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.

Oscar Batlle (NPI 1447465737)

Field	Value
Entity Type	Individual
Organization	Oscar Batlle
Address	1 Ridgewood Dr
City	Bangor
State	ME
ZIP	04401
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 11, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is effectively single‑payer: reported lifetime Medicare revenue is $1.7M while Medicaid billing is listed as none, so the practice’s outpatient ophthalmology revenue stream is dependent on Medicare beneficiaries rather than a mixed Medicare/Medicaid payer mix. The absence of any Medicaid activity on file indicates limited exposure to state program reimbursement and a concentration of payer risk on Medicare policy and pricing shifts.

Revenue is highly concentrated in a small number of drug and injection-related codes: the precomputed top‑3 Medicare codes by revenue account for 89.9% of this provider's total Medicare revenue. The dominant code is J0178 (2K claims, $686 avg paid/claim, $1.4M revenue, 79.6% of this provider's total Medicare revenue) which alone drives the majority of receipts, supported by 67028 (1.3K claims, $78 avg paid/claim, $97.6K revenue, 5.7%) and 99214 (921 claims, $83 avg paid/claim, $76.4K revenue, 4.5%).

Service‑line profile: the code mix is characteristic of a retina-focused outpatient injection practice. Heavy billing for J0178 (aflibercept) alongside J2777 (faricimab) and 67028 (intravitreal injection procedure) signals routine intravitreal anti‑VEGF therapy and an infusion/injection clinic workflow, with diagnostic imaging codes such as 92134 (computerized retinal imaging) and 92235 (fluorescein angiography) providing supportive diagnostic services.

Competitive standing by code: for the top drug code J0178 this provider ranks #548 of 3204 providers nationally (83th percentile; typical, unremarkable volume for this code), indicating a routine but not dominant position among national J0178 billers. By contrast the provider’s evaluation-and-management footprint for established patients is relatively large nationally: 99214 ranks #14027 of 479517 providers nationally (97th percentile; notably above typical national volume for this code), suggesting above‑average office visit activity for established ophthalmology patients.

Imaging and diagnostics are another relative strength: 92134 (computerized retinal imaging) shows 1.6K claims, $27 avg paid/claim, $44K revenue and ranks #1392 of 26868 providers nationally (95th percentile; notably above typical national volume for this code). That high imaging volume is consistent with a practice that combines frequent intravitreal injections with ongoing retinal monitoring and follow‑up.

Heterogeneity in drug utilization and reimbursement: J0178 carries a high average payment per claim ($686 avg paid/claim) and dominates revenue at $1.4M, whereas J2777 (faricimab) shows $61K revenue with a $29 avg paid/claim; these disparities highlight material differences in per‑unit reimbursement across injectable retinal therapies and suggest the practice’s revenue sensitivity to drug mix and payer pricing.

Tenure and stability: the provider’s NPI was enumerated on 2007-05-11 (~19 years ago), indicating a long‑standing billing presence in Medicare that supports the observed cumulative revenue and claim volumes rather than a recent entrant pattern. This tenure aligns with the sustained, procedure‑heavy profile implied by the injection and imaging codes.

Strategic and operational implications: because J0178 accounts for the bulk of Medicare revenue (79.6% from a single code and 89.9% concentrated across the top three codes), the practice is exposed to changes in drug reimbursement, formulary shifts, or utilization management for aflibercept. Payers and partner organizations assessing contracting or care redesign should note this concentration and the lack of Medicaid diversification when evaluating financial resilience and negotiation leverage.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,970	$690	$1.4M
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.	1,250	$80	$97.6K
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…	920	$80	$76.4K
J2777	Injection, faricimab‑svoa, 0.1 mg	2,100	$30	$61K
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.	1,630	$30	$44K
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…	340	$90	$31K
J9035	Injection, bevacizumab, 10 mg	160	$60	$8.9K
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	$110	$6K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	20	$350	$5.9K
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…	20	$190	$4.5K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Oscar Batlle — 3 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	20	990	$690	$652.2K
J2777	9	10	9,840	$30	$407.6K
67028	4	30	410	$90	$51.1K
66821	37	40	50	$200	$14.9K
J9035	4	10	60	$50	$8.5K
92235	1	10	50	$90	$7.5K
99214	7	2,500	70	$70	$7.2K
92242	2	10	30	$190	$5.4K
92134	4	180	50	$30	$4.5K
67210	1	10	20	$270	$4.4K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Oscar Batlle, 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
George Peters	MA	Ophthalmology Physician	$1.6M	$0
Curt Young	ME	Ophthalmology Physician	$1.2M	$0
Thomas Flynn	NY	Ophthalmology Physician	$1M	$0
Tracey Clark	ME	Ophthalmology Physician	$853.8K	$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

Nearby Providers

Other providers in the same ZIP code as Oscar Batlle, 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

Oscar Batlle — Billing Profile & Reimbursement Data

Sign up for Oscar Batlle — Billing Profile & Reimbursement Data policy alerts

Oscar Batlle — Billing Profile & Reimbursement Data

Sign up for Oscar Batlle — 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