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

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

Brett Rhode (NPI 1639147879)

Field	Value
Entity Type	Individual
Organization	Brett Rhode
Address	10150 W National Ave
City	West Allis
State	WI
ZIP	53227
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$796.4K
Medicaid	$0

Key Findings

This provider’s Medicare revenue is heavily driven by intravitreal anti-VEGF therapy and cataract surgery: J0178 (708 claims, $691 avg paid/claim, $489.2K revenue, 61.5% of Medicare revenue), 66984 (255 claims, $396 avg paid/claim, $101K revenue, 12.7%), and 92014 (582 claims, $80 avg paid/claim, $46.6K revenue, 5.8%) together account for the top clinical services reported. Those three codes are the dominant service lines and, per the precomputed metric, the top 3 Medicare codes by revenue account for 80.0% of this provider's total Medicare revenue, signaling a practice model centered on high-volume procedural and drug-administration activity rather than broad primary eye-care visits.

Revenue concentration is pronounced: total Medicare revenue is $796.4K and the top three codes capture 80.0% of that total, indicating that a small set of procedures and drugs (notably aflibercept injections and cataract extraction with IOL) drive most of the billings. From a contracting or risk perspective, this concentration means reimbursement or utilization changes for those specific codes would materially move the provider’s revenue performance.

Payer mix is effectively single‑payer Medicare: the record shows Total Medicare revenue of $796.4K and no Medicaid billing on file, so the provider operates with no measurable Medicaid footprint. That asymmetric payer mix reduces exposure to Medicaid rate pressure but also limits diversification when evaluating network value or Medicaid-focused partnerships.

Competitive standing on the largest revenue driver is mid‑pack: J0178 ranks #1625 of 3204 providers nationally (49th percentile; typical, unremarkable volume for this code), which indicates the provider’s aflibercept volume is typical compared with peers. In contrast, cataract surgery billed under 66984 ranks #4527 of 15965 providers nationally (72th percentile; typical, unremarkable volume for this code), suggesting a relatively stronger position in cataract procedures versus the national ophthalmology population.

Diagnostic imaging and retina monitoring are notable parts of the mix: 92134 (676 claims, $29 avg paid/claim, $19.6K revenue, 2.5%) ranks #2821 of 26868 providers nationally (89th percentile; typical, unremarkable volume for this code), while related imaging codes 92133 and 92136 also sit in high percentiles (87th and 84th respectively). These elevated imaging percentiles, alongside the injection volume, point to substantial retinal disease management and surveillance activity in the practice rather than a pure refractive or general ophthalmology focus.

Office E/M services contribute a small share of Medicare dollars relative to procedures: 99214 produced $16.7K (2.1% of Medicare revenue) across 186 claims and ranks #161587 of 479517 providers nationally (66th percentile; typical, unremarkable volume for this code), while 99213 accounts for only $616 (0.1%). This spread—procedural and drug revenue dominating and E/M revenue minimal—reinforces that clinical throughput is procedure- and injection-oriented rather than visit-volume driven.

The provider has long-standing enrollment with an NPI enumerated 2006-03-14 (~20 years ago), which supports interpretation of current patterns as established practice behavior rather than an early-career artifact; the mix of high-volume injections, cataract surgery, and diagnostic imaging likely reflects an entrenched subspecialty workflow and referral base. Given the absence of Medicaid billing, analysts should treat the provider as a Medicare-centric surgical/injection practice when assessing market share or capacity in the West Allis, WI area.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	710	$690	$489.2K
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…	260	$400	$101K
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…	580	$80	$46.6K
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.	510	$90	$45.1K
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.	680	$30	$19.6K
99214	The provider sees an established 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…	190	$90	$16.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$270	$14.8K
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.	140	$100	$14.2K
66988	The provider inserts an artificial lens after endoscopic cyclophotocoagulation and removing an extracapsular cataract by aspiration or use of ultrasonic waves.	30	$520	$14.1K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	340	$30	$9K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

Brett Rhode — 3 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	23	60	440	$690	$488.1K
66984	174	310	350	$50	$66.4K
67028	46	110	310	$80	$43.7K
66988	3	10	30	$1,100	$33.1K
J9035	30	70	110	$50	$14.5K
66821	73	180	40	$100	$13K
92014	34	720	120	$70	$12.9K
99214	2,071	9,800	80	$70	$9.2K
65855	31	40	30	$160	$6.6K
92012	27	160	50	$60	$5.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Medical Group Sc	WI	Multi-Specialty Clinic/Center	$0	$25.1M
Independent Physicians Of Wisconsin, LLC	WI	Internal Medicine Physician	$0	$6.9M
Eye Care Specialists, S.c.	WI	Ophthalmology Physician	$0	$3.5M
Amjad Safvi	IL	Vascular & Interventional Radiology Physician	$568.9K	$765.4K
Daniel Ferguson	WI	Ophthalmology Physician	$947.3K	$0
Michael Raciti	WI	Ophthalmology Physician	$519.3K	$0
Daniel Paskowitz	WI	Ophthalmology Physician	$441.5K	$0
Kamal Amin	WI	Nephrology Physician	$246.2K	$1.4K
Awais Siddique	WI	Vascular & Interventional Radiology Physician	$175.9K	$0
Courtney Lamm	WI	Primary Care Nurse Practitioner	$144K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
A2cl Services, LLC	WI	Clinical Medical Laboratory	$19M	$98.7M
West Allis Memorial Hospital, Inc.	WI	General Acute Care Hospital	$0	$23.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Infusion Therapy Pharmacy	$0	$21.3M
Visiting Nurse Association Of Wisconsin, Inc.	WI	Home Health Agency	$0	$15.4M
Premier Care Of Wisconsin, LLC.	WI	Methadone Clinic	$204.8K	$11.2M
Great Lakes Pathologists Sc	WI	Anatomic Pathology & Clinical Pathology Physician	$0	$6.4M
Samer Dola	WI	Hematology (Pathology) Physician	$103.3K	$5.8M
Planned Parenthood Of Wisconsin	WI	Ambulatory Family Planning Facility	$0	$5.2M
Atlas Healthcare, Inc	WI	Home Health Agency	$0	$4.5M
Surgicenter Of Greater Milwaukee, LLC	WI	Ambulatory Surgical Clinic/Center	$0	$4.4M

Brett Rhode — 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