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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Justin Brown (NPI 1548228026)

Field	Value
Entity Type	Individual
Organization	Justin Brown
Address	6035 Fairview Rd
City	Charlotte
State	NC
ZIP	28210
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 3, 2006

Payer Source	Total Paid
Medicare	$5M
Medicaid	$0

Key Findings

Medicare drives the entirety of this providers recorded public-payer activity: total Medicare revenue is $5M while there is no Medicaid billing on file, making the provider effectively single-payer (Medicare) from a public program perspective. This concentration in one public payer should be considered when comparing to multi‑payer peers or evaluating exposure to Medicare policy changes.

Revenue is highly concentrated in three procedure/drug codes: J0178 ($2.7M, 54.9%), J2777 ($1.6M, 31.6%), and 67028 ($226.8K, 4.6%), which together account for 91.1% of the providers Medicare revenue. That top-three concentration (91.1%) indicates the practices financial performance on Medicare is driven almost entirely by a small set of intravitreal therapies and the associated injection procedure.

The code mix and top revenue drivers point to a retina-focused, injection-centered ophthalmology practice. High-revenue drug codes J0178 (4K claims, $680 avg paid/claim) and J2777 (54.1K claims, $29 avg paid/claim), plus the intravitreal procedure 67028 (2.3K claims, $99 avg paid/claim), collectively suggest routine administration of intravitreal biologic injections (aflibercept and faricimab) as the core service line. Ancillary imaging (92134) and frequent E/M visits further support a chronic disease management workflow typical of retinal specialists.

For the principal infusion/injection codes the provider ranks well above typical national volumes: J0178 ranks #68 of 3204 providers nationally (98th percentile; notably above typical national volume) and J2777 ranks #90 of 2039 providers nationally (96th percentile; notably above typical national volume). The 67028 injection procedure also ranks highly at #258 of 4255 (94th percentile; notably above typical national volume). Together these ranks characterize the provider as a major national participant for intravitreal injection services.

Outpatient visit and diagnostic imaging volumes are unusually high compared with national peers, consistent with high treatment throughput. 99214 appears 1.8K claims with $163.9K (ranks #1981 of 479517 providers nationally; 100th percentile; extreme outlier) and 99213 has 1.7K claims with $118.9K (ranks #1358 of 457151 providers nationally; 100th percentile; extreme outlier); OCT imaging 92134 shows 3.6K claims with $105.2K (ranks #199 of 26868 providers nationally; 99th percentile; extreme outlier). These labels and volumes imply heavy follow-up and imaging consistent with chronic retinal disease management.

Use of steroid intravitreal implant and certain surgical procedures is modest to minimal relative to biologic injections. J7312 (dexamethasone implant) accounts for $18.3K (119 claims) and ranks #462 of 492 providers nationally (5th percentile; typical, unremarkable volume), while 67108 (retinal detachment repair) is only $9.1K (11 claims) and ranks #643 of 706 providers nationally (0th percentile; typical, unremarkable volume). This pattern suggests the practice emphasizes intravitreal drug therapy over implant-based steroid therapy or high-volume vitreoretinal surgery.

The NPI was enumerated on 2006-05-03 (approximately 20 years ago), indicating a long-tenured provider in the Medicare dataset. Long tenure combined with concentrated, high-volume injection codes and extreme outlier E/M and imaging volumes is consistent with an established retina practice with mature patient panels and steady treatment volumes.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,010	$680	$2.7M
J2777	Injection, faricimab‑svoa, 0.1 mg	54,130	$30	$1.6M
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.	2,290	$100	$226.8K
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…	1,800	$90	$163.9K
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…	1,750	$70	$118.9K
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.	3,630	$30	$105.2K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	120	$150	$18.3K
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…	120	$100	$12.5K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$830	$9.1K
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…	60	$120	$7.2K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Carolina Distribution

Justin Brown — 5 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	100	950	$690	$881K
J2777	3	70	12,990	$30	$503.7K
67028	7	120	780	$90	$80K
J7312	15	20	390	$160	$56.4K
67108	19	20	10	$960	$15.3K
99214	25	18,060	110	$80	$15.1K
92235	17	70	60	$100	$8.7K
99215	3,762	5,720	40	$110	$7.7K
92134	3	790	70	$30	$7.5K
99213	17	16,320	70	$50	$7.1K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Charlotte Eye Ear Nose & Throat Associates, P.A.	NC	Ophthalmology Physician	$0	$20.4M
John Allen	NC	Ophthalmology Physician	$3.6M	$0
Omar Punjabi	NC	Ophthalmology Physician	$2.3M	$0
Alexander Barnes	NC	Ophthalmology Physician	$2.2M	$22.5K
Ronald Milam	NC	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Duncan Berry	NC	Ophthalmology Physician	$1.3M	$0
David Browning	NC	Ophthalmology Physician	$680.9K	$0
Andrew Antoszyk	NC	Ophthalmology Physician	$559.8K	$0
Wei Huang	NC	Ophthalmology Physician	$408.4K	$0
Pedro Cervantes Fanning	NC	Ophthalmology Physician	$384.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medicine Physicians Of Mecklenburg County, PLLC	NC	Emergency Medicine Physician	$0	$43.1M
The Charlotte-mecklenburg Hospital Authority	NC	General Acute Care Hospital	$0	$20.1M
Afc Urgent Care And Family Care Of Wnc, PLLC	NC	Urgent Care Clinic/Center	$0	$9.4M
Hammock, Dmd & Lotakis, Dds Ix, PLLC	NC	Dentist	$0	$7.9M
Bevin K Malley Dds PA	NC	Pediatric Dentistry	$0	$7.5M
Southpark Surgery Center LLC	NC	Ambulatory Surgical Clinic/Center	$2.1M	$2.8M
William Bobo	NC	Radiation Oncology Physician	$865.5K	$0
Sasha Haberle	NC	MOHS-Micrographic Surgery Physician	$388.9K	$0
William Hammonds	NC	Ophthalmology Physician	$363.8K	$0
Ernest Bhend	NC	Ophthalmology Physician	$331K	$0

Justin Brown — Billing Profile & Reimbursement Data

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Justin Brown — 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