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

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

Richard Hamilton (NPI 1568412823)

Field	Value
Entity Type	Individual
Organization	Richard Hamilton
Address	1910 Lakeland Hills Blvd
City	Lakeland
State	FL
ZIP	33805
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 10, 2006

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

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	1,210	$690	$835.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,200	$30	$208.8K
J3490	Unclassified drugs	100	$1,720	$168.4K
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.	1,030	$90	$94.7K
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…	730	$90	$68.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	500	$120	$59.6K
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.	1,570	$30	$45.6K
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…	430	$60	$25.7K
J7999	Compounded drug, not otherwise classified	300	$60	$18.6K
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	$120	$13.9K

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. Florida Distribution

Richard Hamilton — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	106	250	800	$690	$817.6K
J2777	122	170	12,810	$30	$549.2K
J2781	23	50	500	$120	$102K
67028	120	300	710	$90	$91.1K
J3490	65	180	70	$280	$87.5K
99214	3,383	32,760	140	$90	$25K
J7999	56	190	130	$70	$16.4K
99213	3,660	30,010	80	$60	$12K
92235	63	190	50	$100	$12K
92134	125	1,610	110	$30	$11.9K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Kiernan	FL	Ophthalmology Physician	$2.7M	$572.1K
John Randolph	FL	Ophthalmology Physician	$3M	$0
Adam Berger	FL	Ophthalmology Physician	$2.7M	$0
Suk Moon	FL	Ophthalmology Physician	$2.2M	$0
Logan Christensen	FL	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Hershel Patel	FL	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
David Misch	FL	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Michael Tolentino	FL	Retina Specialist (Ophthalmology) Physician	$312.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Regional Medical Center, Inc.	FL	General Acute Care Hospital	$0	$62.1M
Osprey Emergency Physicians LLC	FL	Emergency Medicine Physician	$0	$14.6M
Lakeland Regional Health Systems, Inc.	FL	Multi-Specialty Clinic/Center	$0	$12.1M
Good Shepherd Hospice, Inc.	FL	Community Based Hospice Care Agency	$0	$10.3M
Bio-medical Applications Of Florida, Inc.	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.6M
Total Renal Care Inc	FL	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9.1M
Watson Clinic LLP	FL	Clinical Medical Laboratory	$3.4M	$2.7K
Leonard Gitter	FL	Medical Oncology Physician	$2.5M	$0
Shalini Mulaparthi	FL	Medical Oncology Physician	$2.2M	$0
David Graham	FL	Radiation Oncology Physician	$1.7M	$0

Richard Hamilton — Billing Profile & Reimbursement Data

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Richard Hamilton — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References