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    OpenPayerNPI Medicare & MedicaidMatthew Wood
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    Matthew Wood — Billing Profile & Reimbursement Data

    NPI 1457359085 · Lincoln, NE · Ophthalmology Physician

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    Matthew Wood is a ophthalmology physician provider located in Lincoln, Nebraska. This profile covers 25 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMatthew Wood
    Address1710 S 70th St
    CityLincoln
    StateNE
    ZIP68506
    TaxonomyOphthalmology Physician
    NPI EnumeratedJuly 8, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$3.9M
    Medicaid$0

    Key Findings

    Provider billing is effectively single–payer: this physician reports Total Medicare revenue of $3.9M and has no Medicaid billing on file, so Medicare activity drives the entire documented public-payor revenue profile. The absence of Medicaid activity means Medicaid network positioning or state-level Medicaid rate changes are unlikely to affect this provider’s billed public revenue picture directly.

    Revenue is highly concentrated in a small set of expensive intravitreal drugs: the precomputed top three Medicare codes account for 83.2% of this provider’s total Medicare revenue. In particular, J2777 generated $2.1M (54.7% of Medicare revenue), J0178 generated $873.4K (22.2%), and 67028 generated $248.9K (6.3%), indicating material dependence on a narrow therapeutic mix.

    Clinical/service-line implication: the dominance of J2777 and J0178 combined with procedure code 67028 signals a practice focused on intravitreal injection therapies for retinal disease (medical retina), with routine office-based injections as the primary revenue engine. The presence of retinal imaging codes such as 92134 and 92235, plus retinal surgery codes (67041, 67042, 67036) in the mix, suggests the group provides both high-volume medical retina injections and a supplement of diagnostic imaging and occasional surgical retina services.

    Competitive standing for high-volume injection services is strong nationally: J2777 ranks #44 of 2039 providers nationally (98th percentile; notably above typical national volume for this code), marking this provider as a major national volume performer for faricimab administration. Similarly, 67028 ranks #92 of 4255 providers nationally (98th percentile; notably above typical national volume for this code), reinforcing that injection procedures are an outsized part of the practice relative to peers.

    Other high-impact codes show mixed competitive signals: J0178 ranks #1034 of 3204 providers nationally (68th percentile; typical, unremarkable volume for this code), so aflibercept use is in line with many peers rather than dominant. Meanwhile, 99214 is flagged as an extreme outlier (2.1K claims, $181.7K revenue) and ranks #1158 of 479517 providers nationally (100th percentile; extreme outlier), indicating very high E/M volume for established patients compared with the national physician population.

    Use of miscellaneous drug codes indicates additional biologic/unclassified drug billing activity: J3490 accounts for $86.9K (2.2%) and ranks #1617 of 2838 providers nationally (42th percentile; typical, unremarkable volume), while J3590 accounts for $67K (1.7%) and ranks #15 of 631 providers nationally (98th percentile; notably above typical national volume for this code). This pattern suggests non-standard biologic or buy-and-bill billing practices are present and that certain unclassified biologics are billed at rates and volumes well above most peers.

    Operational and revenue risk note: with more than half of Medicare revenue coming from a single drug code (J2777 at 54.7%) and the top three codes representing 83.2% of Medicare revenue, the practice is exposed to changes in drug utilization patterns, Medicare reimbursement for these codes, or shifts in clinical guidelines. Payer negotiations and formulary/access changes that affect faricimab or aflibercept reimbursements would therefore have outsized impact on this provider’s Medicare revenue.

    Tenure and practice stability: the provider’s NPI was enumerated on 2005-07-08 (~21 years ago), indicating a long-standing presence in the market. That tenure, combined with concentrated high-volume procedural and injection billing, points to an established outpatient retina practice with sustained Medicare-dependent revenue generation.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    25 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg74,040$30$2.1M
    J0178Injection, aflibercept, 1 mg1,260$690$873.4K
    67028The 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.3,070$80$248.9K
    99214The 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…2,070$90$181.7K
    J3490Unclassified drugs50$1,740$86.8K
    92134The 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.2,940$30$82.4K
    92014An 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…980$80$81.1K
    J3590Unclassified biologics990$70$67K
    92235The 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$100$33.9K
    99204The 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…220$110$23.6K

    Showing 1–10 of 25

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    25 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J277731025,950$30$1.5M
    J01781020880$690$722.7K
    670283201,070$80$106.4K
    J3590110430$70$29.7K
    6704291030$1,100$29.6K
    6703631030$920$24.9K
    66821598080$210$23K
    6710831020$1,040$20.8K
    9201412270170$70$20K
    6704121020$990$18.8K

    Showing 1–10 of 25

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Daniel ChruscickiNEOphthalmology Physician$3M$0
    Eye Surgical Associates, LLCNEOphthalmology Physician$0$1.7M
    Gregory SuttonNEOphthalmology Physician$565.7K$0
    Jordan RixenNEOphthalmology Physician$490.2K$0
    Vincent SuttonNEOphthalmology Physician$447.8K$0
    Samuel ThomsenNEOphthalmology Physician$428.3K$0
    Thomas ClarkNEOphthalmology Physician$282.1K$0
    Thomas GraulNEOphthalmology Physician$218.6K$0
    Donald SauberanNEOphthalmology Physician$10.9K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bryan Medical CenterNEGeneral Acute Care Hospital$0$56.9M
    Integrated Behavioral Health ServicesNECommunity/Behavioral Health Agency$0$16.3M
    Nebraska Emergency Medicine PCNEEmergency Medicine Physician$0$14.9M
    Firstcare Home Health Of Eastern Nebraska, IncNEHome Health Agency$0$6.6M
    Eric AveryNEHematology & Oncology Physician$3.1M$0
    Kailash MosalpuriaNEHematology & Oncology Physician$2.9M$0
    Integrated Cardiology Group LLCNECardiovascular Disease Physician$0$2.7M
    Madhu MidathadaNEHematology & Oncology Physician$2.3M$0
    Pathology Medical Services PCNEAnatomic Pathology & Clinical Pathology Physician$0$2.1M
    Rockledge Smiles LLCNEGeneral Practice Dentistry$0$2.1M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Nebraska Distribution
    Matthew Wood — 6 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Nebraska