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

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

Stuart Ball (NPI 1528479987)

Field	Value
Entity Type	Individual
Organization	Stuart Ball
Address	2880 Dauphin St
City	Mobile
State	AL
ZIP	36606
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 19, 2014

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file, so the practice is effectively single-payer in the available dataset; the NPI was enumerated 2014-05-19 (~12 years ago), indicating an established outpatient practice footprint over roughly a decade.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top 3 Medicare codes account for 85.8% of this provider’s Medicare revenue, driven primarily by J0178 (69.1%), J2777 (9.6%), and 67028 (7.1%). This concentration indicates that a majority of Medicare income is tied to a narrow set of retina-related services.

Clinical mix and service line implication: the code set (J0178, J2777, J9035, 67028, 92134) points to an ophthalmology practice focused on medical retina care—frequent intravitreal anti-VEGF injections and retinal imaging—rather than being a high-volume primary care or broad multispecialty practice. Office E/M codes (99213, 99214) appear but contribute much smaller shares of revenue relative to injectable drugs.

Competitive standing for the top drug: J0178 (Injection, aflibercept) accounts for $913.8K revenue and the provider ranks #956 of 3204 nationally (70th percentile), characterized in the data as typical, unremarkable volume; this suggests the provider is a modest but not dominant national participant for aflibercept administration.

Diagnostic and follow-up activity is relatively strong: 92134 (retinal imaging) is listed as 96th percentile and “notably above typical national volume,” and 99213 (established office E/M) is at the 95th percentile and also described as “notably above typical” — together these indicate above-average imaging and follow-up management relative to peers.

Other drug and procedure-level competitive notes: J2777 (faricimab) generates $126.4K and ranks #1550 of 2039 (24th percentile), labeled typical but low relative placement, while J9035 (bevacizumab) ranks #228 of 1852 (88th percentile) indicating relatively higher national activity for bevacizumab despite its smaller revenue share. These mixed ranks show selective use of different anti-VEGF agents rather than uniformly high volume across all injectables.

Surgical retina activity is limited: vitrectomy and related surgical codes such as 67041 ($14.1K revenue, rank #225 of 461, 47th percentile) and 67036 ($6.4K revenue, rank #708 of 832, 7th percentile) appear at low claim counts and mixed percentiles, implying occasional surgical cases but not a high-volume surgical retina center.

Operational implication of payer mix and code concentration: with $1.3M Medicare revenue, no Medicaid billing on file, and 85.8% of Medicare revenue concentrated in the top three codes, the practice’s financial profile is highly dependent on Medicare-funded ophthalmic drug and injection services; this creates sensitivity to utilization patterns and Medicare reimbursement for those specific injection and imaging codes.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,330	$690	$913.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,860	$30	$126.4K
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.	1,130	$80	$93.4K
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.	1,950	$30	$54.5K
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…	530	$60	$32K
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…	390	$80	$31.3K
J9035	Injection, bevacizumab, 10 mg	560	$50	$29.3K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$830	$14.1K
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…	120	$110	$13.4K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	10	$530	$6.4K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Stuart Ball — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	40	920	$690	$706.2K
J2777	18	20	7,140	$30	$267.9K
67028	19	40	990	$90	$82.5K
J9035	14	40	410	$50	$24.5K
67041	5	10	20	$950	$18K
99214	1,224	7,330	120	$80	$16.8K
67036	13	20	20	$690	$12.4K
99213	298	6,470	80	$50	$7.9K
92134	21	410	50	$30	$6.4K
99204	207	3,750	30	$100	$4.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Premier Health Management, Inc.	AL	Ophthalmology Physician	$0	$3M
Mark Douglas	AL	Ophthalmology Physician	$2.1M	$0
Henry Semple	AL	Ophthalmology Physician	$2M	$0
Mark Gacek	AL	Otolaryngology Physician	$244.7K	$0
Curtis Graf	AL	Ophthalmology Physician	$242.9K	$0
Ryan Burton	AL	Ophthalmology Physician	$240.4K	$0
Joseph Turner	AL	Ophthalmology Physician	$239.7K	$0
Jay Brown	AL	Ophthalmology Physician	$211.9K	$0
Charles Salisbury	AL	Ophthalmology Physician	$199.6K	$0
Charles Mosteller	AL	Ophthalmology Physician	$197.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mobile Bay Dental, LLC	AL	General Practice Dentistry	$0	$3.6M
Scott Freeman	AL	MOHS-Micrographic Surgery Physician	$2.9M	$0
Lifeguard Ambulance Service LLC	AL	Land Ambulance	$414.6K	$2.2M
Rehab Medical, LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$1.9M
Mobile Bay Vision, LLC	AL	Optometrist	$0	$1.8M
Surgicare Of Mobile Ltd	AL	Ambulatory Surgical Clinic/Center	$1.5M	$101.9K
Sleep Management, L.L.C.	AL	Oxygen Equipment & Supplies (DME)	$0	$1.5M
Odyssey Healthcare Operating B, LP	AL	Community Based Hospice Care Agency	$0	$1.4M
Lincare Inc.	AL	Oxygen Equipment & Supplies (DME)	$0	$1.4M
Vital Smiles Alabama PC	AL	Health Maintenance Organization	$0	$1.3M

Stuart Ball — 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