Barry Welch
Address	424 Yellowstone Ave
City	Cody
State	WY
ZIP	82414
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 13, 2005

Payer Source	Total Paid
Medicare	$430.2K
Medicaid	$0

Key Findings

This practice is effectively a Medicare-only operation: Total Medicare revenue is $430.2K while Medicaid revenue is none (no Medicaid billing on file), indicating no recorded Medicaid activity in the dataset and a payer mix dominated by Medicare receipts. The revenue scale and code mix reported below should be interpreted in that single-payer context.

Revenue is highly concentrated in a few services: the precomputed top three Medicare codes account for 60.0% of this provider's total Medicare revenue. Those top contributors are 66984 ($144.1K, 33.5%), 92014 ($61.6K, 14.3%), and 83861 ($52.4K, 12.2%), which together drive the majority of reimbursed activity for this NPI.

Clinical/service-line profile centers on cataract surgery supplemented by high-volume office diagnostics. The largest single code is 66984 (635 claims, $227 avg paid/claim, $144.1K revenue) and the practice also bills 66982 (132 claims, $330 avg paid/claim, $43.6K revenue) and 66821 (124 claims, $251 avg paid/claim, $31.1K revenue), indicating both routine and more complex cataract procedures plus postoperative laser capsulotomy work. At the same time the provider bills substantial imaging and biometry codes such as 92136 (475 claims, $31 avg paid/claim, $14.7K revenue) and 92134 (625 claims, $24 avg paid/claim, $15K revenue), consistent with an integrated surgical/office ophthalmology workflow.

The provider is an extreme outlier in tear osmolarity testing: 83861 shows 2.4K claims, $22 avg paid/claim, $52.4K revenue and ranks #16 of 1900 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code). This unusually high throughput for microfluidic tear testing suggests a practice-level protocol or dedicated dry-eye service line that materially contributes to overall Medicare revenue.

Office visit and new-patient activity are also high relative to peers, signaling steady patient intake and longitudinal follow-up. Code 92014 (844 claims, $73 avg paid/claim, $61.6K revenue) ranks #2341 of 35415 providers nationally (93th percentile; notably above typical national volume for this code), and 99203 (223 claims, $63 avg paid/claim, $14K revenue) ranks #3081 of 161519 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code), together indicating above-typical volumes of comprehensive exams and new-patient E/M visits.

Cataract surgical volumes are respectable but not uniquely dominant for the headline cataract extraction code: 66984 ranks #2534 of 15965 providers nationally (84th percentile; typical, unremarkable volume for this code), which describes a solid surgical practice without being a top national outlier for the routine cataract CPT. However, the provider’s billing of complex cataract code 66982 (132 claims, $330 avg paid/claim, $43.6K revenue) ranks #211 of 4580 providers nationally (95th percentile; typical, unremarkable volume for this code), indicating some higher-complexity cases are part of the surgical mix.

The provider shows strong competitive standing in several diagnostic and pre-op measurement codes, suggesting a capability in advanced ophthalmic imaging and pre-surgical planning. For example, 92025 (310 claims, $23 avg paid/claim, $7.1K revenue) ranks #104 of 3495 providers nationally (97th percentile; notably above typical national volume for this code), and 92133 (504 claims, $23 avg paid/claim, $11.6K revenue) ranks #633 of 24968 providers nationally (97th percentile; notably above typical national volume for this code), which together point to high relative use of corneal/topographic testing and posterior-segment optic nerve imaging.

This NPI has long-standing tenure: enumerated on 2005-07-13 (~21 years ago), which supports interpretation of these patterns as the output of an established practice rather than a short-term billing anomaly. The combination of long tenure, concentrated surgical revenue and outsized diagnostic/testing volumes frames the provider as a steady, Medicare-focused ophthalmology practice with specialized emphasis on dry-eye testing and comprehensive pre-/post-operative eye care.

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
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…	640	$230	$144.1K
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…	840	$70	$61.6K
83861	The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.	2,380	$20	$52.4K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	130	$330	$43.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$250	$31.1K
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.	630	$20	$15K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	480	$30	$14.7K
99203	The provider sees a new 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 provider…	220	$60	$14K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	500	$20	$11.6K
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…	190	$50	$10.3K

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. Wyoming Distribution

Barry Welch — 12 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	1	80	50	$410	$39.9K
66982	1	10	40	$600	$30.5K
83861	1	10	1,210	$20	$26.7K
92014	2	80	190	$80	$21.5K
66821	5	30	40	$220	$14.9K
92136	2	10	440	$20	$10.7K
99213	253	850	110	$60	$9.9K
92012	7	20	80	$60	$6.2K
92134	4	80	70	$30	$5K
92083	14	70	40	$40	$3.4K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Richard Kinsey	TN	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$147.3K
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
John Purviance	WY	Radiation Oncology Physician	$2.5M	$0
Cary Chisholm	TX	Anatomic Pathology & Clinical Pathology Physician	$2.5M	$24.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northern Ddsp, Inc.	WY	Developmentally Disabled Services Day Training Agency	$0	$9.1M
Hands 2 Help, LLC.	WY	Home Health Agency	$0	$2.9M
Big Horn Basin Childrens Clinic PC	WY	Pediatrics Physician	$0	$997.5K
West Park Hospital District	WY	Critical Access Hospital	$0	$950.8K
Northern Wyoming Surgical Center, LLC	WY	Ambulatory Surgical Clinic/Center	$865.9K	$0
Guardian Flight LLC	WY	Air Ambulance	$738.8K	$0
West Park Hospital District	WY	Multi-Specialty Clinic/Center	$0	$726.1K
Cailyn Dallman	WY	Case Manager/Care Coordinator	$0	$630.7K
Allen Gee	WY	Neurology Physician	$344K	$0
Basin Vision Center, P. C.	WY	Optometrist	$0	$310.1K

Barry Welch — Billing Profile & Reimbursement Data

Sign up for Barry Welch — Billing Profile & Reimbursement Data policy alerts

Barry Welch — Billing Profile & Reimbursement Data

Sign up for Barry Welch — Billing Profile & Reimbursement Data policy alerts

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