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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Rebecca Manning (NPI 1457435992)

Field	Value
Entity Type	Individual
Organization	Rebecca Manning
Address	4414 Lake Boone Trl Ste 302
City	Raleigh
State	NC
ZIP	27607
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused practice with total Medicare revenue of $3.4M and no Medicaid billing on file; there is no recorded Medicaid revenue to suggest material participation in state Medicaid programs. The absence of Medicaid claims means payer mix is heavily skewed toward fee-for-service Medicare beneficiaries rather than dual- or Medicaid-dominant panels.

Revenue for this provider is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 81.8% of total Medicare revenue. Those top codes are J0178 ($2.3M revenue, 68.9% of Medicare revenue), J2778 ($219.1K, 6.5%), and J2777 ($215.5K, 6.4%), indicating most dollars flow from a very small set of biologic injection codes.

Clinical and service-line patterns point to a retina-focused, injection-centered practice: J0178 shows 3.4K claims with $684 avg paid/claim and $2.3M revenue, and 67028 appears with 2K claims and $180.6K revenue (5.4%), indicating frequent intravitreal drug administration as a core service. High-volume ocular imaging is also present—92134 has 1.7K claims and $46.7K revenue, and 92250 has 1.3K claims and $33.2K revenue—supporting an operational model that combines recurrent therapeutic injections with diagnostic imaging and follow-up visits.

Competitive standing is mixed across services: for J0178 the provider ranks #122 of 3204 (96th percentile; notably above typical national volume), reflecting a nationally high aflibercept injection volume. Other high relative volumes include 92134 at the 95th percentile and 92250 at the 100th percentile (rank #121 of 25087; extreme outlier), while many injection and biologic codes such as J2777 (42th percentile) and J3590 (14th percentile) are unremarkable or comparatively modest versus national peers.

Office visit and ancillary E/M billing are unusually frequent relative to national peers: 99213 appears 1.3K times with $77.2K revenue and ranks #3504 of 457151 providers nationally (99th percentile; extreme outlier), which suggests a high throughput of established-patient visits supporting the recurring-injection workflow. The combination of very high E/M volume and imaging throughput is consistent with a high-volume, procedure-driven retina practice that schedules regular follow-ups for chronic retinal disease management.

The provider shows some adoption of alternative and biosimilar therapies but as smaller revenue shares: Q5124 (biosimilar ranibizumab-nuna) records 525 claims and $90.3K revenue (2.7%), and J9035 (bevacizumab) records 179 claims and $9.3K revenue (0.3%). J3590 (unclassified biologics) contributes $82.7K (2.5%) but ranks relatively low (#540 of 631, 14th percentile), indicating occasional use of nonstandard or miscellaneous biologic billings rather than a primary revenue stream.

Tenure data show the provider’s NPI was enumerated on 2006-10-24 (~20 years ago), indicating an established practice presence in the Raleigh market. Combined with the high national percentiles on several retina-specific codes, this tenure supports the interpretation of a long-standing, specialized retina service with sustained Medicare activity and operational scale concentrated in intravitreal therapeutics and retinal imaging.

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	3,380	$680	$2.3M
J2778	Injection, ranibizumab, 0.1 mg	1,230	$180	$219.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,980	$30	$215.5K
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.	1,990	$90	$180.6K
Q5124	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	530	$170	$90.3K
J3590	Unclassified biologics	30	$3,180	$82.7K
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…	1,270	$60	$77.2K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	340	$160	$53.4K
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.	1,670	$30	$46.7K
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,…	1,280	$30	$33.1K

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. North Carolina Distribution

Rebecca Manning — 4 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	5	100	950	$690	$881K
J2777	42	70	12,990	$30	$503.7K
Q5124	4	10	890	$170	$259K
J2778	12	50	620	$180	$202.2K
J3590	9	10	30	$2,570	$95K
67028	11	120	780	$90	$80K
J7312	10	20	390	$160	$56.4K
99214	10,474	18,060	110	$80	$15.1K
J9035	35	90	140	$50	$13.4K
92235	14	70	60	$100	$8.7K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
James Pate	NC	Ophthalmology Physician	$5.2M	$0
Nitin Gupta	NC	Ophthalmology Physician	$4.7M	$0
John Thordsen	NC	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Sachin Mudvari	NC	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Daniel Bennett	NC	Retina Specialist (Ophthalmology) Physician	$3M	$0
Brian Lehpamer	NC	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Elizabeth Tegins	NJ	Ophthalmology Physician	$2.7M	$0
Wasim Samara	TX	Ophthalmology Physician	$2.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Society Of North Carolina, Inc.	NC	Community/Behavioral Health Agency	$0	$95.7M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$24.8M
Nc Dept Of Health And Human Service	NC	Clinical Medical Laboratory	$0	$16.4M
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA	NC	Pediatric Adolescent Medicine Physician	$0	$10.9M
Pediatric Therapy Associates	NC	Physical Therapist	$0	$10.2M
Blue Ridge Day Surgery Center, LP	NC	Ambulatory Surgical Clinic/Center	$1.6M	$2.2M
John Denny	NC	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Eugene Milder	NC	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Raynor Casey	NC	Retina Specialist (Ophthalmology) Physician	$1.9M	$0

Rebecca Manning — Billing Profile & Reimbursement Data

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Rebecca Manning — 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