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    OpenPayerNPI Medicare & MedicaidJeffrey Shere
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    Jeffrey Shere — Billing Profile & Reimbursement Data

    NPI 1629049481 · Green Bay, WI · Retina Specialist (Ophthalmology) Physician

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    Jeffrey Shere is a retina specialist (ophthalmology) physician provider located in Green Bay, Wisconsin. This profile covers 18 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationJeffrey Shere
    Address2253 W Mason St
    CityGreen Bay
    StateWI
    ZIP54303
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJanuary 30, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider’s billing footprint is effectively single‑payer Medicare: lifetime Medicare revenue is $1.5M and there is no Medicaid billing on file. The provider’s NPI was enumerated 2006-01-30 (~20 years ago), indicating a long-tenured practice likely with an established referral base and Medicare-centric patient panel.

    Revenue is highly concentrated in a small number of procedural/drug codes: the precomputed top three Medicare codes account for 83.6% of this provider’s total Medicare revenue. The top three are J0178 ($665.9K revenue, 45.4% of Medicare revenue; 988 claims, $674 avg paid/claim), J2777 ($464.6K revenue, 31.7% of Medicare revenue; 16K claims, $29 avg paid/claim), and 67028 ($95.7K revenue, 6.5% of Medicare revenue; 1K claims, $92 avg paid/claim).

    The overall code mix and the specific high-revenue items point to a retina-focused practice model centered on intravitreal biologic therapy and associated diagnostic imaging. High-volume drug administration codes (J0178, J2777) alongside retinal imaging (92134) and intravitreal injection procedure 67028 indicate routine, office-based injection therapy as the core service line, with some capacity for more advanced retinal procedures.

    Market positioning on the provider’s primary drug codes is modest rather than dominant nationally: J0178 ranks #1297 of 3204 providers (60th percentile; typical, unremarkable volume), J2777 ranks #669 of 2039 providers (67th percentile; typical, unremarkable volume), and 67028 ranks #1332 of 4255 providers (69th percentile; typical, unremarkable volume). These percentiles suggest steady, typical participation in intravitreal drug administration without being a top national outlier.

    Imaging utilization is a relative strength: 92134 (OCT retina imaging) appears at 1.3K claims for $38.5K revenue (2.6% of Medicare revenue) and ranks #1712 of 26868 providers (94th percentile; notably above typical national volume). The elevated OCT ranking, together with 92014 activity (803 claims, $71.5K; #2566 of 35415, 93th percentile; typical, unremarkable volume), suggests active diagnostic monitoring that supports ongoing injection management.

    There is measurable but limited surgical retina activity: vitrectomy/ILM procedures such as 67042 show 42 claims and $34.1K revenue (2.3% of Medicare revenue) with a national rank of #142 of 1087 providers (86th percentile; typical, unremarkable volume), and 67036 shows 17 claims and $10.4K revenue (0.7% of Medicare revenue; #450 of 832, 40th percentile; typical, unremarkable volume). These entries indicate capability to perform operative retinal interventions, but surgical volume is a small share of overall revenue compared with injection therapy.

    The provider’s drug mix is heavily weighted toward two high-revenue biologic agents: J0178 (aflibercept) and J2777 (faricimab) are the largest single-code contributors at $665.9K (45.4%) and $464.6K (31.7%), respectively. Those two codes function as the principal revenue drivers for the practice, so operational or reimbursement changes affecting intravitreal biologics could materially impact revenue.

    From a payer-risk and strategic perspective, the absence of Medicaid billing means the practice has limited Medicaid exposure and is concentrated on Medicare reimbursement dynamics. Combined with the long NPI tenure (~20 years) and the concentrated revenue mix (top three codes = 83.6%), this profile points to an established, Medicare-focused retina specialist with exposure to biologic drug utilization and diagnostic imaging trends rather than broad multisource payer diversification.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    18 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg990$670$665.9K
    J2777Injection, faricimab‑svoa, 0.1 mg16,020$30$464.6K
    67028The 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.1,040$90$95.7K
    92014An 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…800$90$71.5K
    92134The 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.1,330$30$38.5K
    67042In 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…40$810$34.1K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg190$160$29.5K
    J9035Injection, bevacizumab, 10 mg430$50$22.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.110$100$10.8K
    67036The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.20$610$10.4K

    Showing 1–10 of 18

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    18 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781460440$690$488.1K
    J27774307,290$30$332K
    66984308310350$50$66.4K
    6702813110310$80$43.7K
    J7312210210$160$33.6K
    6704232020$870$20.8K
    6703651020$850$15.2K
    J90351770110$50$14.5K
    920149720120$70$12.9K
    992147,7219,80080$70$9.2K

    Showing 1–10 of 18

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Baycare Clinic LLPWIEmergency Medicine Physician$0$3.6M
    Wei-chuan WangWIRetina Specialist (Ophthalmology) Physician$1.3M$0
    Jordan TomanWIDiagnostic Radiology Physician$67.3K$261.7K
    Kevin WienkersWIOphthalmology Physician$231.9K$0
    Chad ZehmsWIOrthopaedic Surgery Physician$218.5K$0
    Ryan ClarkWIInterventional Pain Medicine Physician$213.2K$0
    Alexander FosterWIOphthalmology Physician$181.2K$0
    Joseph BergmannWIGlaucoma Specialist (Ophthalmology) Physician$178.2K$0
    Awais SiddiqueWIVascular & Interventional Radiology Physician$175.9K$0
    Kirk DimitrisWIOrthopaedic Surgery Physician$172K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Quality Addiction Management IncWIMethadone Clinic$1.2M$66.8M
    Brown County Oral Health Partnership, Inc.WIPublic Health or Welfare Agency$0$26.6M
    Familia Dental West Green BayWIDental Clinic/Center$0$15M
    St Mary's Hospital Medical Center Of Green Bay Inc.-hospital SistersWIGeneral Acute Care Hospital$0$12.8M
    Green Bay Area Public School DistrictWILocal Education Agency (LEA)$0$6.2M
    Aspiro, Inc.WIDevelopmentally Disabled Services Day Training Agency$0$4.9M
    N.e.w. Community Clinic, LtdWIFederally Qualified Health Center (FQHC)$0$4.7M
    Kismet Advocacy LLCWIIn Home Supportive Care Agency$0$3.8M
    Power For Change, LLCWIMental Health Clinic/Center (Including Community Mental Health Center)$0$2.7M
    Family Services Of Northeast WiWIMental Health Clinic/Center (Including Community Mental Health Center)$0$1.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Wisconsin Distribution
    Jeffrey Shere — 2 of 18 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin