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

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

Curtis Hagedorn (NPI 1508863382)

Field	Value
Entity Type	Individual
Organization	Curtis Hagedorn
Address	2005 Franklin St
City	Denver
State	CO
ZIP	80205
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 7, 2005

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

CURTIS HAGEDORN’s Medicare billing profile is dominated by intravitreal biologic therapies and related ophthalmic procedures, consistent with a retina-focused ophthalmology practice. The single largest code is J0178 (1.3K claims, $693 avg paid/claim, $898.1K revenue, 58.0% of Medicare revenue), supplemented by high-volume injection and procedure codes such as 67028 (915 claims, $96 avg paid/claim, $87.8K revenue) and imaging codes like 92134 (1.6K claims, $31 avg paid/claim, $48.5K revenue). These entries point to a clinic model that generates most revenue from in-office injections and structured retinal imaging visits rather than from a broad mix of non-procedural E/M services.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 78.0% of this provider's total Medicare revenue, with J0178 alone representing 58.0% of Medicare receipts. The other two top contributors are J2777 ($207.1K revenue, 13.4%) and Q5128 ($101.3K revenue, 6.5%), which indicates material dependence on a small set of drug codes for the practice’s Medicare cash flow. This concentration creates exposure to pricing, utilization, and coverage changes affecting those specific agents.

Payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file. Because there is no Medicaid activity reported, the provider’s reimbursement and utilization profile should be evaluated primarily through the Medicare lens for payer-contracting, utilization management, and competitive positioning assessments.

National competitive standing across the top drug codes is modest-to-typical rather than dominant. J0178 ranks #998 of 3204 providers nationally (69th percentile; typical, unremarkable volume for this code), J2777 ranks #1261 of 2039 (38th percentile; typical, unremarkable volume), and Q5128 ranks #233 of 373 (38th percentile; typical, unremarkable volume), indicating the provider is not a top national outlier in injection volume but is a routine regional participant.

Diagnostic imaging is a relative strength: 92134 shows 1.6K claims and $48.5K revenue (3.1% of Medicare revenue) and ranks #1452 of 26868 providers nationally (95th percentile; notably above typical national volume). This notably above-typical imaging volume supports a workflow with frequent OCT-based follow-up and monitoring, reinforcing the interpretation of a procedure-driven retina practice.

There are occasional high-dollar miscellaneous drug entries and lower-ranked specialty drug use that merit attention for utilization review and invoice validation. For example, J3490 shows 24 claims with a $1768 avg paid/claim and $42.4K revenue (2.7% of Medicare revenue) and ranks #2482 of 2838 providers nationally (12th percentile; typical, unremarkable volume), while J2781 appears with 180 claims and $21.6K revenue (1.4% of Medicare revenue) but sits low in the national ranking. These patterns suggest infrequent billing of high-cost or less-common product codes alongside the main anti-VEGF suite.

Tenure in Medicare is long: the NPI was enumerated 2005-07-07 (~21 years ago), indicating an established presence in the Medicare program. That longevity combined with concentrated procedure and imaging volumes signals a stable, procedure-centric ophthalmology practice rather than a recent or transient billing pattern.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,300	$690	$898.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,140	$30	$207.1K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	470	$220	$101.3K
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.	920	$100	$87.8K
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…	680	$90	$61.5K
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.	1,560	$30	$48.5K
J3490	Unclassified drugs	20	$1,770	$42.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	180	$120	$21.6K
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	$930	$13.9K
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…	170	$70	$12.2K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Curtis Hagedorn — 0 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	60	740	$690	$618.3K
J2777	24	40	8,910	$30	$456.1K
J2781	14	10	470	$120	$79.4K
Q5128	2	10	220	$220	$76.1K
67028	32	80	670	$100	$73.3K
67036	22	30	20	$1,100	$37.3K
67042	22	30	20	$1,140	$29.6K
J3490	62	60	50	$290	$23.1K
J7999	30	50	230	$70	$21.5K
92014	43	670	100	$80	$15.2K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Courtney	CO	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Salil Shukla	CO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Murtaza Adam	CO	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Mimi Liu	CO	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Miriah Teeter	CO	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Nancy Christmas	CO	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Peter Hovland	CO	Ophthalmology Physician	$1.8M	$0
David Johnson	CO	Specialist	$1.5M	$0
Ashleigh Levison	CO	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Brian Joondeph	CO	Retina Specialist (Ophthalmology) Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Colorado Coalition For The Homeless	CO	Federally Qualified Health Center (FQHC)	$0	$41.6M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$28.2M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$11.1M
Comprehensive Behavioral Health Center LLC	CO	Substance Use Disorder Rehabilitation Clinic/Center	$134.5K	$8.1M
Inner City Health Center	CO	Federally Qualified Health Center (FQHC)	$0	$6.7M
Ronald Mcdonald House Charities Of Denver, Inc	CO	Non-emergency Medical Transport (VAN)	$0	$5.8M
Charles Wilson	CO	Ophthalmology Physician	$697.3K	$0
Professional Portable Radiologic Services, Inc.	CO	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$169.7K	$0
Julia Losekamp	CO	Family Medicine Physician	$165.8K	$0
Jean Michel Grillon	CO	Diagnostic Radiology Physician	$163.3K	$0

Curtis Hagedorn — 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