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

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

Edward Mcgill (NPI 1629033972)

Field	Value
Entity Type	Individual
Organization	Edward Mcgill
Address	10707 Pacific Streett
City	Omaha
State	NE
ZIP	68114
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 19, 2006

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider is effectively single-payer in the claims data: total Medicare revenue is $1.7M and there is no Medicaid billing on file. That concentration means Medicare drives the entirety of observed public-payer activity for this NPI.

Medicare revenue is highly concentrated in intravitreal biologics: the precomputed top-3 codes (J0178, J2777, J2778) account for 74.9% of this provider's total Medicare revenue. Those three codes individually contribute $606.7K (36.4%), $339.3K (20.4%), and $301.8K (18.1%) respectively, indicating the practice derives the bulk of revenue from anti-VEGF and related retinal injections.

The code mix and volumes indicate a medical-retina focus. High revenue and claim counts for J0178 (878 claims, $691 avg paid/claim, $606.7K) J2777 (11.7K claims, $29 avg paid/claim, $339.3K) and J2778 (1.6K claims, $183 avg paid/claim, $301.8K) point to routine, high-volume intravitreal injection services for retinal disease, while diagnostic code 92134 and injection code 67028 support an image-driven, injection-centric outpatient practice model.

Diagnostic imaging is an exceptional strength: 92134 shows 2.6K claims for $68.9K (4.1% of Medicare revenue) and is labeled an "extreme outlier, far above typical national volume." This far-above-typical retinal imaging volume is consistent with a specialty that relies heavily on OCT diagnostics to manage chronic retinal conditions.

Competitive standing on injection codes is mixed. For J0178 the provider ranks in the 56th percentile nationally (rank #1414 of 3204) and for J2777 also the 56th percentile (rank #893 of 2039), both characterized as typical, unremarkable volume, while J2778 ranks higher at the 78th percentile (rank #267 of 1208) and is stronger relative to peers, indicating a modest-to-meaningful presence among ranibizumab billers nationally.

Surgical retina procedures are present but limited: vitrectomy and retinal repair codes (67042, 67108, 67041) appear with small claim counts (17, 15, 11 claims respectively) and modest revenue ($13.9K, $12.5K, $9.1K). Percentile ranks around the mid-to-lower range indicate these are occasional surgical services rather than a primary surgical referral center.

Several evaluation and management and imaging codes are billed at above-typical rates for specialists: 92004 and 92012 are described as notably above typical national volume (96th and 95th percentiles respectively), which suggests the provider sees a high number of both new and established ophthalmology patients for comprehensive and intermediate exams in addition to injection visits. This supports a mixed ambulatory practice with substantial clinic throughput.

The NPI was enumerated on 2006-04-19 (~20 years ago), indicating a long-tenured billing relationship with Medicare. That tenure, combined with concentrated imaging and injection revenue, suggests an established retina-oriented practice with consistent Medicare activity over time.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	880	$690	$606.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	11,700	$30	$339.3K
J2778	Injection, ranibizumab, 0.1 mg	1,650	$180	$301.8K
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.	1,380	$80	$108.9K
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.	2,650	$30	$68.9K
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…	750	$80	$57.8K
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…	760	$60	$45K
J3590	Unclassified biologics	510	$70	$33K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	210	$140	$30K
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.	210	$100	$20.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Nebraska Distribution

Edward Mcgill — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	12	10	25,950	$30	$1.5M
J0178	11	20	880	$690	$722.7K
J2778	1	10	670	$180	$137.8K
67028	12	20	1,070	$80	$106.4K
J7312	1	10	210	$140	$29.9K
J3590	6	10	430	$70	$29.7K
67042	10	10	30	$1,100	$29.6K
67108	10	10	20	$1,040	$20.8K
92014	19	270	170	$70	$20K
67041	6	10	20	$990	$18.8K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joshua Priluck	NE	Ophthalmology Physician	$2.2M	$0
Retina Consultants Of The Midlands PC	NE	Ophthalmology Physician	$0	$229.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital & Medical Center	NE	Children's Hospital	$0	$89.8M
Children's Physicians	NE	Pediatrics Physician	$0	$39.4M
Nebraska Pediatric Practice, Inc	NE	Pediatrics Physician	$0	$29M
Physicians Clinic Inc	NE	Family Medicine Physician	$0	$20.5M
Nebraska Methodist Hospital	NE	General Acute Care Hospital	$0	$14.5M
Smiles 4 Kids PC	NE	General Practice Dentistry	$0	$11.5M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Nebraska Methodist Hospital	NE	Emergency Medicine Physician	$0	$5.3M
Unmc College Of Dentistry	NE	Dentist	$0	$4.8M
Stones Worth Stepping, P.C.	NE	Occupational Therapist	$0	$4.7M

Edward Mcgill — Billing Profile & Reimbursement Data

Sign up for Edward Mcgill — Billing Profile & Reimbursement Data policy alerts

Edward Mcgill — Billing Profile & Reimbursement Data

Sign up for Edward Mcgill — 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