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

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

Marion Stoj (NPI 1457334195)

Field	Value
Entity Type	Individual
Organization	Marion Stoj
Address	191 Main St
City	Manchester
State	CT
ZIP	06042
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 28, 2005

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is meaningful in scale with Total Medicare revenue of $2.4M and Total Medicaid revenue reported as none (no Medicaid billing on file), making their payer mix effectively single‑payer Medicare in the available data. The absence of any Medicaid billing on file suggests limited exposure to state‑level Medicaid reimbursement and a revenue profile driven almost entirely by Medicare patients and services.

Revenue is highly concentrated in a small set of injection and retinal procedure codes: the precomputed top 3 Medicare codes account for 86.1% of this provider’s total Medicare revenue, led by J0178 ($1.2M revenue, 49.2%), J2777 ($753.6K revenue, 31.9%), and 67028 ($119.8K revenue, 5.1%). This concentration indicates that a few high‑value therapeutics and an associated procedure drive the vast majority of billed Medicare dollars.

The code mix and top revenue drivers point to a retina‑focused ophthalmology practice that performs frequent intravitreal injections and accompanying retinal procedures. High revenue from J0178 and J2777 (aflibercept and faricimab injections) alongside 67028 (intravitreal injection procedure) indicates recurring treatment of retinal conditions such as wet AMD or diabetic macular edema rather than a general comprehensive ophthalmology mix.

Competitive standing on the core injection codes is modest-to-typical nationally: J0178 ranks #682 of 3204 providers nationally (79th percentile; typical, unremarkable volume for this code) and J2777 ranks #365 of 2039 providers nationally (82th percentile; typical, unremarkable volume for this code). These percentiles indicate the provider treats a healthy volume of Medicare injection patients but is not among the highest‑volume national specialists for these therapeutics.

Ancillary diagnostic and follow‑up services are reported at notably high national volumes, supporting the retina‑focused operating model: 92134 (retinal imaging) shows 1.4K claims, $48.6K revenue (2.1%) and ranks #1604 of 26868 providers nationally (94th percentile; notably above typical national volume for this code), and 92012 (intermediate established eye exam) shows 708 claims, $54.5K revenue (2.3%) and ranks #981 of 17177 providers nationally (94th percentile; notably above typical national volume for this code). These elevated percentiles suggest stronger‑than‑typical use of diagnostic imaging and follow‑up visits for Medicare patients.

There is an isolated high outlier in laser procedure volume: 67228 (retinopathy laser treatment) is reported with 116 claims, $31.7K revenue (1.3%) and ranks #16 of 648 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). This suggests unusually frequent use of retinal laser therapy relative to peers and may reflect a local referral pattern or a sub‑specialty procedural emphasis within the clinical mix.

Several codes show lower or mixed relative activity that nuance the injection focus: J2778 (ranibizumab) has 205 claims and $37.9K revenue (1.6%) but ranks #1098 of 1208 providers nationally (9th percentile; typical, unremarkable volume for this code), indicating preferential use of aflibercept and faricimab over ranibizumab in this practice. Other E/M and clinic visit codes (for example 99213 and 99204) appear at modest volumes and percentiles, consistent with a practice model weighted toward procedure‑driven revenue rather than high volumes of primary E/M visits.

The provider has a long tenure based on NPI data—NPI enumerated (registered) 2005-11-28 (~21 years ago)—which aligns with an established clinical operation that concentrates on retinal therapeutics and diagnostics. Combined with the concentrated Medicare revenue base and no Medicaid billing on file, the profile suggests a mature, Medicare‑centered retina practice with specialized procedural emphasis rather than a broad, dual‑payer community clinic model.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,700	$680	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	25,990	$30	$753.6K
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.	1,090	$110	$119.8K
J3490	Unclassified drugs	50	$1,570	$84.9K
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…	710	$80	$54.5K
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.	1,430	$30	$48.6K
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…	400	$100	$38.3K
J2778	Injection, ranibizumab, 0.1 mg	210	$190	$37.9K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	120	$270	$31.7K
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…	100	$100	$10.5K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Marion Stoj — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	40	830	$690	$713.1K
J2777	3	30	8,190	$30	$340.4K
J2778	14	20	410	$180	$117.8K
J3490	8	20	50	$1,380	$76K
67028	12	50	540	$100	$66.4K
92014	94	580	100	$90	$18.6K
92012	19	300	120	$70	$15.2K
92235	10	30	40	$110	$14.8K
67228	1	10	20	$280	$8.5K
99213	3,268	6,440	70	$60	$8.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants PC	CT	Ophthalmology Physician	$0	$25.8M
Ron Margolis	CT	Ophthalmology Physician	$3.5M	$0
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Scott Walter	CT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Greg Budoff	CT	Retina Specialist (Ophthalmology) Physician	$705.2K	$0
Tavish Nanda	MA	Ophthalmology Physician	$490.9K	$0
Noam Rudnick	CT	Ophthalmology Physician	$243.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambulance Service Of Manchester, LLC	CT	Land Ambulance	$3.3M	$20.4M
Community Child Guidance Clinic, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$9.3M
Manchester Public Schools	CT	Local Education Agency (LEA)	$0	$6.5M
Peter Judson	CT	Ophthalmology Physician	$2.6M	$0
Jerry Neuwirth	CT	Ophthalmology Physician	$2.5M	$0
Ronald Albert	CT	General Practice Dentistry	$0	$1.3M
Jeffrey Ranaudo	CT	Vascular Surgery Physician	$319.3K	$0
Hazar Dahhan	CT	Cardiovascular Disease Physician	$318.1K	$0
Walgreen Co	CT	Pharmacy	$140.3K	$43.3K
John Pietropaoli	CT	Vascular Surgery Physician	$137.2K	$0

Marion Stoj — Billing Profile & Reimbursement Data

Sign up for Marion Stoj — Billing Profile & Reimbursement Data policy alerts

Marion Stoj — Billing Profile & Reimbursement Data

Sign up for Marion Stoj — 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