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

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

Thomas Hull (NPI 1578535811)

Field	Value
Entity Type	Individual
Organization	Thomas Hull
Address	650 Graham Rd
City	Cuyahoga Falls
State	OH
ZIP	44221
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	February 2, 2006

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This provider reports $2.6M in total Medicare revenue with no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in scale. The top 3 Medicare codes by revenue account for 81.0% of the provider's Medicare receipts, indicating extremely high revenue concentration in a very small number of services.

Revenue is heavily concentrated in a single drug code: J0178 generates $1.9M and represents 71.6% of the provider's Medicare revenue (2.7K claims at $687 avg paid/claim). That dominant share is consistent with a retina practice structured around repeated intravitreal anti‑VEGF administration as the primary revenue driver.

Service‑line mix and operational model are consistent with a procedure‑centric retina practice: high volumes for intravitreal injection procedure 67028 (1.4K claims, $87 avg paid/claim, $122.1K revenue) combined with very high imaging volumes for 92134 (2.5K claims, $27 avg paid/claim, $67.9K revenue). These patterns point to routine injection clinics supported by frequent retinal imaging to guide treatment.

Competitive standing is uneven across codes: for the top drug J0178 the provider ranks #233 of 3204 (93th percentile; notably above typical national volume), and for retinal imaging 92134 the provider ranks #658 of 26868 (98th percentile; extreme outlier, far above typical national volume). By contrast, use of J2777 (faricimab) is unremarkable (rank #1638 of 2039; 19th percentile), indicating leadership in some modalities but modest participation in others.

The practice also bills meaningful amounts for other intravitreal agents and related drug codes: J2781 (pegcetacoplan) produced $115.2K (960 claims, $120 avg paid/claim) and ranks #126 of 490 (74th percentile), while J3490 (unclassified drugs) accounts for $116.7K with a high $1768 avg paid/claim and sits near the median peer range (55th percentile). This suggests the clinic uses multiple specialty intravitreal therapies and occasional unclassified biologic/drug billing.

Although injections and imaging dominate revenue, the provider performs office exams and some higher‑level visits and surgeries: 92014 produced $84.9K (1K claims, $84 avg paid/claim; 95th percentile, notably above typical), 99214 contributed $16.6K, and vitrectomy codes 67036 and 67042 appear with modest volume and revenue. This mix indicates a primarily outpatient, procedure‑oriented retina practice with periodic surgical cases and ongoing E/M follow‑up.

The NPI was enumerated on 2006-02-02 (~20 years ago), signaling a long tenure in the market and likely an established referral network supporting recurring injection and imaging volumes. Longevity combined with the high volumes for J0178 and 92134 is consistent with an entrenched retina specialist practice rather than a new entrant.

High concentration in one drug code creates notable business risk: with J0178 alone at $1.9M (71.6% of Medicare revenue) and the top three codes totaling 81.0% of Medicare revenue, any shifts in utilization, formulary placement, or reimbursement for aflibercept could materially impact practice revenue. Analysts should treat this provider as highly dependent on anti‑VEGF injection revenue and monitor prescription mix and payer policy changes accordingly.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,730	$690	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	4,260	$30	$123.5K
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.	1,400	$90	$122.1K
J3490	Unclassified drugs	70	$1,770	$116.7K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	960	$120	$115.2K
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…	1,010	$80	$84.9K
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.	2,510	$30	$67.9K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	320	$60	$18.3K
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…	200	$90	$16.6K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$830	$16.5K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Thomas Hull — 4 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	100	840	$680	$729K
J2777	52	70	9,480	$30	$353.3K
J2781	10	20	1,040	$120	$152.4K
J3490	37	50	100	$560	$73.1K
67028	30	150	470	$90	$64K
J3590	85	100	200	$100	$30K
67042	28	50	20	$960	$29.7K
67036	10	50	20	$870	$21K
92014	14	1,390	100	$70	$12.9K
99214	5,448	20,010	100	$70	$11.7K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
David Miller	OH	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Coney	OH	Retina Specialist (Ophthalmology) Physician	$3.2M	$140
Arnold Nothnagel	OH	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Shawn Lewis	OH	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Michael Novak	OH	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Jerome Schartman	OH	Retina Specialist (Ophthalmology) Physician	$2.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Home Care Ltd	OH	Home Health Agency	$0	$39.8M
Hometown Care LLC	OH	Home Health Agency	$0	$19.9M
The Light Center Recovery LLC	OH	Community/Behavioral Health Agency	$0	$6.9M
Thomas Tsai	OH	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
City Of Cuyahoga Falls	OH	Ambulance	$277.8K	$842.8K
Davis Eye Center, Inc	OH	Ambulatory Surgical Clinic/Center	$870.3K	$14.1K
Charles Davis	OH	Ophthalmology Physician	$355.7K	$0
Jonelle Mcdonnell	OH	Dermatology Physician	$206.7K	$0
Datinder Deo	OH	Nephrology Physician	$188.6K	$0
Rajat Maheshwari	OH	Nephrology Physician	$188K	$0

Thomas Hull — Billing Profile & Reimbursement Data

Sign up for Thomas Hull — Billing Profile & Reimbursement Data policy alerts

Thomas Hull — Billing Profile & Reimbursement Data

Sign up for Thomas Hull — Billing Profile & Reimbursement Data policy alerts

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