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

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

Tracey Clark (NPI 1437314127)

Field	Value
Entity Type	Individual
Organization	Tracey Clark
Address	1 Ridgewood Drive
City	Bangor
State	ME
ZIP	04401
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 23, 2008

Payer Source	Total Paid
Medicare	$853.8K
Medicaid	$0

Key Findings

This provider’s Medicare business is overwhelmingly driven by intravitreal anti-VEGF therapy and associated injection procedures: J0178 (aflibercept) accounts for $684.1K in revenue (990 claims, $691 avg paid/claim) and represents 80.1% of total Medicare revenue, while J2777 (faricimab) and 67028 (intravitreal injection as a separate procedure) complete a high-concentration procedural mix. The top 3 Medicare codes by revenue together account for 93.6% of this provider's total Medicare revenue, indicating a narrow service-line focus centered on retinal injection treatments rather than broad outpatient care.

Financially the practice is effectively single-payer: lifetime Medicare revenue is $853.8K and there is no Medicaid billing on file, so Total Medicaid revenue is none (no Medicaid billing on file). This concentration means Medicare fee schedules and utilization trends for retinal injections will dominate the provider’s revenue risk and growth profile.

Despite the large share coming from J0178, the provider’s national standing on that code is modest: J0178 ranks #1295 of 3204 providers nationally (60th percentile; typical, unremarkable volume for this code), so the provider is not a national high-volume outlier on aflibercept but sits around the middle of peers. By contrast, J2777 ranks #1944 of 2039 providers nationally (4th percentile; typical, unremarkable volume for this code), indicating relatively low standing on faricimab billing among the smaller pool of reporting providers for that code.

Procedure versus evaluation-and-management mix: E/M codes generate only minor Medicare revenue here relative to injections — 99214 produced $15.3K (191 claims) and 99213 produced $4.8K (78 claims), together representing a small share of overall Medicare receipts. This pattern is consistent with a procedure-driven retina practice where injection and imaging services dominate day-to-day throughput and revenue.

Imaging and diagnostic support services are used at above-typical levels relative to national peers, supporting the injection-heavy model: 92134 (retinal imaging) generated $12K (427 claims) and ranks #3892 of 26868 providers nationally (85th percentile; typical, unremarkable volume for this code), while 92133 and 92083 also sit in the 80th and 79th percentiles respectively. These higher imaging percentiles suggest the provider follows standard retina workflows that pair frequent injections with retinal imaging and visual field assessment.

There are mixed signals in relative competitiveness across codes: 67028 (intravitreal injection procedure) ranks #1891 of 4255 providers nationally (56th percentile; typical, unremarkable volume for this code), indicating mid-range procedural volume, whereas some lower-revenue ancillary codes show weaker national standing — for example, J9035 (bevacizumab) ranks #1418 of 1852 providers nationally (23th percentile; typical, unremarkable volume for this code) and 66821 ranks at the 12th percentile. Overall, the practice is a solid, mid-tier participant on core injection codes but not a dominant national provider.

The provider has a long-enough tenure to have an established local practice footprint: the NPI was enumerated 2008-07-23 (~18 years ago). Combined with the concentrated procedure mix and imaging utilization, the tenure suggests an experienced clinician operating a focused retina/injection service line rather than a general ophthalmology clinic.

Statistical outliers and low-percentile flags are limited but present: J2777’s rank at the 4th percentile is notably low relative to the small national set of reporters for that code despite producing $64.4K in revenue (2.2K claims, $29 avg paid/claim), which may reflect differential adoption or reporting patterns for faricimab versus other anti-VEGF agents. The dominant revenue driver remains J0178, which is sizable in dollar terms but only at a middle-percentile volume level nationally, reinforcing the interpretation of this as a locally concentrated, procedure-centric Medicare practice.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	990	$690	$684.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	2,220	$30	$64.4K
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.	650	$80	$51K
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…	190	$80	$15.3K
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.	430	$30	$12K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	140	$40	$5.8K
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…	80	$60	$4.8K
99204	The provider sees a new 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 provider…	50	$100	$4.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	20	$210	$3.7K
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…	160	$20	$3.6K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Tracey Clark — 0 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	9	20	990	$690	$652.2K
J2777	8	10	9,840	$30	$407.6K
67028	12	30	410	$90	$51.1K
66821	34	40	50	$200	$14.9K
J9035	10	10	60	$50	$8.5K
99214	400	2,500	70	$70	$7.2K
92134	16	180	50	$30	$4.5K
99213	813	2,350	50	$50	$4.3K
99204	174	810	30	$100	$3.6K
92083	14	180	40	$40	$2.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vision Care Of Maine LLC	ME	Ophthalmology Physician	$0	$5M
Vision Care Of Maine-aroostook LLC	ME	Ophthalmology Physician	$0	$2.1M
Oscar Batlle	ME	Ophthalmology Physician	$1.7M	$0
George Peters	MA	Ophthalmology Physician	$1.6M	$0
Curt Young	ME	Ophthalmology Physician	$1.2M	$0
Vision Care Of Maine LLC	ME	Ambulatory Surgical Clinic/Center	$362.1K	$481.2K
Vision Care Of Maine-aroostook LLC	ME	Ambulatory Surgical Clinic/Center	$131.6K	$60.9K
Jeremy Valentine	ME	Ophthalmology Physician	$125.3K	$0
Julie Goldman	ME	Cornea and External Diseases Specialist Physician	$63.2K	$10.7K
Bradley Trask	ME	Optometrist	$55.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eastern Maine Medical Center	ME	General Acute Care Hospital	$0	$159.3M
Creative Options, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$78.7M
Mas Medical Staffing Corporation	ME	Community/Behavioral Health Agency	$0	$62.5M
Ohi	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$61.9M
Ohi	ME	Mental Illness Community Based Residential Treatment Facility	$0	$39.6M
St. Joseph Hospital	ME	General Acute Care Hospital	$0	$38.8M
Mert Enterprises, Inc.	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$36.3M
Penobscot Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$27.3M
Amicus	ME	Developmentally Disabled Services Day Training Agency	$0	$26.1M
Branches, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$25.4M

Tracey Clark — 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