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.

Ethan Wright (NPI 1659557171)

Field	Value
Entity Type	Individual
Organization	Ethan Wright
Address	2943 Highway 62 W
City	Mountain Home
State	AR
ZIP	72653
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 15, 2008

Payer Source	Total Paid
Medicare	$1.6M
Medicaid	$0

Key Findings

This provider is an ophthalmology physician with a long enrollment history, enumerated on 2008-01-15 (about 18 years ago), indicating an established clinical presence in Mountain Home, AR that could support sustained outpatient eye care services and intravitreal therapy delivery. The billing mix and service volumes are consistent with an experienced specialist operating in a stable outpatient practice.

Medicare is effectively the sole payer represented in the file: total Medicare revenue is $1.6M while the provider has no Medicaid billing on record, making this an effectively single-payer (Medicare) revenue profile for payer-mix considerations. Analysts should treat Medicaid participation as absent when modeling network access or state Medicaid referrals.

Revenue concentration is heavily weighted to a small set of drug-injection codes: the precomputed top three Medicare codes account for 77.4% of this provider’s total Medicare revenue, signaling high dependence on a few high-value procedures. In practical terms, ophthalmic injectable therapeutics (notably anti-VEGF/related agents) appear to be the primary revenue driver rather than routine office visits or broad ancillary testing.

The single largest revenue code is J0178 (aflibercept injection), which generated $690.8K (43.8% of Medicare revenue) and ranks in the 60th percentile nationally for volume — a solid, typical contributor to the practice but not indicative of national dominance for this drug. Combined with J2777 (faricimab) at $431.5K (27.3%), the provider’s top two drug codes alone drive the bulk of receipts, underscoring a service line focused on intravitreal biologic therapy.

Several non-drug ophthalmic services show elevated activity relative to national peers: 92014 (comprehensive established eye exam) ranks in the 97th percentile and 99213 ranks in the 98th percentile, both described as notably above typical national volume. High volumes of E/M and comprehensive eye exams alongside large injectable volumes suggest a practice model that manages longitudinal medical retina patients (follow-up exams plus recurring injections) rather than primarily surgical throughput.

There are statistical outliers in the diagnostic/testing mix: 92202 (extended ophthalmoscopy with optic nerve or macula drawing) is flagged as an "extreme outlier, far above typical national volume" (98th percentile), and 76514 (B-scan corneal thickness imaging) is "notably above typical national volume" (97th percentile). These unusually high relative volumes for specific diagnostic codes may reflect particular documentation or diagnostic workflows in this clinic, or a patient panel with higher need for these specific assessments.

Procedural surgical codes related to cataract procedures (e.g., 66984, cataract extraction with IOL) are present but represent a much smaller share of revenue (66984: $40K, 2.5% of Medicare revenue) and sit near the median nationally (51st percentile). This pattern indicates the practice is not primarily a high-volume cataract surgery center; surgical activity appears secondary to medical retina/injection services.

Pharmacy/compounded drug use (J7999) contributes meaningfully ($37.3K, 2.4% of Medicare revenue) and ranks in the 90th percentile nationally, which points to notable use of compounded agents or ancillary in-office pharmaceutical preparations relative to peers. While much smaller than the major injectable revenues, this suggests an ancillary revenue stream that complements the injection-focused service line.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,010	$680	$690.8K
J2777	Injection, faricimab‑svoa, 0.1 mg	14,880	$30	$431.5K
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.	1,230	$80	$99.9K
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…	1,180	$70	$83.9K
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…	850	$60	$54.1K
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.	1,540	$30	$41.5K
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…	110	$380	$40K
J7999	Compounded drug, not otherwise classified	550	$70	$37.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$220	$25.7K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	1,790	$10	$19.7K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

Ethan Wright — 7 of 25 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

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	12	30	390	$690	$538.3K
J2777	9	20	12,180	$30	$504.5K
66984	77	210	60	$430	$90.5K
67028	11	40	270	$80	$51.1K
66821	45	120	80	$200	$22.7K
J7999	2	30	100	$130	$20.6K
92014	8	370	150	$70	$19.1K
99214	1,874	4,300	130	$70	$18.8K
99213	123	4,180	100	$50	$9.6K
92012	203	220	70	$50	$9.3K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenneth Kilgore	AR	Ophthalmology Physician	$322.8K	$1.7K
Steven Rae	AR	Optometrist	$27.5K	$0

Nearby Providers

Other providers in the same ZIP code as Ethan Wright, 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

Ethan Wright — Billing Profile & Reimbursement Data

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Ethan Wright — 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