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

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

William Terrell (NPI 1477781888)

Field	Value
Entity Type	Individual
Organization	William Terrell
Address	6003 Osborne Dr W
City	Hastings
State	NE
ZIP	68901
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 24, 2009

Payer Source	Total Paid
Medicare	$8.6M
Medicaid	$0

Key Findings

This provider is effectively single-payer in the data: Total Medicare revenue is $8.6M while Medicaid revenue is listed as none. The absence of any Medicaid billing on file means financial exposure and competitive analysis should focus on Medicare activity rather than a mixed Medicaid/Medicare footprint.

Revenue is highly concentrated: the precomputed top-3 codes account for 94.8% of the provider's Medicare revenue, driven by J2777 (69.1%), J0178 (21.6%), and 67028 (4.1%). This concentration indicates that a very small set of retina-related services delivers the overwhelming majority of billed Medicare dollars.

The service mix is characteristic of a high-volume retina/intravitreal injection practice: J2777 and J0178 are biologic/anti-VEGF injections and 67028 is an isolated intravitreal injection procedure. The code mix, supplemented by high volumes of retinal imaging and E&M codes, suggests day-to-day operations center on recurrent intravitreal therapy with associated diagnostic monitoring.

J2777 is a national outlier: it ranks #2 of 2039 providers nationally (100th percentile; extreme outlier), indicating this provider is an exceptionally large national biller for faricimab. J0178 also ranks well above typical national volume at #254 of 3204 (92th percentile; notably above typical), while 67028 ranks #27 of 4255 (99th percentile; extreme outlier), together demonstrating market leadership on multiple high-impact retina codes.

The utilization and payment pattern shows a coexistence of very high-volume, lower-paid claims and lower-volume, higher-paid claims: J2777 is reported as 205.4K claims at $29 avg paid/claim producing $6M revenue, whereas J0178 is 2.7K claims at $695 avg paid/claim producing $1.9M revenue. This mix implies operational throughput focused on frequent dosing or administration episodes for the lower-unit-price biologic alongside continued use of a higher-cost agent.

Ancillary diagnostic and follow-up services are substantial and concentrated: 92134 (3.6K claims, $97.1K revenue) ranks #206 of 26868 (99th percentile; extreme outlier) and 92250 (1.2K claims, $29.6K revenue) ranks #155 of 25087 (99th percentile; extreme outlier). High-ranking 99214 volume (680 claims, $56.4K revenue, #27764 of 479517, 94th percentile; notably above typical) indicates regular evaluation-and-management visits supporting the injection-focused care pathway.

Surgical retina activity exists but is limited relative to injection services: codes such as 67108 (31 claims, $27.1K revenue, #95 of 706, 85th percentile) and 67042 (30 claims, $25.3K revenue, #279 of 1087, 72th percentile) show occasional procedures. These lower counts and shares imply the practice is primarily ambulatory/injection-centered with intermittent surgical cases rather than a surgery-first retina referral center.

The provider has an established enrollment history, with NPI enumerated on 2009-06-24 (~17 years ago), which supports interpreting the high injection volumes and billing patterns as a sustained operational model rather than a short-term anomaly. Combined tenure and the persistent code-level outlier status suggest a stable, mature retina practice with concentrated Medicare exposure.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	205,440	$30	$6M
J0178	Injection, aflibercept, 1 mg	2,670	$700	$1.9M
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.	4,010	$90	$357K
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.	3,600	$30	$97.1K
J2778	Injection, ranibizumab, 0.1 mg	520	$180	$94.3K
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…	680	$80	$56.4K
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,…	1,180	$30	$29.6K
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…	270	$110	$28.9K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	30	$880	$27.1K
J3590	Unclassified biologics	420	$70	$27K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

William Terrell — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	2	10	25,950	$30	$1.5M
J0178	2	20	880	$690	$722.7K
J2778	10	10	670	$180	$137.8K
67028	2	20	1,070	$80	$106.4K
J3590	8	10	430	$70	$29.7K
67042	5	10	30	$1,100	$29.6K
67036	1	10	30	$920	$24.9K
67108	1	10	20	$1,040	$20.8K
92014	191	270	170	$70	$20K
99214	199	3,210	110	$70	$14.9K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Welch	NE	Retina Specialist (Ophthalmology) Physician	$10.2M	$0
Elena Geraymovych	NV	Ophthalmology Physician	$4.1M	$16.9K
Retina Center Of Nebraska, P.C.	NE	Retina Specialist (Ophthalmology) Physician	$0	$2.3M
Dominic Buzzacco	OH	Retina Specialist (Ophthalmology) Physician	$1.7M	$0
Srinivas Kondapalli	PA	Ophthalmology Physician	$1.7M	$46.6K
Niraj Shah	OH	Ophthalmology Physician	$1.3M	$0
Jorge Jimenez	LA	Retina Specialist (Ophthalmology) Physician	$751.9K	$1.5K
Rishi Singhal	GA	Retina Specialist (Ophthalmology) Physician	$668.8K	$0
Matthew Karl	NY	Retina Specialist (Ophthalmology) Physician	$659.3K	$5.9K
Amit Tandon	OH	Ophthalmology Physician	$320.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Mary Lanning Memorial Hospital Association	NE	Rural Acute Care Hospital	$0	$12.9M
The Bridge, Inc	NE	Substance Abuse Rehabilitation Facility	$0	$6.8M
South Central Behavioral Services. Inc	NE	Adult Mental Health Clinic/Center	$0	$5.4M
The Mary Lanning Memorial Hospital Association	NE	Family Medicine Physician	$0	$4.3M
The Mary Lanning Memorial Hospital Association	NE	Counselor	$0	$3.1M
Hastings Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$238.6K	$2.2M
South Central Behavioral Services	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.9M
Larry L Baker, Md, Dds, PC	NE	Oral & Maxillofacial Surgery (D.M.D.)	$0	$1.2M
Obstetricians & Gynecologists, P.C.	NE	Obstetrics & Gynecology Physician	$0	$1.1M
Family Medical Center Of Hastings	NE	Family Medicine Physician	$0	$1.1M

William Terrell — Billing Profile & Reimbursement Data

Sign up for William Terrell — Billing Profile & Reimbursement Data policy alerts

William Terrell — Billing Profile & Reimbursement Data

Sign up for William Terrell — 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