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    OpenPayerNPI Medicare & MedicaidDavid Dyer
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    David Dyer — Billing Profile & Reimbursement Data

    NPI 1518994631 · Lenexa, KS · Ophthalmology Physician

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    David Dyer is a ophthalmology physician provider located in Lenexa, Kansas. This profile covers 19 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
    OrganizationDavid Dyer
    Address8600 Quivira Rd Ste 100
    CityLenexa
    StateKS
    ZIP66215
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 26, 2006

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

    Payer SourceTotal Paid
    Medicare$7.5M
    Medicaid$0

    Key Findings

    This provider’s billing is effectively single‑payer: Total Medicare revenue is $7.5M and there is no Medicaid billing on file. The absence of Medicaid activity means Medicare predominantly shapes the practice’s revenue base and payer risk profile.

    Revenue is highly concentrated in three codes: the precomputed top‑3 Medicare codes account for 88.8% of the provider’s Medicare revenue. Those three codes are J0178 (57.8% of Medicare revenue), J2777 (26.7%), and 67028 (4.4%), which together indicate that most dollars flow from a narrow set of injection‑/retina‑related services.

    The code mix and dollar values point to a retina‑focused ophthalmology practice centered on intravitreal biologic injections: J0178 generated $4.3M revenue and J2777 generated $2M revenue, and 67028 generated $327.1K revenue. High payments tied to these codes (J0178 and J2777 are high‑volume biologic injection codes, 67028 is an isolated intravitreal injection procedure) indicate an operational model that delivers frequent in‑office injectable therapeutics.

    This provider is a major national outlier on several injection codes: J0178 ranks #12 of 3204 providers nationally (100th percentile; extreme outlier) and J2777 ranks #53 of 2039 providers nationally (97th percentile; notably above typical national volume). 67028 also ranks highly at #60 of 4255 (99th percentile; extreme outlier). Those ranks signal that the provider is operating at volumes well above typical national peers for intravitreal treatments.

    Ancillary diagnostic imaging is also a material part of the service mix and is reported at extreme national percentiles, supporting an in‑office retinal diagnostics capability: 92134 produced $89.9K revenue and ranks #275 of 26868 (99th percentile; extreme outlier), 92235 produced $82.7K revenue and ranks #31 of 2192 (99th percentile; extreme outlier), and 92250 produced $22.1K revenue and ranks #273 of 25087 (99th percentile; extreme outlier). These imaging line items are consistent with integrated retina clinic workflows that couple injections with multimodal retinal imaging.

    Several other drug codes contribute smaller but nontrivial Medicare revenue and reflect use of alternative intravitreal agents and unclassified drug billing: J3490 shows $157.2K revenue (89 claims, $1766 avg paid/claim) and ranks in the 68th percentile, while J2781 shows $153.2K revenue and ranks in the 85th percentile. These entries are described in the source as typical or unremarkable volume relative to national peers, indicating they supplement—but do not displace—the dominant J0178/J2777 revenue stream.

    The provider’s NPI has been enumerated since 2006‑06‑26 (~20 years ago), indicating a long tenure in Medicare billing. Combined with concentrated high volumes on retina/injection codes, that tenure supports the characterization of an established retina practice with sustained procedural throughput.

    From a business and operational risk perspective, the practice’s heavy reliance on a few high‑revenue injectable codes (top‑3 = 88.8% of Medicare revenue) and absence of Medicaid revenue create concentration risk: changes in utilization patterns, formulary placement, or reimbursement for J0178 and J2777 would meaningfully affect overall revenue. The concentrated payer mix and code dependency suggest that payers and network analysts should monitor utilization and reimbursement trends for these specific codes when evaluating the provider’s financial exposure and contracting posture.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg6,220$690$4.3M
    J2777Injection, faricimab‑svoa, 0.1 mg68,640$30$2M
    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.3,370$100$327.1K
    J3490Unclassified drugs90$1,770$157.2K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg1,280$120$153.2K
    J2778Injection, ranibizumab, 0.1 mg820$170$143K
    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.3,330$30$89.9K
    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…870$100$82.7K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg270$160$43.1K
    92012For 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…640$60$36.3K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781301,770$690$1.3M
    J277723012,060$30$575.7K
    J27781220860$180$297.6K
    670281401,170$90$111.4K
    J2781110230$120$69.3K
    J7312410260$160$43.6K
    6704262020$1,140$31.9K
    67108182020$1,130$24.8K
    J35901720200$100$24.1K
    J34901320120$200$23.4K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Children's Mercy HospitalMOChildren's Hospital$0$221M
    The Children's Mercy HospitalMOPediatrics Physician$0$53.6M
    The Children's Mercy HospitalMODurable Medical Equipment & Medical Supplies$0$28.3M
    The Children's Mercy HospitalKSChildren's Hospital$0$22.3M
    The Children's Mercy HospitalMOAmbulance$0$13.4M
    Children's Mercy-community Choice PediatricsMOPediatrics Physician$0$9M
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Children's Mercy-cockerell And Mcintosh Pediatrics, IncMOPediatrics Physician$0$6.3M
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Bethesda Lutheran CommunitiesKSMental Illness Intermediate Care Facility$0$17.6M
    Cherub Medical Supply, LLCKSDurable Medical Equipment & Medical Supplies$0$6.3M
    Mawd Pathology Group IncKSAnatomic Pathology & Clinical Pathology Physician$660$5.9M
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Gregory FoxKSOphthalmology Physician$4M$0
    Ravi SinghKSOphthalmology Physician$3.9M$0
    Cpf Senior Living - Lenexa LLCKSAssisted Living Facility$0$3.8M
    Beatty SuiterKSOphthalmology Physician$3.5M$0
    Ryan ChristensenKSOphthalmology Physician$3.3M$0
    180 Medical, Inc.KSDurable Medical Equipment & Medical Supplies$0$2.7M

    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. Kansas Distribution
    David Dyer — 8 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas