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

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

Rodney Bucher (NPI 1639173131)

Field	Value
Entity Type	Individual
Organization	Rodney Bucher
Address	12794 Hamilton Crossing Blvd
City	Carmel
State	IN
ZIP	46032
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 13, 2005

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider’s Medicare activity is overwhelmingly dominated by intravitreal injection of aflibercept: J0178 accounts for $2.5M in revenue and 73.5% of the provider’s Medicare receipts. The precomputed concentration metric confirms extreme revenue concentration— the top three Medicare codes together account for 88.9% of total Medicare revenue—indicating a practice model focused primarily on high-cost injectable therapies rather than a broad mix of services.

Operationally, the code mix is consistent with a retina practice built around anti-VEGF therapy and diagnostic retinal imaging: high-volume use of J0178 (aflibercept) plus multiple ranibizumab biosimilar codes (Q5128, Q5124) and a large volume of computerized retinal imaging (92134). Procedure-level codes for surgical retinal interventions (67041, 67108) and laser treatment (67228, 67145) are present but represent small shares of revenue, suggesting occasional surgical work but a dominant ambulatory injection and imaging workflow.

On competitive standing, the provider is a high-volume national participant for key retinal services: J0178 ranks #97 of 3204 providers nationally (97th percentile; notably above typical national volume for this code), and 92134 ranks #512 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). By contrast, ranibizumab biosimilar Q5128 sits at a more typical participation level (rank #84 of 373; 78th percentile). These rankings indicate market-leading throughput for aflibercept injections and retinal imaging relative to most peers.

Revenue scale and payer mix are essentially single-payer Medicare: lifetime Medicare revenue is $3.4M while there is no Medicaid billing on file, so the provider relies on Medicare fee-for-service as the exclusive documented public payer channel. This single-payer footprint has implications for reimbursement risk and contracting leverage—both are tied to Medicare utilization and drug reimbursement dynamics for the products driving revenue.

Clinical-service implications from the specific code pattern: a very high reliance on drug administration codes (J0178, Q5128, Q5124) implies inventory management, drug acquisition, and billing for biologics are central to the practice. The sizable volume of 92134 (OCT/computerized retinal imaging) alongside frequent injection codes suggests a care pathway of frequent monitoring plus repeated intravitreal treatments rather than one-time surgical episodes.

The provider’s reported procedural mix shows routine office evaluation codes (99214, 99213, 99204) at modest volumes relative to injections and imaging; these E/M codes together represent a small fraction of revenue. This pattern is consistent with brief, procedure-focused visits where the primary billable services are injections and diagnostic imaging rather than extended E/M encounters.

Surgical retina procedures are present but limited: 67041 (vitrectomy-related membrane removal) generated $18.8K across 22 claims and 67108 (retinal detachment repair) generated $13.3K across 15 claims, both representing minor revenue streams compared with injection-related codes. These counts suggest the provider occasionally performs or bills for operative interventions but operates principally as an outpatient retina injection/imaging practice.

Tenure and enrollment stability: the NPI was enumerated on 2005-06-13 (~21 years ago), indicating long-standing enrollment in Medicare which may correspond with established referral relationships and a sustained clinical presence in the Carmel, IN market. That tenure, combined with high national-percentile ranks for key services, suggests an experienced retina specialist whose practice is optimized around intravitreal therapy delivery and retinal imaging.

Medicare: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,620	$690	$2.5M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	1,550	$230	$353.8K
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.	2,010	$80	$168.8K
Q5124	Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg	530	$180	$93.3K
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.	2,760	$30	$74.5K
J2777	Injection, faricimab‑svoa, 0.1 mg	1,800	$30	$52.2K
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…	300	$90	$27.3K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	460	$60	$26.5K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$850	$18.8K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	170	$100	$16.4K

Showing 1–10 of 22

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Indiana Distribution

Rodney Bucher — 2 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	60	830	$690	$868.8K
J2777	35	40	6,750	$30	$395.6K
Q5128	1	10	570	$240	$175.2K
Q5124	2	10	530	$170	$86.9K
67028	10	80	550	$80	$78.6K
67108	11	20	20	$1,150	$32.2K
J3590	46	50	220	$60	$24.5K
67041	4	10	20	$1,000	$22K
92235	11	40	90	$100	$15.8K
99214	2,282	10,540	110	$80	$15.5K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederick Prall	IN	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
Mark Kaehr	IN	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Ramana Moorthy	IN	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Rita Singh-parikshak	IN	Ophthalmology Physician	$1.5M	$0
Gian Paolo Giuliari Gonzalez	OH	Ophthalmology Physician	$346.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aspire Indiana Inc.	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.2M
Landmark Recovery Of Carmel LLC	IN	Substance Abuse Rehabilitation Facility	$0	$26.2M
Little Star Center, Inc.	IN	Early Intervention Provider Agency	$0	$22.7M
Arrow Consultation Services, Inc.	IN	Developmentally Disabled Services Day Training Agency	$0	$10.5M
Indiana University Health North Hospital Inc	IN	General Acute Care Hospital	$0	$6.9M
Option Care Enterprises, Inc.	IN	Home Infusion Therapy Pharmacy	$0	$5.2M
Impact Physician Group, Indiana LLC	IN	Internal Medicine Physician	$0	$4.2M
Westmed, LLC	IN	Durable Medical Equipment & Medical Supplies	$0	$4M
Chinthala, PC	IN	Psychiatry Physician	$0	$3.9M
American Health Network Of Indiana, LLC	IN	Clinical Medical Laboratory	$2.2M	$1.6M

Rodney Bucher — 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