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

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

William Hill (NPI 1659414662)

Field	Value
Entity Type	Individual
Organization	William Hill
Address	360 Highway 5 N
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 15, 2007

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider’s billed Medicare footprint is modest in absolute scale: total Medicare revenue is $1.3M and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available data. The absence of any Medicaid claims indicates limited exposure to state Medicaid populations or that Medicaid services are not billed under this NPI.

Revenue is highly concentrated in a very small set of procedures: the precomputed top 3 Medicare codes by revenue account for 79.2% of this provider's total Medicare revenue. J0178 alone generates $781.3K (61.2% of Medicare revenue), with 66984 at $143.4K (11.2%) and J2777 at $87K (6.8%), so a very large share of income depends on these three codes.

The code mix identifies ophthalmic specialty activity centered on intravitreal drug therapy and cataract surgery: J0178 (aflibercept) and J2777 (faricimab) indicate routine, high-volume intravitreal injections, while 66984 indicates frequent cataract extraction with intraocular lens insertion. Supporting diagnostic and monitoring codes (for example 92134 and 92133) and higher-level ophthalmology E&M codes align with a combined surgical and clinic-based retina/cataract practice structure.

Competitive standing by code is mixed. J0178 ranks #1148 of 3204 (64th percentile) and is described as a typical, unremarkable national volume for that code, while 66984 ranks #3297 of 15965 (79th percentile) and is also noted as typical; by contrast, J2777 ranks #1838 of 2039 (9th percentile), placing this provider at the lower end of national peers for faricimab billing. These rank/percentile descriptions suggest the provider is a solid, but not dominant, participant nationally for its highest‑revenue services.

Several evaluation-and-management codes are statistical outliers relative to national peers and point to an unusually heavy office visit footprint. For example, 99213 is at the 98th percentile and labeled “notably above typical national volume,” while 99204 is at the 99th percentile and labeled an “extreme outlier, far above typical national volume,” indicating higher-than-typical new-patient and established-patient office throughput for an ophthalmology practice. This pattern suggests substantial clinic visit volume and possibly a strong referral or new-patient intake pipeline.

Diagnostic imaging and monitoring are prominent in the operational mix: 92134 shows 999 claims with $25 avg paid/claim yielding $25K (2.0% of Medicare revenue) and is ranked in the 92th percentile (typical, unremarkable volume), while 92014 and 92133 also appear in upper percentiles for ophthalmology exams and imaging. These data support the characterization of an office practice that couples frequent injections and surgery with in‑office diagnostic monitoring for retinal and post‑cataract care.

The provider has a long-tenured NPI record (enumerated 2007-02-15, ~19 years ago), indicating an established presence in the market; that tenure, combined with concentrated service lines, suggests an experienced, steady practice rather than a new entrant. Longevity may support stable referral relationships that underlie the noted office-visit and procedure volumes.

The high concentration of Medicare revenue in a few drug and procedure codes creates operational and reimbursement sensitivity: with $781.3K (61.2%) tied to J0178 and the top 3 codes totaling 79.2% of Medicare revenue, changes in utilization patterns or reimbursement for those pharmaceuticals or procedures could materially affect overall revenue. Analysts and payers reviewing this profile should consider reserve scenarios or utilization-management impacts focused on intravitreal injections and cataract surgery given this concentration.

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	1,130	$690	$781.3K
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…	410	$350	$143.4K
J2777	Injection, faricimab‑svoa, 0.1 mg	3,000	$30	$87K
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.	640	$70	$46.6K
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…	840	$60	$46.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	170	$210	$34.6K
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…	460	$70	$34.1K
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.	1,000	$30	$25K
99204	The provider sees a new 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 provider…	230	$100	$23.6K
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…	210	$80	$16.7K

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. Arkansas Distribution

William Hill — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	30	390	$690	$538.3K
J2777	17	20	12,180	$30	$504.5K
66984	35	210	60	$430	$90.5K
67028	14	40	270	$80	$51.1K
66821	18	120	80	$200	$22.7K
92014	63	370	150	$70	$19.1K
99214	1,658	4,300	130	$70	$18.8K
99213	125	4,180	100	$50	$9.6K
92012	178	220	70	$50	$9.3K
92136	27	70	210	$20	$6.6K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Allison Booth	AR	Ophthalmology Physician	$698.1K	$0
Mountain Home Surgery Center	AR	Ambulatory Surgical Clinic/Center	$654.5K	$3.9K
Russell Rauls	AR	Adult Reconstructive Orthopaedic Surgery Physician	$405.3K	$0
Thomas Knox	AR	Orthopaedic Surgery Physician	$259K	$0
Jason Mcconnell	AR	Orthopaedic Surgery Physician	$220K	$0
Whitney Mcfall	AR	Optometrist	$71.3K	$0
Joel Murphree	MO	Certified Registered Nurse Anesthetist	$50.7K	$0
Darren Brodie	AR	Optometrist	$29.3K	$160

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gracon, Inc.	AR	Home Health Agency	$0	$23.1M
Kidspiration Pediatric Therapy Services, Inc.	AR	Primary Care Clinic/Center	$0	$16.5M
Baxter County Regional Hospital, Inc	AR	General Acute Care Hospital	$0	$15.2M
Developmental Discoveries, Inc.	AR	In Home Supportive Care Agency	$0	$8M
River Lodge Assisted Living LLC	AR	Assisted Living Facility	$0	$5.1M
Bradley Wayne Coleman,d.d.s.	AR	Dentist	$0	$3.6M
Hometown Behavioral Health Services Of Ak Inc.	AR	Mental Health Counselor	$0	$3.5M
Baxter Day Service Center, Inc.	AR	Preferred Provider Organization	$0	$3.4M
Baxter County Regional Hospital Inc	AR	General Acute Care Hospital	$0	$3M
Twin River Community Living Facility	AR	In Home Supportive Care Agency	$0	$2.5M

William Hill — 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