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

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

Jeffrey Moore (NPI 1518963677)

Field	Value
Entity Type	Individual
Organization	Jeffrey Moore
Address	161 Marginal Way
City	Portland
State	ME
ZIP	04101
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 23, 2005

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

Practice is heavily focused on intravitreal pharmacotherapy: the top three Medicare revenue drivers are J0178 ($1.5M revenue (50.1% of this provider's total Medicare revenue)), J2777 ($582.9K revenue (20.0% of this provider's total Medicare revenue)), and J2778 ($202.9K revenue (7.0% of this provider's total Medicare revenue)). These three drug codes together account for 77.1% of this provider's total Medicare revenue, indicating the operation is primarily an injection‑based retina practice rather than a surgery-heavy or broad general ophthalmology clinic.

Revenue is highly concentrated in a small set of high-cost drug administrations: J0178 alone represents $1.5M of $2.9M total Medicare revenue, and the precomputed top-3 share of 77.1% shows dependence on a few biologic therapies. That concentration implies financial sensitivity to utilization or reimbursement changes for these specific injectable agents.

Provider appears as an active but not dominant national participant for its leading drug codes: J0178 ranks #487 of 3204 providers nationally (85th percentile) and J2777 ranks #525 of 2039 providers nationally (74th percentile), both described as "typical, unremarkable volume" at those percentiles. These ranks indicate above‑median scale for these drugs but stop short of being a national outlier or dominant center for anti‑VEGF/retina injections.

Some ancillary diagnostic and evaluation services show relatively elevated volume: 92014 is reported at 1K claims and $91.3K revenue and ranks #1650 of 35415 providers nationally (95th percentile), labeled "notably above typical national volume." Likewise, 92134 shows 1.1K claims and $33.1K revenue and ranks #1970 of 26868 providers nationally (93th percentile). This mix suggests a steady clinic throughput of established ophthalmology patients receiving both comprehensive exams and retinal imaging in support of injection services.

Surgical retinal procedures are present but represent a small share of revenue: codes such as 67040 ($15.5K revenue, 19 claims), 67042 ($14.2K revenue, 16 claims), and 67113 ($15.7K revenue, 15 claims) each contribute about 0.5% of Medicare revenue and are described with typical, unremarkable national volumes. These counts and ranks imply the provider performs occasional vitreoretinal surgery but that surgery is not the principal revenue driver of the practice.

Competitive positioning varies by service line: for intravitreal therapy the provider sits above median nationally (examples: J0178 at 85th percentile, J2777 at 74th percentile), which is consistent with a strong regional injection practice; for many surgical codes the provider is at lower national percentiles (for example 67113 at the 29th percentile and 67042 at the 31th percentile), indicating relatively modest surgical market share. Overall, the provider is a meaningful player in clinic-based retina therapy but not a high‑volume surgical referral center.

Payer mix is effectively single‑payer Medicare: lifetime Medicare revenue is $2.9M while there is "none below" for Medicaid billing on file, so this provider has no recorded Medicaid revenue to compare. The absence of Medicaid activity limits insight into in‑state Medicaid competitiveness and suggests contracting or patient mix is focused on Medicare and commercially insured populations.

The provider has long tenure in Medicare billing, with the NPI enumerated on 2005-06-23 (~21 years ago), which supports an established practice footprint. That longevity combined with the concentrated, injection‑centric revenue mix points to a stable, mature retina specialty practice that relies on recurring intravitreal therapy visits and associated clinic services.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,120	$690	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	20,100	$30	$582.9K
J2778	Injection, ranibizumab, 0.1 mg	1,130	$180	$202.9K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,410	$120	$169.2K
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.	1,520	$100	$150.4K
J3490	Unclassified drugs	70	$1,770	$122.1K
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…	1,000	$90	$91.3K
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.	1,140	$30	$33.1K
67113	The provider repairs a complicated detached retina. He removes vitreous humor, the gelatinous material that gives shape to the eye, and peels the retinal membrane. He reattaches the retina with…	20	$1,050	$15.7K
67040	The provider removes vitreous humor from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana. This procedure also includes the…	20	$820	$15.5K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Jeffrey Moore — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	20	990	$690	$652.2K
J2777	4	10	9,840	$30	$407.6K
J2778	2	10	690	$180	$155.6K
J2781	1	10	650	$120	$92.7K
67028	2	30	410	$90	$51.1K
J3490	4	10	70	$390	$29.1K
67113	2	10	20	$1,320	$23.7K
67041	4	10	20	$1,260	$22.7K
67040	1	10	20	$1,180	$22.4K
67042	3	10	20	$940	$16.9K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Richard Bazarian	ME	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Maine Eye Center, PA	ME	Ambulatory Surgical Clinic/Center	$1.2M	$578.7K
Robert Cady	ME	Glaucoma Specialist (Ophthalmology) Physician	$256.4K	$0
Sara Bozorg	NH	Ophthalmology Physician	$218.8K	$0
Jessica Watson	ME	Ophthalmology Physician	$202.3K	$0
David Weinberg	NH	Ophthalmic Plastic and Reconstructive Surgery Physician	$192K	$0
Curtis Libby	ME	Glaucoma Specialist (Ophthalmology) Physician	$190.4K	$0
Nathaniel Gelinas	MN	Ophthalmology Physician	$158.6K	$0
Brynn Wajda	ME	Ophthalmic Plastic and Reconstructive Surgery Physician	$133.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Goodwill Industries Of Northern New England	ME	Comprehensive Outpatient Rehabilitation Facility (CORF)	$0	$106M
Maine Vocational Associates, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$34.3M
Catholic Charities Maine	ME	Clinical Social Worker	$0	$17.7M
Spurwink Services Incorporated	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16.8M
Milestone Recovery	ME	Substance Abuse Rehabilitation Facility	$0	$8.8M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$7.4M
Black Bear Medical, Inc.	ME	Customized Equipment (DME)	$0	$7.4M
Usa Family Well Being Services LLC	ME	Community/Behavioral Health Agency	$0	$6.3M
City Of Portland	ME	Land Ambulance	$740.2K	$5.4M

Jeffrey Moore — 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