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    OpenPayerNPI Medicare & MedicaidRobert Brownlow
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    Robert Brownlow — Billing Profile & Reimbursement Data

    NPI 1568425403 · Wilmington, NC · Ophthalmology Physician

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    Robert Brownlow is a ophthalmology physician provider located in Wilmington, North Carolina. This profile covers 16 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
    OrganizationRobert Brownlow
    Address1104 Medical Center Dr
    CityWilmington
    StateNC
    ZIP28401
    TaxonomyOphthalmology Physician
    NPI EnumeratedApril 11, 2006

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

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer in the datasets available: total Medicare revenue is $2.7M while Medicaid billing is listed as none (no Medicaid billing on file). The NPI was enumerated on 2006-04-11 (~20 years ago), indicating long-standing participation in Medicare and an established billing history to analyze for referral and capacity trends.

    Revenue is highly concentrated in intravitreal drug administration: the precomputed top-3 Medicare codes account for 76.9% of this provider's total Medicare revenue. The three top drivers are J0178 ($1.3M, 47.0%), J2777 ($577.7K, 21.7%), and J2778 ($219.4K, 8.2%), which together dominate the Medicare revenue profile.

    The code mix and dominant CPT/HCPCS entries indicate an interventional retina practice focused on intravitreal injections and pharmacologic management of retinal disease. High counts and revenues for J0178, J2777, and J2778 alongside procedure 67028 (1.8K claims, $153.6K, 5.8%) show routine administration of anti-VEGF and related retinal injections as the core service line.

    On competitive standing for the top drugs, this provider performs at modest-to-typical national volumes: J0178 ranks #621 of 3204 providers nationally (81th percentile; typical, unremarkable volume), J2777 ranks #535 of 2039 (74th percentile; typical, unremarkable volume), and J2778 ranks #363 of 1208 (70th percentile; typical, unremarkable volume). These rankings suggest solid local throughput without being a national-volume outlier for these drug administrations.

    Diagnostic imaging is an outlier relative to national peers: 92134 shows 2.8K claims and $78.2K in revenue and is flagged as an extreme outlier at the 98th percentile (extreme outlier, far above typical national volume). This unusually high OCT imaging volume implies the practice provides intensive retinal imaging and monitoring, which likely supports its injection-driven treatment pathway and referral capture.

    Evaluation & management coding shows concentrated high activity for both new and established visits, with 99214 at 570 claims ($49.6K, 1.9%; 92th percentile; typical) and 99204 at 294 claims ($33.8K, 1.3%; 99th percentile; extreme outlier). The elevated 99204 level in particular suggests above-typical new patient evaluation flow, consistent with a referral-focused specialty clinic onboarding new retinal patients.

    The provider uses a range of specialty therapeutics and implants in addition to anti-VEGF agents: J0179 (brolucizumab) accounts for $165.2K (6.2%) and ranks #15 of 64 providers (78th percentile; typical), while J7312 (dexamethasone implant) contributes $65.5K (2.5%) and ranks in the 84th percentile. This mix indicates both adoption of newer agents and use of sustained-release implants as part of the retinal treatment portfolio.

    Taken together, the pattern—heavy Medicare revenue concentration in a few injection codes, extreme outlier status for OCT imaging (92134), and high new-patient visit coding—paints a profile of a long-tenured, procedure-focused ophthalmology practice with high local throughput. For payers and network planners this suggests the provider is a reliable source of retina procedural volume and imaging services but is not a dominant national supplier of anti-VEGF administrations.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,820$690$1.3M
    J2777Injection, faricimab‑svoa, 0.1 mg19,920$30$577.7K
    J2778Injection, ranibizumab, 0.1 mg1,210$180$219.4K
    J0179Injection, brolucizumab-dbll, 1 mg670$250$165.2K
    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.1,830$80$153.6K
    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.2,790$30$78.2K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg430$150$65.5K
    99214The 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…570$90$49.6K
    99204The 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…290$120$33.8K
    99213The 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…490$60$27K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017828100950$690$881K
    J2777287012,990$30$503.7K
    J27781350620$180$202.2K
    J0179110550$250$108.2K
    6702814120780$90$80K
    J7312620390$160$56.4K
    992141,19218,060110$80$15.1K
    J90351790140$50$13.4K
    92235157060$100$8.7K
    921341379070$30$7.5K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Leon CharkoudianNCOphthalmology Physician$2.9M$0
    Kevin BrayNCRetina Specialist (Ophthalmology) Physician$2.6M$0
    Robert WannNCOphthalmology Physician$1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Novant Health New Hanover Regional Medical Center LLCNCGeneral Acute Care Hospital$0$57.5M
    New Hanover Regional Medical CenterNCGeneral Acute Care Hospital$0$23.7M
    Access Family ServicesNCCommunity/Behavioral Health Agency$0$15.3M
    Care Providers Of WilmingtonNCHome Health Agency$0$10M
    Wilmington Health PLLCNCPediatrics Physician$0$10M
    Ecep Ii PANCEmergency Medicine Physician$0$9.7M
    Novant Health New Hanover Regional Medical Center LLCNCAmbulance$6.1M$2.7M
    Coastal Horizons Center Inc.NCCommunity/Behavioral Health Agency$0$8.7M
    New Hanover Community Health Center IncorporatedNCFederally Qualified Health Center (FQHC)$0$8.5M
    Kidzcare Pediatrics, PCNCPediatrics Physician$0$8.2M

    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. North Carolina Distribution
    Robert Brownlow — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina