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

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

Juan Lebron (NPI 1477521425)

Field	Value
Entity Type	Individual
Organization	Juan Lebron
Address	575 Charring Cross Dr
City	Westerville
State	OH
ZIP	43081
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 8, 2006

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This provider’s public claims record is essentially single‑payer: total Medicare revenue is $2.7M and Medicaid revenue is reported as none, indicating no Medicaid billing on file. Analysts should treat Medicare as the dominant (effectively sole) payer when modeling this provider’s reimbursed services and patient mix.

Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 85.0% of this provider's total Medicare revenue. Those top three codes are J0178 ($1.6M, 57.6%), J2777 ($572.5K, 21.0%), and 67028 ($173.3K, 6.4%), which together drive the vast majority of billed dollars.

The code mix and descriptions point to a retina‑focused, procedure‑and‑drug centered practice: large volumes of J0178 and J2777 indicate routine intravitreal anti‑VEGF and related injections, while 67028 documents the provider performing isolated intravitreal injection procedures. High utilization of diagnostic imaging codes such as 92134 further supports a retina specialty workflow centered on drug delivery and retinal imaging follow‑up.

Competitive standing for the primary drug and injection codes is mixed: J0178 ranks #409 of 3204 providers nationally (87th percentile; typical, unremarkable volume for this code), J2777 ranks #541 of 2039 (73th percentile; typical, unremarkable volume), and 67028 ranks #435 of 4255 (90th percentile; typical, unremarkable volume). These percentiles suggest the provider operates at solid but not dominant national volumes for the main anti‑VEGF and injection CPTs — consistent with a high‑volume regional retina specialist rather than a national outlier for those specific services.

There are notable statistical outliers that merit attention: J3590 (Unclassified biologics) ranks #10 of 631 providers nationally (99th percentile; extreme outlier, far above typical national volume for this code), and 92134 (retinal imaging/OCT) ranks #441 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). The exceptionally high percentile for J3590 suggests unusually large use or billing of unclassified biologic products relative to peers, and the OCT volume signals heavy diagnostic throughput tied to retina disease management.

Non‑drug outpatient care appears secondary to procedure/drug revenue but still elevated: 92014 (established comprehensive ophthalmology) yields $80K and ranks #1756 of 35415 providers (95th percentile; notably above typical national volume), while common E/M codes such as 99214 and 99213 produce comparatively modest revenue ($19.3K and $16.8K respectively) and sit at typical national volumes. This pattern reinforces a model where injections and imaging drive revenue and encounters, with office visits playing a supportive role.

The provider has been NPI‑enumerated since 2006-03-08 (~20 years ago), indicating a long tenure in the Medicare program and suggesting an established referral base and operational stability in retina services. Tenure combined with concentrated procedural revenue supports a sustained specialty practice rather than a recently established clinic.

From a risk/opportunity perspective, the practice’s heavy dependence on a small set of high‑revenue drug and injection codes (top 3 = 85.0%) creates revenue sensitivity to drug pricing, utilization changes, and payer policy shifts on biologics and intravitreal procedures. The absence of any Medicaid billing (none) also indicates payer concentration risk and potential limitations in access to Medicaid patients or participation in state programs, which is relevant for network contracting and population coverage assessments.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,270	$690	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	19,740	$30	$572.5K
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.	1,950	$90	$173.3K
J3590	Unclassified biologics	1,160	$130	$148.7K
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.	2,920	$30	$84.6K
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…	980	$80	$80K
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…	220	$90	$19.3K
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…	280	$60	$16.8K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$830	$15K
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…	120	$100	$12.3K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Juan Lebron — 5 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	14	100	840	$680	$729K
J2777	12	70	9,480	$30	$353.3K
67028	8	150	470	$90	$64K
J3590	4	100	200	$100	$30K
67042	31	50	20	$960	$29.7K
92014	17	1,390	100	$70	$12.9K
99214	4,711	20,010	100	$70	$11.7K
99213	2,106	20,000	70	$50	$6.6K
92134	10	1,010	50	$30	$6.3K
67228	10	20	20	$250	$6.1K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Cei Physicians Psc LLC	OH	Ophthalmologic Surgery Clinic/Center	$4.1M	$1M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Ahmed Alkaliby	FL	Ophthalmology Physician	$2.6M	$0
Cei Physicians Psc LLC	OH	Ambulatory Surgical Clinic/Center	$1.9M	$680.3K
Philip Nelsen	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Robert Sisk	OH	Ophthalmology Physician	$2.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mount Carmel Health System	OH	General Acute Care Hospital	$0	$42.4M
Perfect Hands Healthcare Group, LLC	OH	Home Health Agency	$0	$15.6M
Lincare Inc	OH	Durable Medical Equipment & Medical Supplies	$0	$13M
The Vine Home Health Care Inc.	OH	Home Health Agency	$0	$9.5M
21st Century Home Health Services LLC	OH	Home Health Agency	$0	$8.5M
Cep America - Ohio LLC	OH	Emergency Medicine Physician	$0	$6.7M
Dreamers Home Health Care (llc)	OH	Home Health Agency	$0	$6.6M
Osu Wexner Medical Center Ambulatory Surgery Center	OH	Ambulatory Surgical Clinic/Center	$1.4M	$907.2K
City Of Westerville	OH	Ambulance	$350K	$715K
David Schnitzer	OH	Retina Specialist (Ophthalmology) Physician	$858K	$0

Juan Lebron — 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