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

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

Leonardo Antaris (NPI 1679541973)

Field	Value
Entity Type	Individual
Organization	Leonardo Antaris
Address	1230 E Rusholme St
City	Davenport
State	IA
ZIP	52803
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

LEONARDO ANTARIS (Ophthalmology Physician, DAVENPORT, IA) has an NPI enumerated 2006-03-10 (~20 years ago) and $2.6M in total Medicare revenue with no Medicaid billing on file, indicating the provider is effectively single-payer (Medicare) in scale. This tenure and revenue base position the practice as an established Medicare-focused ophthalmology operation in its market.

Revenue is highly concentrated: the top 3 Medicare codes account for 94.0% of this provider's total Medicare revenue, led overwhelmingly by J0178 at 85.1% of Medicare revenue. That degree of concentration signals a business model heavily dependent on a single drug/code for the majority of billings.

The code mix points to a retina-focused, injection-centric practice: J0178 (3.3K claims; injection, aflibercept) and 67028 (1.8K claims; intravitreal injection procedure) together drive most procedure revenue, while 99213 (1.6K claims; established patient E/M) supports high-volume follow-up care. High utilization of 92134 (2.9K claims; retinal imaging) further indicates in-office diagnostic imaging is integral to the care pathway and visit workflow.

On national competitive standing, J0178 ranks #134 of 3204 providers (96th percentile) and is described as notably above typical national volume, indicating this provider is a major national outlier for aflibercept administration. Similarly, 99213 ranks #1660 of 457151 providers (100th percentile; extreme outlier), which implies unusually high office visit volume relative to peers and suggests substantial patient throughput.

Not all high-volume codes carry identical comparative signals: 67028 ranks #503 of 4255 (88th percentile; typical, unremarkable volume) despite 1.8K claims, while 92134 ranks #439 of 26868 (98th percentile; extreme outlier), showing that imaging volume is also well above peers even if some procedural codes are only typical for volume. This mixed profile indicates pockets of exceptional intensity (drug administration and imaging) alongside other services at more normal specialty levels.

Payer mix is lopsided: $2.6M Medicare revenue versus no Medicaid billing on file means business and reimbursement risk are concentrated in Medicare policy and pricing dynamics rather than in state Medicaid program changes. For payers and contracting teams, the provider should be treated as a Medicare-centric counterparty with negligible Medicaid exposure.

Because J0178 represents 85.1% of Medicare revenue and the top 3 codes make up 94.0% of Medicare revenue, the practice is operationally and financially sensitive to changes in anti‑VEGF drug reimbursement, utilization limits, or site-of-service reimbursement policies. This dependency also creates a potential negotiation lever for suppliers or payers but also a vulnerability if coverage or coding for that therapy shifts.

Operationally, claim volumes (J0178 3.3K claims, 92134 2.9K claims, 67028 1.8K claims, 99213 1.6K claims) suggest a high-throughput clinic with frequent injections, routine retinal imaging, and substantial follow-up E/M visits, implying established clinical workflows and capacity that could support volume-based arrangements or partnerships. Payers evaluating network inclusion or value-based arrangements should expect concentrated utilization patterns centered on intravitreal injection services.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,280	$690	$2.2M
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.	1,830	$80	$140.6K
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…	1,640	$60	$94.8K
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.	2,930	$30	$82.1K
99203	The provider sees a new 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 provider…	300	$70	$20.7K
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…	140	$90	$12.8K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	30	$380	$10.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	450	$20	$10.7K
J3590	Unclassified biologics	110	$80	$9.3K
67220	In this procedure, the provider treats a localized lesion of the choroid, the vascular middle layer of the eye, by using a laser beam that destroys the abnormal blood vessel growth of the choroid.	20	$370	$8.5K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Leonardo Antaris — 4 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	3	40	640	$690	$760.2K
67028	13	60	420	$80	$80.6K
67210	2	10	150	$400	$58.9K
J3590	20	30	140	$100	$26.7K
67220	1	10	20	$370	$8.5K
99213	7	4,740	100	$50	$8K
92134	10	450	80	$30	$6.8K
92235	1	10	40	$90	$4.4K
67145	5	10	20	$170	$4K
99203	7	1,600	30	$60	$3.2K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Health System	IA	General Acute Care Hospital	$0	$44.3M
Genesis Health System	IA	Surgery Physician	$0	$9.1M
Medic Ems	IA	Land Ambulance	$2.5M	$6.3M
Davenport Community School District	IA	Local Education Agency (LEA)	$0	$8.2M
Family Empowerment Services, Inc	IA	Social Worker	$0	$3.6M
Child Protection Response Center	IA	Child Abuse Pediatrics Physician	$0	$1.8M
Clyfee Dialysis LLC	IA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Cardiovascular Medicine PLLC	IA	Cardiovascular Disease Physician	$0	$1.3M
Genesis Health System	IA	Anatomic Pathology & Clinical Pathology Physician	$0	$1.2M
Vituity-iowa PLLC	IA	Emergency Medicine Physician	$0	$982.9K

Leonardo Antaris — Billing Profile & Reimbursement Data

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Leonardo Antaris — 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

Nearby Providers

Frequently Asked Questions

References