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NPI 1437358868 · Metairie, LA · Ophthalmology Physician
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John Frisbee is a ophthalmology physician provider located in Metairie, Louisiana. This profile covers 16 Medicare and 8 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Individual |
| Organization | John Frisbee |
| Address | 3530 Houma Blvd |
| City | Metairie |
| State | LA |
| ZIP | 70006 |
| Taxonomy | Ophthalmology Physician |
| NPI Enumerated | July 16, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $2.1M |
| Medicaid | $98.5K |
Provider is Medicare-dominant in scale: reported Total Medicare revenue is $2.1M versus Total Medicaid revenue of $98.5K, so Medicare represents the overwhelming share of reported public-payer revenue and the practice is effectively operating with Medicare as its primary payer rather than Medicaid. This gap suggests the provider’s referral and service mix is geared primarily toward the Medicare population.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 80.2% of this provider's total Medicare revenue, led by J2777 at $1.3M (64.0% of Medicare revenue). That concentration around intravitreal drug administration indicates a narrow set of high-value services driving most Medicare receipts.
Medicaid revenue is also concentrated but at a much smaller scale: the precomputed top 3 Medicaid codes by revenue account for 69.0% of this provider's total Medicaid revenue, specifically 92250 ($32K, 32.5%), 92012 ($19.4K, 19.7%), and 67028 ($16.5K, 16.8%). This pattern points to fundus photography and routine established-patient visits plus intravitreal injections as the Medicaid service mix.
The provider’s service line is clearly retina-focused with high-volume intravitreal pharmacotherapy and imaging: Medicare shows dominant use of J2777, J0178, and J2781 (intravitreal agents) together with high counts for imaging codes such as 92250 (1.2K Medicare claims) and 92134 (1.4K Medicare claims). These code patterns and volumes align with an outpatient retina practice that performs frequent injections and advanced posterior-segment imaging.
Competitive standing on key Medicare codes: the provider is an above-typical national performer on J2777 (ranks #125 of 2039, 94th percentile; notably above typical national volume) and on office/ophthalmology exam and imaging codes such as 92012 (ranks #422 of 17177, 98th percentile; notably above typical national volume) and 92250 (ranks #130 of 25087, 99th percentile; extreme outlier). These ranks indicate the provider is a major participant nationally for faricimab administration and several ophthalmic imaging services rather than a modest or incidental biller.
Other Medicare drug codes show more typical participation: J0178 ($207.9K, 9.9% of Medicare revenue) ranks #2298 of 3204 providers (28th percentile) and J2781 ($132.1K, 6.3%) ranks #98 of 490 (80th percentile), which signals that aside from J2777 the provider’s national competitive position for other injectable agents is mixed—some are typical or unremarkable, others are moderate in volume.
Medicaid competitive standing is modest in-state: 92250 in Medicaid ranks #55 of 211 providers in-state (74th percentile) and 92012 ranks #114 of 261 (57th percentile), so the provider is a typical but not dominant Medicaid imaging/exam biller statewide. Notably, some Medicaid injection activity exists (67028 with $16.5K, 16.8% of Medicaid revenue) but its in-state rank (#42 of 53, 21st percentile) indicates relatively low penetration among peers for that procedure.
Long tenure supports established referral patterns: NPI enumerated 2007-07-16 (~19 years ago), which combined with concentrated high-volume billing for a small set of retina-focused codes suggests a long-standing, specialized outpatient ophthalmology practice with sustained demand for intravitreal therapy and retinal imaging services.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
16 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J2777 | Injection, faricimab‑svoa, 0.1 mg | 46,260 | $30 | $1.3M |
| J0178 | Injection, aflibercept, 1 mg | 300 | $680 | $207.9K |
| J2781 | Injection, pegcetacoplan, intravitreal, 1 mg | 1,110 | $120 | $132.1K |
| J3490 | Unclassified drugs | 50 | $2,270 | $104.3K |
| 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. | 860 | $100 | $85.5K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 1,060 | $60 | $68.1K |
| 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. | 1,400 | $30 | $37.8K |
| 92242 | The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He… | 220 | $170 | $35.5K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 1,250 | $30 | $32.4K |
| 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… | 280 | $90 | $24.6K |
Showing 1–10 of 16
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
16 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| J0178 | 25 | 50 | 300 | $680 | $371.5K |
| J2777 | 1 | 30 | 6,660 | $30 | $309.4K |
| J2781 | 1 | 10 | 830 | $120 | $86K |
| J3490 | 10 | 20 | 50 | $620 | $49.1K |
| 67028 | 14 | 70 | 410 | $80 | $44.3K |
| 92014 | 164 | 470 | 170 | $80 | $23.9K |
| 92242 | 1 | 10 | 90 | $180 | $18.5K |
| J7999 | 18 | 20 | 140 | $40 | $16.6K |
| 92012 | 8 | 350 | 100 | $60 | $11.7K |
| 92235 | 35 | 40 | 70 | $90 | $11.3K |
Showing 1–10 of 16
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
8 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 870 | $40 | $32K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 440 | $40 | $19.4K |
| 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. | 130 | $130 | $16.5K |
| 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. | 850 | $20 | $15.2K |
| J9035 | Injection, bevacizumab, 10 mg | 130 | $60 | $7.6K |
| 92226 | N/A | 470 | $10 | $6.6K |
| 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… | 10 | $70 | $850 |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 10 | $20 | $270 |
How this provider's Medicaid billing volume and revenue compare to other Louisiana providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Louisiana median
8 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 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. | 42 | 50 | 470 | $60 | $95.8K |
| 92012 | For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any… | 114 | 260 | 330 | $30 | $41.7K |
| J9035 | Injection, bevacizumab, 10 mg | 23 | 40 | 240 | $30 | $34.1K |
| 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… | 19 | 20 | 200 | $30 | $21K |
| 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. | 54 | 130 | 490 | $10 | $19.4K |
| 92250 | Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,… | 55 | 210 | 200 | $20 | $17.5K |
| 92285 | Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison. | 33 | 40 | 110 | $20 | $14.9K |
| 92226 | N/A | 14 | 30 | 450 | $10 | $5.5K |
Other providers in the same ZIP code as John Frisbee, ranked by combined Medicare and Medicaid revenue.
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