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

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

Timothy Polk (NPI 1669451951)

Field	Value
Entity Type	Individual
Organization	Timothy Polk
Address	6115 Falls Rd
City	Baltimore
State	MD
ZIP	21209
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 13, 2006

Payer Source	Total Paid
Medicare	$3.5M
Medicaid	$0

Key Findings

This provider’s billing is effectively single‑payer: Total Medicare revenue is $3.5M while there is no Medicaid billing on file (none below), indicating no Medicaid revenue recorded in the dataset and a Medicare-dominant patient mix. For analysts, this means Medicare patterns will represent the provider’s operational and revenue profile rather than any dual‑payer mix dynamics.

Revenue concentration is high: the precomputed top three Medicare codes account for 79.1% of this provider's total Medicare revenue, driven primarily by J0178 ($2.2M revenue, 62.2%), J2777 ($356.7K revenue, 10.1%), and 92014 ($238.7K revenue, 6.8%). This concentration signals that a small set of drug and procedure codes dominate the practice’s financials and should be the focus of any utilization or price-variance review.

The code mix points to a retina-centered procedural practice that heavily uses intravitreal drug therapy and advanced retinal imaging: J0178 shows 3.2K claims, J2777 shows 12.3K claims, 67028 shows 2.2K claims, and 92134 shows 2.8K claims. High counts and dollar contribution for anti‑VEGF and related intravitreal injections plus retinal imaging suggest the practice operates a high-throughput injection and imaging workflow rather than being driven by general ophthalmology office visits alone.

Competitive standing is strong for several retina and imaging services at the national level: J0178 ranks #146 of 3204 (95th percentile; notably above typical national volume for this code), 92014 ranks #122 of 35415 (100th percentile; extreme outlier), and 92134 ranks #482 of 26868 (98th percentile; extreme outlier). These rank/percentile positions indicate the provider is a nationally high‑volume participant for anti‑VEGF administration, comprehensive established‑patient eye exams, and retinal imaging relative to peer providers.

Procedural and drug revenue outweigh evaluation-and-management revenue: 92014 contributes $238.7K (6.8%) while a common E&M code like 99214 contributes $62.9K (1.8%) of total Medicare revenue. This distribution reinforces that dispensing/administering ophthalmic drugs and performing retina procedures are the primary revenue drivers, with office visit E&M making a much smaller share of billed revenue.

Multiple codes are flagged as statistical outliers or notably above typical volume, which underscores atypically high throughput in specific service lines: 92014, 92134, and 92250 are described as "extreme outlier" or "extreme outlier, far above typical national volume for this code," while J0178 and 67028 are noted as "notably above typical national volume for this code." For utilization benchmarking or peer comparisons, analysts should treat these services as primary deviations from typical provider patterns.

Tenure in the dataset is long: the NPI was enumerated on 2006-01-13 (~20 years ago), indicating sustained presence in Medicare billing. Combined with the concentration on a narrow set of high-volume retinal procedures and drugs and the absence of Medicaid claims, the profile suggests an established, Medicare-focused retina practice with a stable, procedure-heavy business model.

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	3,210	$680	$2.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	12,300	$30	$356.7K
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…	2,540	$90	$238.7K
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.	2,170	$100	$214.6K
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.	2,820	$30	$93K
J2778	Injection, ranibizumab, 0.1 mg	530	$170	$91.2K
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…	660	$100	$62.9K
J3490	Unclassified drugs	40	$1,770	$61.9K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	440	$120	$52.2K
J7999	Compounded drug, not otherwise classified	500	$70	$36.1K

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. Maryland Distribution

Timothy Polk — 3 of 22 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

22 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	100	950	$690	$887.3K
J2777	24	70	8,520	$30	$487.3K
J2781	11	20	620	$120	$258.6K
J2778	33	50	650	$180	$207.8K
67028	16	120	700	$100	$101.5K
Q5128	15	20	200	$210	$78K
J3490	77	100	70	$450	$62.1K
92014	20	620	210	$90	$44K
67042	23	30	20	$1,060	$25.4K
99214	1,183	10,270	150	$90	$24.1K

Showing 1–10 of 22

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Associated Retinal Consultants LLC	DE	Ophthalmology Physician	$0	$25.2M
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Virginia Oncology Associates	VA	Hematology & Oncology Physician	$0	$6.2M
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Gordon Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.9M	$0
Daniel Berinstein	MD	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Alexander Melamud	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Michael Lai	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Jordana Fein	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Vinod Voleti	NJ	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neel S. Satpute, Dds, PA	MD	Dental Clinic/Center	$0	$5M
Newman Sund	MD	Ophthalmology Physician	$4M	$0
Eric Suan	MD	Ophthalmology Physician	$3.8M	$0
Matthew Speicher	MD	Ophthalmology Physician	$3.7M	$0
Chaim Mond	MD	Rheumatology Physician	$1.7M	$418.1K
Heather Tamez	MD	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Greenspring Surgery Center LLC	MD	Ambulatory Surgical Clinic/Center	$1M	$1.8K
Jeffrey Banker	MD	Cardiovascular Disease Physician	$683.4K	$0
Sunal Makadia	MD	Cardiovascular Disease Physician	$433.2K	$0
Lisa Grant	MD	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$343.5K	$0

Timothy Polk — 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