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

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

Rick Nordgren (NPI 1629364054)

Field	Value
Entity Type	Individual
Organization	Rick Nordgren
Address	1791 E 280 N
City	St George
State	UT
ZIP	84790
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 23, 2011

Payer Source	Total Paid
Medicare	$888.1K
Medicaid	$0

Key Findings

This provider’s billed Medicare activity totals $888.1K in lifetime revenue and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available datasets. The absence of Medicaid claims means any Medicaid-related market or network assessments cannot be supported by these records.

Revenue is highly concentrated in three codes: the precomputed top 3 codes account for 81.3% of this provider’s total Medicare revenue, indicating a narrow set of services drive the bulk of income. Heavy concentration like this typically implies the business model is centered on a few high-revenue procedures rather than a broad mix of general ophthalmology services.

Clinical and service-line activity is dominated by intravitreal pharmacologic treatment: J0178 shows 548 claims, $684 avg paid/claim, $374.8K revenue (42.2% of total Medicare revenue) and J2777 shows 10.3K claims, $29 avg paid/claim, $299.3K revenue (33.7% of total Medicare revenue). Together with 67028 (533 claims, $90 avg paid/claim, $48K revenue; 5.4% of total Medicare revenue) this pattern is consistent with a retina practice operating a high-volume injection clinic providing anti-VEGF and new retina biologic therapies.

Beyond injections, the provider bills for diagnostic imaging and comprehensive exams at meaningful volumes: 92134 (973 claims, $29 avg paid/claim, $28.2K revenue; 3.2% of total) and 92004 (167 claims, $104 avg paid/claim, $17.4K revenue; 2.0% of total). Both codes are reported with high national percentile ranks (92134 at rank #2217 of 26868, 92th percentile; 92004 at rank #1688 of 26467, 94th percentile) and are described as typical, unremarkable volume for these codes, suggesting the practice supports diagnostic workflows that complement its injection services.

The provider also performs surgical retina procedures, evidenced by billing for 67042 (27 claims, $844 avg paid/claim, $22.8K revenue; 2.6% of total) and 67108 (20 claims, $852 avg paid/claim, $17K revenue; 1.9% of total). These entries indicate in-office or outpatient surgical capability for vitreoretinal disease rather than a pure injection-only practice, although surgical revenue is a much smaller share of total Medicare receipts.

Competitive standing on the top drug and injection codes is modest: J0178 ranks #1839 of 3204 providers nationally (43th percentile; typical, unremarkable volume for this code) and J2777 ranks #992 of 2039 providers nationally (51th percentile; typical, unremarkable volume for this code). These percentiles and the dataset labels position the provider as a routine national participant rather than a dominant outlier for those specific drugs.

There is a notable billing entry for J3490 (24 claims, $1318 avg paid/claim, $31.6K revenue; 3.6% of total), which carries a low national rank (#2482 of 2838, 12th percentile; typical, unremarkable volume for this code). The high avg paid/claim for an unclassified drug code suggests occasional use of higher-cost or miscellaneous pharmacologic agents but does not represent a major or consistently large revenue stream relative to the top injection codes.

NPI enumeration date is 2011-06-23 (~15 years ago), indicating a long tenure in the Medicare program and a stable billing history. That longevity, combined with the concentrated injection-and-imaging revenue mix, suggests an established retina specialty practice with developed referral and treatment workflows centered on intravitreal therapies.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	550	$680	$374.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,320	$30	$299.3K
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.	530	$90	$48K
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…	390	$80	$32.7K
J3490	Unclassified drugs	20	$1,320	$31.6K
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.	970	$30	$28.2K
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	$840	$22.8K
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.	170	$100	$17.4K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	20	$850	$17K
J7999	Compounded drug, not otherwise classified	120	$70	$8.8K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Rick Nordgren — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	40	620	$690	$683.2K
J2777	15	20	13,140	$30	$523.9K
J3490	21	30	80	$1,690	$199.5K
67028	26	60	440	$90	$61.7K
67042	4	20	20	$1,100	$26.3K
67108	2	10	20	$1,090	$18.6K
J7999	11	20	120	$70	$16.9K
92014	54	330	140	$70	$16.6K
99214	3,387	4,080	80	$80	$11.6K
92134	22	250	70	$30	$7.6K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Adeel Khan	IN	Ophthalmology Physician	$6.6M	$0
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Gohar Salam	IN	Ophthalmology Physician	$2.5M	$0
Victoria Knudsen	UT	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Robert Kwun	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Kirk Winward	UT	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
James Howard	UT	Retina Specialist (Ophthalmology) Physician	$2M	$0
Eric Brinton	UT	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Gregory Brinton	UT	Retina Specialist (Ophthalmology) Physician	$673.5K	$0
Retina Associates Of Utah, PLLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$653.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Southwest Utah Community Health Center	UT	Federally Qualified Health Center (FQHC)	$0	$7.3M
Zion Eye Institute, Inc	UT	Ambulatory Surgical Clinic/Center	$6.1M	$19.7K
Summit Behavior Services	UT	Counselor	$0	$5.4M
Ihc Health Services Inc	UT	Multi-Specialty Clinic/Center	$0	$4.4M
Ron Lord	UT	Ophthalmology Physician	$3.2M	$0
Joshua Carlson	UT	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
St George Surgical Center LP	UT	Ambulatory Surgical Clinic/Center	$2.5M	$0
Coral Desert Surgery Center LLC	UT	Ambulatory Surgical Clinic/Center	$2.5M	$17.8K
Ihc Health Services Inc	UT	Clinical Medical Laboratory	$2.4M	$42.7K

Rick Nordgren — 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