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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Paul Degregorio (NPI 1508850827)

Field	Value
Entity Type	Individual
Organization	Paul Degregorio
Address	764 2nd St
City	Manchester
State	NH
ZIP	03102
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	September 1, 2005

Payer Source	Total Paid
Medicare	$1.9M
Medicaid	$0

Key Findings

PAUL DEGREGORIO is a retina specialist (Ophthalmology) whose Medicare billing profile is dominated by intravitreal drug administration and retinal imaging services, consistent with a procedure-focused retina practice. The provider’s total Medicare revenue is $1.9M and the three leading drug/injection codes drive the practice’s financial base, while there is no Medicaid billing on file to balance payer mix.

Revenue concentration is very high: the precomputed top 3 Medicare codes account for 85.9% of this provider’s total Medicare revenue. Those top codes are J0178 ($909.9K, 47.6%), J2777 ($483.8K, 25.3%), and J2778 ($249.7K, 13.1%), indicating that a small set of biologic injection codes generates the vast majority of Medicare payments.

The code mix signals an operational model built around intravitreal therapy: J0178 (Injection, aflibercept) has 1.3K claims and $679 avg paid/claim, and J2777 (Injection, faricimab-svoa) shows particularly large claim volume at 17.3K claims with $28 avg paid/claim. In contrast, evaluation & management visits are a small share of revenue (99214 $26.2K, 1.4% and 99213 $19.2K, 1.0%), underscoring that drug/procedure revenue—rather than E/M—is the core business driver.

This provider is effectively single-payer in the available data: Medicare revenue is $1.9M while there is no Medicaid billing on file. Analysts should treat the practice as Medicare-dependent for public-payer activity and not expect Medicaid-related volume or state-level Medicaid competitive benchmarks to apply.

On national competitive standing for the top drugs, the provider ranks in the mid-to-upper percentiles but is not an extreme outlier: J0178 ranks #949 of 3204 providers (70th percentile, labeled typical), J2777 ranks #623 of 2039 (69th percentile, labeled typical), and J2778 ranks #316 of 1208 (74th percentile, labeled typical). These positions indicate consistent, unremarkable national participation in anti-VEGF and related intravitreal therapeutics rather than market dominance.

Imaging and injection procedure volumes include notable high-percentile signals: 92134 (retinal computerized imaging) ranks #1175 of 26868 providers (96th percentile, labeled notably above typical national volume), and 67028 (injection into vitreous) ranks #660 of 4255 providers (84th percentile). The elevated percentile for 92134 in particular suggests above-typical use of diagnostic retinal imaging relative to national peers, reinforcing a high-throughput retina diagnostic workflow.

The provider has a long tenure on file, with NPI enumeration dated 2005-09-01 (~21 years ago), which supports interpretation of these patterns as established practice behavior rather than a short-term anomaly. Combined with high claim counts on core injection codes (e.g., J2777 at 17.3K claims), the data are consistent with sustained, procedure-driven revenue generation over time.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,340	$680	$909.9K
J2777	Injection, faricimab‑svoa, 0.1 mg	17,280	$30	$483.8K
J2778	Injection, ranibizumab, 0.1 mg	1,390	$180	$249.7K
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.	1,630	$80	$136.9K
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.	1,850	$30	$57.4K
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…	290	$90	$26.2K
J9035	Injection, bevacizumab, 10 mg	370	$50	$19.9K
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…	300	$60	$19.2K
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…	40	$110	$4.3K
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,…	70	$30	$2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Paul Degregorio — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	5	10	13,440	$30	$563.5K
J0178	2	10	590	$680	$549.1K
J2778	1	10	1,120	$180	$204.1K
67028	2	20	600	$90	$67K
99214	591	3,150	110	$80	$13.2K
J9035	2	10	150	$50	$10.6K
99213	267	2,900	70	$50	$6.9K
92134	3	170	60	$30	$5.2K
99204	562	1,340	30	$100	$4.6K
92083	144	170	60	$40	$4.3K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Concord Ophthalmologic Associates PA	NH	Ophthalmology Physician	$0	$2.3M
Tahsin Khundkar	PA	Ophthalmology Physician	$1.5M	$0
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Eliot Foley	NH	Retina Specialist (Ophthalmology) Physician	$935.8K	$0
Tomasz Stryjewski	MA	Ophthalmology Physician	$935.2K	$0
Nancy Efferson-bonachea	NH	Ophthalmology Physician	$790.7K	$0
Nh Eye Associates PLLC	NH	Ophthalmology Physician	$0	$739K
Yu Cheng Zhao	MI	Ophthalmology Physician	$618.5K	$0
Erin Fogel	NH	Ophthalmology Physician	$335.6K	$0
Kimberly Licciardi	NH	Ophthalmology Physician	$331.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moore Center Services, Inc.	NH	Early Intervention Provider Agency	$0	$373.9M
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Manchester School District	NH	Local Education Agency (LEA)	$0	$4M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Metro Treatment Of New Hampshire LP	NH	Methadone Clinic	$148.8K	$1.6M
Home For Butterflies, LLC	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.4M
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$480.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cpte - Manchester, Inc.	NH	Physical Therapist	$0	$426.1K

Paul Degregorio — 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