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

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

Kimberly Drenser (NPI 1508894643)

Field	Value
Entity Type	Individual
Organization	Kimberly Drenser
Address	3555 W 13 Mile Rd
City	Royal Oak
State	MI
ZIP	48073
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 29, 2006

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

KIMBERLY DRENSER is a retina specialist in ROYAL OAK, MI with an NPI enumerated 2006-06-29 (~20 years ago). Her lifetime Medicare revenue is $2.7M and there is no Medicaid billing on file, indicating an effectively single-payer Medicare practice for publicly billed services.

Revenue is highly concentrated in intravitreal biologic injections: the top 3 Medicare codes by revenue — J2778 (32.5%), J2777 (25.9%), and J0178 (24.4%) — together account for 82.7% of this provider's total Medicare revenue, so changes in utilization or reimbursement for these agents would materially affect overall Medicare income.

The code mix and volumes indicate an operation centered on chronic intravitreal therapy and retina follow-up care: high revenue claims for J2778, J2777, and J0178 (ranibizumab, faricimab, aflibercept) are supported by procedure and imaging codes such as 67028 (1.6K claims, $157.2K revenue, 5.7%) and 92134 (2K claims, $58.7K revenue, 2.1%), consistent with repeated injections plus diagnostic retinal imaging.

Competitive standing on the highest-revenue injection is strong: J2778 generates $890.3K (32.5% of Medicare revenue) and the provider ranks #45 of 1208 providers nationally (96th percentile), described in the file as notably above typical national volume for this code, which signals a market-leading position on ranibizumab administration among Medicare peers.

Other top biologic codes show more typical national positioning: J2777 (24.5K claims, $709.9K revenue, 25.9%) ranks #401 of 2039 providers nationally (80th percentile) and is labeled typical/unremarkable, while J0178 (986 claims, $667.5K revenue, 24.4%) ranks #1299 of 3204 providers nationally (59th percentile) and is likewise reported as typical; these ranks suggest strong revenue contributions but not outlier status for those specific products.

Office visit billing is an outlier relative to national peers: 99214 appears as 1.6K claims and $150.2K revenue (5.5% of Medicare revenue) and ranks #3104 of 479517 providers nationally (99th percentile; extreme outlier), indicating this provider bills a far higher-than-typical volume of moderate-complexity established-patient E/M visits in Medicare.

The absence of any Medicaid billing on file means payer mix is effectively concentrated in Medicare, which reduces exposure to Medicaid reimbursement dynamics but also limits diversification of public-payer revenue streams and could affect contracting or network strategy where Medicaid participation is relevant.

Given the practice’s two-decade tenure (NPI since 2006-06-29) and the dominance of high-cost injectable agents in revenue, the provider appears to operate an established, procedure-oriented retina clinic; this creates both a defensible specialty niche and a sensitivity to drug-specific policy, coverage, or utilization shifts that would disproportionately impact total Medicare revenue.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2778	Injection, ranibizumab, 0.1 mg	4,870	$180	$890.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	24,480	$30	$709.9K
J0178	Injection, aflibercept, 1 mg	990	$680	$667.5K
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.	1,560	$100	$157.2K
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…	1,580	$100	$150.2K
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.	1,960	$30	$58.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	250	$150	$38.6K
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…	370	$80	$30.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	70	$150	$10K
92235	The 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…	90	$110	$9.7K

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

Claims Volume vs. Michigan Distribution

Kimberly Drenser — 3 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	38	110	680	$690	$630.2K
J2777	6	60	7,200	$30	$321K
J2778	1	50	730	$180	$240.5K
67028	16	160	440	$90	$57.6K
J7312	5	10	230	$150	$36.1K
92014	169	1,080	100	$80	$14.8K
99214	23	15,470	80	$80	$11.4K
92235	22	100	40	$100	$7.8K
92134	25	820	60	$30	$7.1K
99213	14,461	14,810	60	$60	$6.6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
Oakwood Healthcare, Inc.	MI	General Acute Care Hospital	$0	$165.3M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$84.8M
Oakwood Ambulatory LLC	MI	Internal Medicine Physician	$0	$66.9M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$61.5M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Wellstreet Urgent Care Of Michigan	MI	Urgent Care Clinic/Center	$0	$37.5M
Somc Medical Care Foundation, Inc.	OH	Family Medicine Physician	$0	$25.3M
Associated Retinal Consultants, PC	MI	Ophthalmology Physician	$0	$21.1M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Judson Center, Inc.	MI	Community/Behavioral Health Agency	$0	$21.2M
Allergy & Asthma Associates Of Mi PC	MI	Allergy & Immunology Physician	$0	$15.9M
Community Homes, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Sandeep Randhawa	MI	Retina Specialist (Ophthalmology) Physician	$7M	$0
American Anesthesiology Of Michigan PC	MI	Anesthesiology Physician	$0	$5.7M
Joshua Robinson	MI	Ophthalmology Physician	$3.7M	$0
Jeremy Wolfe	MI	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Tamer Mahmoud	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
George Williams	MI	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Alan Ruby	MI	Ophthalmology Physician	$2.4M	$0

Kimberly Drenser — 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