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

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

Byron Ladd (NPI 1619086634)

Field	Value
Entity Type	Individual
Organization	Byron Ladd
Address	7301 Forest Ave
City	Richmond
State	VA
ZIP	23226
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicare	$3.8M
Medicaid	$0

Key Findings

This NPI is registered to an Ophthalmology Physician (BYRON LADD, RICHMOND, VA) whose Medicare activity is overwhelmingly focused on intravitreal drug therapy and related retinal care. The top revenue drivers are J0178 (aflibercept), J2777 (faricimab), and 67028 (isolated intravitreal injection), which together account for a concentrated service mix consistent with a retina/injection-focused outpatient practice.

Revenue is highly concentrated: the top 3 Medicare codes by revenue account for 85.9% of this provider's total Medicare revenue, indicating the practice derives most of its Medicare income from a small set of high-value retinal injection services rather than a broad mix of general ophthalmology procedures. That concentration suggests operational dependence on intravitreal therapies for financial performance.

This provider reports $3.8M in lifetime Medicare revenue and has no Medicaid billing on file, so its commercially relevant public-payer mix is effectively single-payer Medicare. The absence of Medicaid activity means analyses of payer diversification, Medicaid risk exposure, or state Medicaid contract performance are not applicable for this NPI.

J0178 stands out as the dominant single code: 3.6K claims, $688 avg paid/claim, $2.5M revenue (65.2% of this provider's Medicare revenue) and it ranks #96 of 3204 providers nationally (97th percentile; notably above typical national volume for this code). That national standing marks the provider as a high-volume aflibercept injector relative to peers, making J0178 the primary revenue and utilization driver of the practice.

J2777 shows unusually high claim volume but much lower per-claim payment: 21.3K claims, $28 avg paid/claim, $596.4K revenue (15.6% of Medicare revenue) and ranks #484 of 2039 (76th percentile; typical, unremarkable volume). The mix of very high claim count and low average paid/claim for J2777 suggests frequent administration of a lower-paid biologic product which materially contributes to total utilization but less to per-claim revenue.

Several non-drug codes are extreme outliers in utilization compared with national peers, reinforcing a high-touch retinal service profile: 92014 (1.5K claims, $134.4K revenue) ranks #590 of 35415 (98th percentile; extreme outlier), 99214 (1.3K claims, $115.6K revenue) ranks #5463 of 479517 (99th percentile; extreme outlier), and 92134 (3.3K claims, $102.8K revenue) ranks #282 of 26868 (99th percentile; extreme outlier). These elevated E/M and imaging volumes indicate substantial follow-up and diagnostic activity consistent with ongoing retinal disease management.

The practice performs occasional surgical and ancillary retinal procedures but at much lower volume—67042 (25 claims, $22.5K) and laser codes such as 67210 (35 claims, $13.8K) are present but represent a small share of revenue. This pattern—dominant injection/drug revenue with limited surgical throughput—suggests an outpatient, injection-centered business model with occasional operating-room interventions.

The provider’s enrollment date (NPI enumerated 2006-08-30 (~20 years ago)) combined with $3.8M in lifetime Medicare receipts indicates long tenure in the Medicare program with a mature, narrowly focused retinal/injection practice. Given the national rank of key codes (especially J0178) and the absence of Medicaid billing, competitive and operational assessments should concentrate on retinal drug utilization, supply/administration workflows, and Medicare payment trends rather than Medicaid market dynamics.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,620	$690	$2.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	21,300	$30	$596.4K
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.	1,990	$100	$194.7K
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…	1,530	$90	$134.4K
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…	1,310	$90	$115.6K
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.	3,320	$30	$102.8K
J2778	Injection, ranibizumab, 0.1 mg	510	$180	$91K
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…	30	$900	$22.5K
J3590	Unclassified biologics	10	$1,630	$21.2K
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…	240	$70	$16.9K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Virginia Distribution

Byron Ladd — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Virginia

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	80	1,400	$690	$1.1M
J2777	18	60	13,200	$30	$517.1K
J2778	22	40	560	$180	$171.5K
J3590	15	20	40	$2,290	$126K
67028	20	90	1,000	$90	$107.1K
67042	11	20	20	$1,130	$33.8K
92014	43	870	170	$80	$32.8K
99214	185	12,890	140	$80	$21K
J9035	46	60	170	$50	$19.9K
67210	5	10	20	$370	$14.5K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Virginia Eye Institute Inc	VA	Ambulatory Surgical Clinic/Center	$4.8M	$696.2K
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Ryan Deasy	VA	Ophthalmology Physician	$3.3M	$0
Jeffrey Slott	VA	Ophthalmology Physician	$2.6M	$0
Philip Cofoid	TX	Ophthalmology Physician	$510.3K	$0
Seth Krawitz	VA	Ophthalmology Physician	$484K	$0
Grover Robinson	VA	Ophthalmology Physician	$468.5K	$0
Robert Knape	VA	Ophthalmology Physician	$467.9K	$0
Francis Larosa	VA	Ophthalmology Physician	$432.1K	$0
Theodore Wu	VA	Ophthalmology Physician	$428.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Home Care Delivered, Inc.	VA	Durable Medical Equipment & Medical Supplies	$0	$309.5M
Bon Secours St. Mary's Hospital Of Richmond LLC	VA	General Acute Care Hospital	$0	$83.1M
Cep America, LLC	VA	Emergency Medicine Physician	$0	$9.7M
Richmond Emergency Physicians, Inc.	VA	Specialist	$0	$7.9M
At Home Care Staffing-richmond	VA	Home Health Agency	$0	$5.6M
St. Mary's Ambulatory Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.6M	$0
Cataract And Refractive Surgery Center, LLC	VA	Ambulatory Surgical Clinic/Center	$1.1M	$461.6K
Darryn Appleton	VA	Interventional Cardiology Physician	$590.5K	$0
Jed Vanichkachorn	VA	Orthopaedic Surgery of the Spine Physician	$557.2K	$0
Christopher Thomas	VA	Cardiovascular Disease Physician	$528.7K	$0

Byron Ladd — 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