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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Mark Raymond (NPI 1649249723)

Field	Value
Entity Type	Individual
Organization	Mark Raymond
Address	1321 W Dakota Pkwy
City	Williston
State	ND
ZIP	58801
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 14, 2006

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

MARK RAYMOND is an ophthalmology physician in Williston, ND with an NPI enumerated on 2006-03-14 (~20 years of tenure), indicating long-standing Medicare participation and an established clinical presence in the market. The longevity supports interpretation of billing patterns as stable practice activity rather than short-term program participation.

This provider’s Medicare activity is concentrated in intravitreal biologic injections and related ophthalmic imaging/procedures: the top three Medicare codes by revenue (J0178, J0179, J2777) account for 75.6% of total Medicare revenue, signaling a service-line focus on retinal injections and medical management of retinal disease rather than primarily surgical or broad primary-care ophthalmology. The presence of high-volume imaging codes such as 92134 and 92133 further supports a retina-focused practice model.

Revenue concentration is dominated by anti-VEGF and related injectable therapies: J0178 generates $642K (38.5% of Medicare revenue), J0179 generates $406.2K (24.4%), and J2777 generates $210.5K (12.6%). These three codes together make up the majority of Medicare revenue and suggest that outpatient injection treatments are the primary revenue driver for this provider. Use the precomputed 75.6% share as the summary measure of concentration rather than recalculating.

Payer mix is effectively single-payer for public programs: lifetime Medicare revenue is $1.7M while there is no Medicaid billing on file. This provider should be considered Medicare-centric in the public-payer landscape, and any Medicaid network or utilization analyses should note an absence of Medicaid activity.

Competitive standing for key drugs is mixed. For J0179 the provider ranks #2 of 64 nationally (98th percentile) and is characterized as notably above typical national volume for this code, indicating they are a major national outlier on brolucizumab administration. In contrast, J0178 ranks #1345 of 3204 (58th percentile) and J2777 ranks #1250 of 2039 (38th percentile), both described as typical or unremarkable volumes, so dominance is specific to J0179 rather than across all injection codes.

Clinical scope includes cataract surgery and related anterior-segment procedures in addition to injections: 66984 (cataract with IOL) appears with 424 claims and $101.8K (6.1% of Medicare revenue) ranked in the 80th percentile nationally, and codes such as 66821 (YAG capsulotomy) and 66982/66991 (complex cataract/IOL procedures) are present at lower volumes. This mix indicates the practice performs both medical retina care and a measurable volume of cataract surgery.

Evaluation & management (E/M) and diagnostic codes show active outpatient follow-up and imaging throughput: 99214 and 99213 together account for office visit work with notable national ranking percentiles (99214 at the 93rd percentile, 99213 at the 93rd percentile by rank positions provided), and diagnostic imaging codes 92134 and 92133 rank in the higher percentiles for national peer groups. That pattern is consistent with a high-touch injection practice requiring frequent visits and retinal imaging.

Because Medicaid billing is absent, competitive or utilization comparisons against in-state Medicaid peers cannot be drawn; analyses of this provider’s access to low-income populations or Medicaid network participation should treat the provider as not present in Medicaid claims data. Any managed-care contracting or network adequacy assessment that includes Medicaid will need to account for this absence.

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	940	$680	$642K
J0179	Injection, brolucizumab-dbll, 1 mg	1,640	$250	$406.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	7,260	$30	$210.5K
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…	420	$240	$101.8K
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.	790	$90	$71.2K
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…	640	$80	$49.5K
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	$90	$35.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	100	$300	$28.9K
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…	440	$50	$23.4K
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.	570	$30	$15.4K

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. North Dakota Distribution

Mark Raymond — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	20	440	$680	$445.3K
J2777	7	10	7,410	$30	$412.9K
J0179	1	10	1,640	$250	$405.6K
66984	11	100	50	$350	$61.2K
66991	9	10	30	$1,320	$50.1K
67028	6	30	290	$80	$40.6K
66982	10	20	40	$590	$29.4K
66821	11	30	80	$230	$27.3K
92014	20	170	160	$70	$15.6K
99214	54	1,470	90	$60	$10.4K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Health	ND	Multi-Specialty Clinic/Center	$0	$18.7M
Trinity Hospitals	ND	General Acute Care Hospital	$0	$7.4M
David Jacobs	VA	Ophthalmology Physician	$4M	$0
Trinity Hospitals	ND	Land Ambulance	$0	$3.5M
Trinity Health	ND	Oral and Maxillofacial Surgery Clinic/Center	$0	$873.2K
Trinity Hospitals	ND	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$754.6K
Chad Wolsky	ND	Ophthalmology Physician	$504K	$0
Gregory Arov	FL	Diagnostic Radiology Physician	$452.4K	$0
Andrew Wilder	ND	Diagnostic Radiology Physician	$431.4K	$0
Trinity Health	ND	Ambulatory Surgical Clinic/Center	$397.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Opportunity Foundation Inc	ND	Developmentally Disabled Services Day Training Agency	$0	$26.3M
Medscan Laboratory Inc	ND	Clinical Medical Laboratory	$7.2M	$14.8M
Mercy Medical Center	ND	Critical Access Hospital	$0	$4M
City Of Williston	ND	Land Ambulance	$398.3K	$2M
Opportunity Foundation Inc	ND	Early Intervention Provider Agency	$0	$1.8M
Mercy Medical Center	ND	Clinic/Center	$0	$1.3M
Summit Counseling Inc	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.2M
Northwest Behavioral Health Clinic	ND	Adult Mental Health Clinic/Center	$0	$872.7K
Nathan Smith	ND	Pediatric Dentistry	$0	$712.5K
Ideal Option, PLLC	ND	Clinic/Center	$0	$690.9K

Mark Raymond — Billing Profile & Reimbursement Data

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Mark Raymond — 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