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 Northern Mariana Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Northern Mariana Islands 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. Northern Mariana Islands (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.

Keri Allen (NPI 1487948543)

Key Findings

Field	Value
Entity Type	Individual
Organization	Keri Allen
Address	Beach Rd And Mooty Street
City	Saipan
State	MP
ZIP	96950
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 7, 2011

Payer Source	Total Paid
Medicare	$96.8K
Medicaid	$0

KERI ALLEN is an Ophthalmology Physician in SAIPAN, MP with an NPI enumerated 2011-06-07 (~15 years ago). Lifetime Medicare revenue on file is $96.8K and there is no Medicaid billing on file, indicating an effectively single‑payer (Medicare) billing footprint in the available data.

Revenue is concentrated: the top three Medicare codes (92012, 66984, 66982) account for 52.1% of this provider's total Medicare revenue. Those codes break down as 92012 $18.2K (18.9%), 66984 $17.1K (17.7%), and 66982 $15.1K (15.6%), signaling reliance on a small set of evaluation and cataract procedure codes for the majority of Medicare receipts.

The code mix points to a combined surgical and outpatient ophthalmology practice: cataract procedures (66984, 66982) sit alongside intermediate and comprehensive eye exams (92012, 92014) and diagnostic/biometry imaging (92134, 76519). Presence of intravitreal injection codes such as 67028 and J9035 indicates the practice also provides some retinal injection services, so clinical services span routine exams, diagnostics, and operative care.

Cataract surgical volume is modest rather than dominant: 66984 has 44 claims (rank #11289 of 15965, 29th percentile; typical, unremarkable volume for this code) and 66982 has 28 claims (rank #2140 of 4580, 51th percentile; typical, unremarkable volume for this code). Those ranks imply the provider performs a steady but not leading share of cataract procedures compared with national peers.

Diagnostic and pre‑op measurement activity is a relative strength compared with the provider's surgical ranks: 76519 shows 145 claims with $3K revenue and ranks #188 of 1232 (85th percentile; typical, unremarkable volume for this code), while 92134 shows 207 claims with $5.6K revenue and ranks #6494 of 26868 (76th percentile; typical, unremarkable volume for this code). These indicators suggest consistent use of A‑scan biometry and OCT imaging in the practice’s workflow.

Payments per claim align with expected complexity differences: 66982 averages $539 paid/claim and 66984 averages $389 paid/claim, whereas evaluation codes such as 92012 average $57 paid/claim and 92014 average $68 paid/claim. The mix of higher‑paid surgical codes and lower‑paid evaluation codes is consistent with a practice that generates revenue from both operative cases and office visits.

Intravitreal injection activity appears limited relative to national peers: 67028 has 94 claims with $7.7K revenue and ranks #3581 of 4255 (16th percentile; typical, unremarkable volume for this code), and J9035 has 45 claims with $2.6K revenue and ranks #1501 of 1852 (18th percentile; typical, unremarkable volume for this code). These lower percentiles indicate injections are a smaller component of Medicare revenue for this provider.

The absence of Medicaid billing on file combined with $96.8K in Medicare revenue suggests analysts should treat the entity as Medicare‑dependent in the claims data. This payer concentration has implications for assessing access to care for non‑Medicare populations in the local market and for evaluating contracting or participation strategies tied to Medicaid volumes.

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
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…	320	$60	$18.2K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	40	$390	$17.1K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$540	$15.1K
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…	220	$70	$14.9K
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.	90	$80	$7.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	70	$80	$5.8K
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.	210	$30	$5.6K
76519	The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.	150	$20	$3K
J9035	Injection, bevacizumab, 10 mg	50	$60	$2.6K
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…	40	$60	$2.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeanolivia Grant	MP	Family Medicine Physician	$228.7K	$0
Northern Mariana Islands Government	MP	Land Ambulance	$180.9K	$0
Vicente Aldan	MP	Family Medicine Physician	$87.4K	$0
Ahmad Al-alou	MP	Internal Medicine Physician	$36.1K	$0
Norma Ada	MP	Internal Medicine Physician	$32.8K	$0
Mark Robertson	MP	Optometrist	$25.8K	$0
David Hardt	MP	Optometrist	$24.1K	$0
Donald Hardt	MP	Optometrist	$23.9K	$0
Pamela Carhill	MP	Physical Therapist	$22K	$0
Jiayi Kong	MP	Internal Medicine Physician	$21.9K	$0

Keri Allen — 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

Nearby Providers

Frequently Asked Questions

References