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

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

Jason Halverson (NPI 1619921236)

Field	Value
Entity Type	Individual
Organization	Jason Halverson
Address	261 Canyon Crest Dr Ste 100
City	Twin Falls
State	ID
ZIP	83301
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicare	$553.9K
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer Medicare: lifetime Medicare revenue is $553.9K and there is no Medicaid billing on file, indicating the provider’s public‑program mix is concentrated in Medicare rather than a split Medicare/Medicaid practice. Analysts should treat this profile as Medicare‑centric when benchmarking payer mix or access implications.

Revenue is heavily concentrated in a very small set of services — the top 3 Medicare codes account for 78.3% of the provider’s total Medicare revenue. Those top drivers are J0178 (440 claims, $679 avg paid/claim, $298.8K revenue; 54.0%), 92014 (1.1K claims, $77 avg paid/claim, $84.4K revenue; 15.2%), and 66984 (127 claims, $397 avg paid/claim, $50.4K revenue; 9.1%), so a few high‑value services dominate income.

The code mix points to a combined medical‑retina and cataract surgical practice. J0178 (aflibercept) and 67028 (431 claims, $79 avg paid/claim, $34K revenue; 6.1%) show substantial intravitreal therapy activity, while 66984 (cataract extraction with IOL) and 66821 (YAG capsulotomy; 73 claims, $276 avg paid/claim, $20.1K revenue; 3.6%) indicate ongoing cataract surgical services rather than a strictly office‑based refraction practice. This mix suggests routine in‑office injections plus operative cataract care.

Competitive standing is mixed across service lines: 92014 (comprehensive established visit) ranks #1346 of 35415 providers nationally (96th percentile; notably above typical national volume), indicating a high volume of established medical ophthalmology visits, while J0178 ranks #2040 of 3204 (36th percentile; typical, unremarkable volume) so the provider is not a nationally dominant anti‑VEGF injector despite J0178 driving a majority of revenue. Cataract surgery (66984) sits near the middle of national peers (#7089 of 15965, 55th percentile; typical, unremarkable volume), consistent with a stable but not high‑volume surgical practice.

Diagnostic and ancillary imaging is a meaningful activity area: 92134 shows 731 claims, $27 avg paid/claim, $19.7K revenue (3.6%) and ranks #2687 of 26868 providers nationally (90th percentile; typical, unremarkable volume). The combination of high OCT usage with frequent injection codes supports an operational pattern of monitoring and treating retinal disease rather than primarily refractive or urgent‑care work.

Several mid‑tier codes reinforce an integrated care pattern rather than narrow specialization: 92012 (266 claims, $58 avg paid/claim, $15.4K revenue; 2.8%) and 92004 (124 claims, $80 avg paid/claim, $9.9K revenue; 1.8%) show both established and new patient comprehensive evaluations, while J7999 (139 claims, $73 avg paid/claim, $10.1K revenue; 1.8%) indicates some compounded drug use. Together these codes suggest the provider balances procedure, drug therapy, and office evaluation workflows.

Operational tenure is long‑standing: the NPI was enumerated on 2006-05-19 (~20 years ago), which points to an established practice footprint in Twin Falls, ID. Given that longevity plus the Medicare concentration and code mix, the provider appears to be a stable local ophthalmology practitioner with a focus on medical retina management and routine cataract care.

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	440	$680	$298.8K
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…	1,100	$80	$84.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	130	$400	$50.4K
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.	430	$80	$34K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$280	$20.1K
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.	730	$30	$19.7K
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…	270	$60	$15.4K
J7999	Compounded drug, not otherwise classified	140	$70	$10.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	120	$80	$9.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	90	$40	$3.9K

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. Idaho Distribution

Jason Halverson — 1 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	17	20	670	$690	$541.7K
66984	45	150	40	$520	$76K
67028	17	30	470	$90	$66.6K
J7999	14	20	200	$70	$18.9K
66821	20	60	60	$200	$18.3K
92014	3	230	120	$70	$15.5K
92012	18	70	100	$60	$10.2K
92134	16	190	60	$30	$5.9K
92136	32	50	170	$20	$5.1K
92004	17	180	30	$80	$4.4K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Welch	ID	Ophthalmology Physician	$1.1M	$0
Michael Taylor	ID	Ophthalmology Physician	$946.5K	$0
Evan Allan	OK	Ophthalmology Physician	$602.3K	$0
James Coombs	ID	Ophthalmology Physician	$269.8K	$0
Kyle Klingler	ID	Ophthalmology Physician	$253.2K	$0
Jennifer Olbum	ND	Ophthalmology Physician	$164.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestyle Direct LLC.	ID	Home Delivered Meals	$0	$65.4M
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
Primary Therapy Source, LLC	ID	Physical Therapist	$0	$11.7M
Wright Physical Therapy Limited Partnership	ID	Physical Therapist	$0	$8.8M
Smiles 4 Kids, LLC	ID	Pediatric Dentistry	$0	$8.7M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$8.1M
St. Luke's Magic Valley Regional Medical Center, Ltd.	ID	General Acute Care Hospital	$0	$7.9M
Twin Falls School District #411	ID	Local Education Agency (LEA)	$0	$6.6M
Sunshine Therapy LLC	ID	Behavior Analyst	$0	$5.7M
Magic Valley Paramedics L L C	ID	Land Ambulance	$976.6K	$4.6M

Jason Halverson — 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