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

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

Paul Drayna (NPI 1619137072)

Field	Value
Entity Type	Individual
Organization	Paul Drayna
Address	6525 France Ave S Ste 115
City	Edina
State	MN
ZIP	55435
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 10, 2008

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

This provider's lifetime Medicare revenue is $1M and there is no Medicaid billing on file, so the public data show an effectively single‑payer footprint concentrated in Medicare rather than a mixed Medicare/Medicaid practice. Analysts should treat Medicare as the operating dataset for payer-mix and volume conclusions.

Revenue is highly concentrated: the precomputed top three Medicare codes account for 87.3% of the provider's Medicare revenue, with J2777 (44.6%), J0178 (35.9%), and 92014 (6.9%) driving the business. That concentration signals material dependence on a small set of retina-related drug and exam codes for overall revenue.

The code mix and descriptions point to a retina-centered, injection-driven practice: J2777 (faricimab‑svoa, 0.1 mg) shows 15.5K claims, $29 avg paid/claim, $448.9K revenue, and J0178 (aflibercept, 1 mg) shows 528 claims, $684 avg paid/claim, $361.2K revenue, together representing the vast majority of dollars. High volumes of injection codes and supporting procedure codes (e.g., 67028 — 709 claims, $89 avg, $63.1K revenue) are consistent with frequent in‑office intravitreal therapy and drug‑unit billing rather than a surgery‑heavy practice.

Competitive standing by code is mixed: J2777 ranks #689 of 2039 nationally (66th percentile; typical, unremarkable volume for this code), indicating a modest national presence for faricimab administrations, while J0178 ranks #1874 of 3204 (41th percentile; typical, unremarkable volume for this code), showing below‑median rank despite large revenue share due to higher avg paid/claim. These percentile labels (all reported as "typical, unremarkable volume" for the major drug codes) imply the provider is not an extreme outlier but is a meaningful, Local/niche contributor to intravitreal biologic volumes.

Imaging and procedure utilization supports active retinal management: 92134 (retinal OCT) appears 960 claims, $32 avg paid/claim, $30.7K revenue and ranks #2238 of 26868 (92th percentile; typical, unremarkable volume for this code), while 67028 (injection procedure) contributes $63.1K (6.3% of Medicare revenue). The relatively high percentile on 92134 suggests above‑typical use of diagnostic retinal imaging relative to peers, consistent with monitoring biologic therapy response.

Office visit coding shows a focus on established patient management: 92014 appears 697 claims, $100 avg paid/claim, $69.7K revenue and ranks #3335 of 35415 (91th percentile; typical, unremarkable volume for this code), and 99204 (new patient, moderate complexity) contributes $13.9K and ranks #19797 of 227068 (91th percentile; typical, unremarkable volume for this code). This pattern indicates routine longitudinal care for established patients with occasional new moderate‑decision visits, aligning with a subspecialty follow‑up model.

There is limited use of lower‑cost or alternative injectable agents and ancillary imaging: J9035 (bevacizumab) totals 146 claims, $57 avg paid/claim, $8.3K revenue and ranks #835 of 1852 (55th percentile; typical, unremarkable volume for this code), while fundus photography 92250 is modest at 60 claims, $28 avg paid/claim, $1.7K revenue. These data suggest the provider predominantly bills for branded/standard retina biologics and OCT monitoring rather than relying heavily on off‑label bevacizumab or fundus photography revenue lines.

The provider's NPI was enumerated on 2008-06-10 (~18 years ago), indicating an established clinical presence; combined with $1M in Medicare revenue largely coming from biologic injection codes, the historical tenure and revenue profile are consistent with a mature retina practice whose Medicare economics are driven by drug administrations and routine retinal imaging/office follow‑up.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	15,480	$30	$448.9K
J0178	Injection, aflibercept, 1 mg	530	$680	$361.2K
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…	700	$100	$69.7K
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.	710	$90	$63.1K
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.	960	$30	$30.7K
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
J9035	Injection, bevacizumab, 10 mg	150	$60	$8.3K
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…	30	$110	$3.2K
67145	The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…	10	$190	$2.3K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	190	$10	$2.3K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Minnesota Distribution

Paul Drayna — 3 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Minnesota

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	24	40	580	$690	$743.4K
J2777	6	20	6,120	$30	$411.1K
67028	25	80	420	$90	$64.8K
J9035	30	40	220	$50	$16.9K
92014	10	830	100	$80	$11.9K
92235	23	40	40	$110	$6.9K
92134	21	580	40	$30	$4.8K
99204	64	3,340	20	$110	$3.6K
92202	2	10	190	$10	$3.5K
67145	7	10	20	$190	$3.1K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Nicollet Clinic	MN	Family Medicine Physician	$0	$210M
Samuel Jurca	ID	Family Medicine Physician	$24M	$0
Park Nicollet Methodist Hospital	MN	General Acute Care Hospital	$0	$17.2M
Tria Orthopaedic Center LLC	MN	Orthopaedic Surgery Physician	$0	$7.3M
Richard Lane	TX	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Thomas Oei	TX	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Ronald Drengler	TX	Medical Oncology Physician	$3.8M	$0
Jose Martinez	TX	Ophthalmology Physician	$3.8M	$0
Jeremiah Brown	TX	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Sarah Holy	TX	Retina Specialist (Ophthalmology) Physician	$3.5M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Physicians Professional Association	MN	Emergency Medicine Physician	$0	$72.7M
Vitreoretinal Surgery PLLC	MN	Ophthalmology Physician	$0	$27.8M
Fairview Health Services	MN	General Acute Care Hospital	$0	$17.2M
Professional Resource Network - Prn - Corporation	MN	Home Health Agency	$0	$12.4M
Virtual Radiologic Professionals, LLC	MN	Diagnostic Radiology Physician	$0	$11.3M
Mental Health Systems PC	MN	Psychologist	$0	$11M
Premier Obgyn Of Minnesota PLLC	MN	Obstetrics & Gynecology Physician	$0	$7M
Noran Neurological Clinic P.A.	MN	Specialist	$0	$6M
Nura Surgical Center LLC	MN	Ambulatory Surgical Clinic/Center	$5.3M	$581.7K
Southdale Pediatric Associates, Ltd	MN	Multi-Specialty Clinic/Center	$0	$5.3M

Paul Drayna — 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