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.

Eliot Foley (NPI 1528069424)

Field	Value
Entity Type	Individual
Organization	Eliot Foley
Address	250 River Rd
City	Manchester
State	NH
ZIP	03104
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	August 2, 2005

Payer Source	Total Paid
Medicare	$935.8K
Medicaid	$0

Key Findings

This provider’s revenue is nearly entirely Medicare-based: lifetime Medicare revenue is $935.8K and there is no Medicaid billing on file (none below). In practical terms the practice operates as effectively single‑payer (Medicare) at present, with no Medicaid-revenue contribution visible in the dataset.

Revenue is highly concentrated in a small set of codes: the precomputed top 3 Medicare codes by revenue account for 80.1% of this provider’s total Medicare revenue. Those top drivers are J0178 ($402.8K, 42.9%), J2777 ($278.4K, 29.7%), and 67028 ($70.1K, 7.5%), indicating most Medicare dollars flow from intravitreal drug administrations and related injection procedures.

The procedure mix identifies a retina-focused, injection-centered practice: large revenue shares from J0178 (aflibercept) and J2777 (faricimab) alongside 67028 (intravitreal injection as a separate procedure) point to routine, high-volume intravitreal pharmacologic treatment as the core service line. High-volume retinal imaging also supports this clinical focus—92134 generated $48.1K (5.1%) of revenue and is explicitly noted as notably above typical national volume for this code.

Competitive standing for core drug-injection codes is modest nationally: J0178 ranks #1792 of 3204 (44th percentile; typical, unremarkable volume), J2777 ranks #1036 of 2039 (49th percentile; typical, unremarkable volume), and 67028 ranks #1609 of 4255 (62th percentile; typical, unremarkable volume). By contrast, retinal imaging (92134) is a relative strength—ranked at the 95th percentile—suggesting this provider performs retinal diagnostic imaging at a level well above most peers even though drug-injection ranks are around typical national volumes.

Office and E&M activity indicates ongoing management of established patients rather than a primarily surgical referral practice: 92014 produced $34.4K (3.7%, rank #6879 of 35415, 81th percentile), 99214 produced $25.3K (2.7%, 77th percentile), and 99213 produced $23K (2.4%, 89th percentile). These volumes are described as typical or unremarkable nationally, consistent with routine follow-up visits associated with chronic retinal therapies.

Procedural breadth beyond injections and imaging is limited in revenue terms: laser photocoagulation (67210) and prophylactic laser (67145) together contribute relatively small amounts ($9.8K and $2.5K respectively), indicating lower surgical/laser throughput compared with injection and imaging services. Combined with the absence of Medicaid billing, the practice profile suggests concentration risk tied to outpatient injection reimbursement and drug pricing rather than a diversified payer or service mix.

The provider has long-standing Medicare participation: NPI enumerated (registered) 2005-08-02 (~21 years ago). This tenure implies an established presence in the market and sustained engagement with Medicare over two decades, which can matter for network relationships and referral patterns.

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	590	$690	$402.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	9,600	$30	$278.4K
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.	830	$80	$70.1K
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.	1,550	$30	$48.1K
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…	410	$80	$34.4K
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…	280	$90	$25.3K
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…	350	$70	$23K
J9035	Injection, bevacizumab, 10 mg	360	$50	$18.8K
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…	80	$120	$10.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	90	$110	$10.1K

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. New Hampshire Distribution

Eliot Foley — 1 of 19 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

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	6	10	13,440	$30	$563.5K
J0178	6	10	590	$680	$549.1K
67028	7	20	600	$90	$67K
92014	47	210	170	$80	$21.2K
99214	631	3,150	110	$80	$13.2K
J9035	3	10	150	$50	$10.6K
67210	1	10	30	$390	$9.8K
99213	207	2,900	70	$50	$6.9K
92134	5	170	60	$30	$5.2K
92004	27	180	40	$90	$5K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Androscoggin Valley Hospital, Inc.	NH	Critical Access Hospital	$0	$8.3M
Kinley Beck	NH	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Maxwell Elia	NH	Ophthalmology Physician	$2.3M	$0
Concord Ophthalmologic Associates PA	NH	Ophthalmology Physician	$0	$2.3M
Ahad Fazelat	NH	Ophthalmology Physician	$2.1M	$0
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Tahsin Khundkar	PA	Ophthalmology Physician	$1.5M	$0
Tomasz Stryjewski	MA	Ophthalmology Physician	$935.2K	$0
Jason Szelog	NH	Ophthalmology Physician	$541.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$32.6M
Carepoint Plus LLC	NH	Home Health Agency	$0	$19.2M
Home Base Collaborative Family Counseling	NH	Clinical Social Worker	$0	$18.2M
Summit New Hampshire LLC	NH	Physical Disabilities Residential Treatment Facility	$0	$11.8M
Interim Healthcare Of The Neast, LLC	NH	Home Health Agency	$0	$4.5M
Ofemz Home Healthcare Agency, LLC	NH	Home Health Agency	$0	$2.5M
Masonic Home	NH	Assisted Living Facility	$0	$2.4M
Bio-medical Applications Of Manchester, Inc.	NH	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.3M
Hanover Street Family Dental	NH	General Practice Dentistry	$0	$1.5M
Webster House	NH	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$1.4M

Eliot Foley — 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