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    OpenPayerNPI Medicare & MedicaidRobert Dundervill
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    Robert Dundervill — Billing Profile & Reimbursement Data

    NPI 1497759229 · Charleston, WV · Retina Specialist (Ophthalmology) Physician

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    Robert Dundervill is a retina specialist (ophthalmology) physician provider located in Charleston, West Virginia. This profile covers 15 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
    OrganizationRobert Dundervill
    Address331 Laidley St
    CityCharleston
    StateWV
    ZIP25301
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 9, 2005

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    ROBERT DUNDERVILL bills as a retina specialist and his Medicare code mix is dominated by intravitreal drug administration and retina diagnostics — the largest revenue drivers are J0178, J2777 and 67028, and high use of retinal imaging code 92134 is also notable. This pattern is consistent with an office-based retina practice that performs frequent therapeutic injections plus diagnostic imaging and follow-up ophthalmology visits.

    Revenue concentration is very high: the precomputed top three Medicare codes account for 89.1% of this provider's total Medicare revenue, with J0178 generating $914.9K (68.0%), J2777 generating $212.3K (15.8%), and 67028 generating $71.8K (5.3%) of Medicare revenue. This level of concentration indicates the practice’s financial performance is heavily dependent on a small set of retina-focused services.

    This provider’s payer mix is effectively single-payer from a billing perspective: Total Medicare revenue is $1.3M while there is no Medicaid billing on file. The absence of Medicaid activity suggests contracting and reimbursement exposure is concentrated in the Medicare program rather than spread across Medicaid.

    On competitive standing for the top biologic, J0178 (aflibercept) accounts for the largest share of revenue but ranks #962 of 3204 nationally (70th percentile; typical, unremarkable volume), indicating a solid but not dominant national placement for aflibercept administration. In contrast, J2777 (faricimab) is substantial in claim count but ranks #1237 of 2039 (39th percentile; typical, unremarkable volume), placing it lower relative to national peers.

    Retinal imaging is an outlier relative to peers: 92134 generates $40.8K (3.0% of Medicare revenue) and ranks #1635 of 26868 nationally (94th percentile; notably above typical national volume). This suggests a heavier-than-typical reliance on advanced retinal imaging services compared with most ophthalmology providers.

    There is a pronounced difference in unit economics across the top therapies: J0178 pays $690 avg paid/claim while J2777 pays $29 avg paid/claim despite J2777 having 7.3K claims and J0178 having 1.3K claims. This mix implies an operational model that balances fewer, high-reimbursement aflibercept administrations with a larger volume of lower-paid faricimab administrations.

    The practice also provides routine ophthalmology evaluation and follow-up care alongside retina procedures: 92014 generates $47.9K (3.6%) and ranks #4299 of 35415 (88th percentile; typical, unremarkable volume), while 67028 (isolated intravitreal injection procedure) generates $71.8K (5.3%). These codes indicate ongoing management and office-based procedural care in addition to the high-revenue injectable drugs.

    The provider has a long-enumerated NPI (registered 2005-06-09, ~21 years ago), indicating an established presence in the market. Combined with the injection- and imaging-heavy code mix, tenure supports an interpretation of a stable, referral-driven retina practice with concentrated Medicare revenue exposure.

    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.

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,330$690$914.9K
    J2777Injection, faricimab‑svoa, 0.1 mg7,320$30$212.3K
    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.900$80$71.8K
    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…590$80$47.9K
    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.1,410$30$40.8K
    67210The provider destroys a lesion of the retina using a laser beam that heats up the tissue.30$350$11.5K
    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…120$90$11.2K
    99213The 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…140$60$8.6K
    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…80$110$8.3K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.80$100$7.4K

    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

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01786102,090$690$1.7M
    J27775108,490$30$456.6K
    67028610770$80$94.4K
    6721061060$380$21.3K
    9201419180120$70$16.3K
    992141,9632,740100$70$11.8K
    J903571090$50$9.3K
    9223531070$90$9K
    992139682,86080$50$7.5K
    6722861020$200$7K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Retina Consultants, PLLCWVRetina Specialist (Ophthalmology) Physician$0$13.6M
    Abraham MitiasWVRetina Specialist (Ophthalmology) Physician$3.7M$0
    Daniel RichardsonWVRetina Specialist (Ophthalmology) Physician$2.5M$0
    Scott JamersonWVRetina Specialist (Ophthalmology) Physician$2.4M$0
    Richard HatfieldWVRetina Specialist (Ophthalmology) Physician$2.2M$0
    David HuntWVRetina Specialist (Ophthalmology) Physician$2.1M$0
    Chaitanya IndukuriTXOphthalmology Physician$1.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Charleston Area Medical Center IncWVGeneral Acute Care Hospital$0$200.1M
    Wv Birth To ThreeWVEarly Intervention Provider Agency$0$59.9M
    Charleston Area Medical Center, Inc.WVGeneral Acute Care Hospital$0$50.9M
    Children's Home Society Of West VirginiaWVEmotionally Disturbed Childrens' Residential Treatment Facility$0$44.1M
    Kanawha County Emergency Ambulance AuthorityWVLand Ambulance$2.3M$31.9M
    Maxim Healthcare Services, Inc.WVHome Health Agency$0$19.9M
    All-aid Services, Inc.WVHome Health Agency$0$16.3M
    The Arc Of The Three Rivers, Inc.WVCase Management Agency$0$15.6M
    Dolan & Kalaskey LtdWVOrthodontics and Dentofacial Orthopedics Dentistry$0$8.3M
    Mindoula Health Inc.WVMental Health Clinic/Center (Including Community Mental Health Center)$0$6.7M

    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. West Virginia Distribution
    Robert Dundervill — 1 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — West Virginia