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

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

Martin Thomley (NPI 1679558357)

Field	Value
Entity Type	Individual
Organization	Martin Thomley
Address	109 Millsaps Dr Ste B
City	Hattiesburg
State	MS
ZIP	39402
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

MARTIN THOMLEY is a retina specialist in HATTIESBURG, MS with an NPI enumerated 2005-12-14 (~21 years ago), indicating an established practice footprint. The Medicare activity and code mix center on intravitreal pharmacologic therapy and retinal imaging rather than broad multispecialty ambulatory care, consistent with a focused retina practice model.

This provider's Medicare revenue totals $2M and the top 3 Medicare codes by revenue account for 70.9% of that total, reflecting a high revenue concentration in a small set of injection agents. Specifically, J0178 contributed $733K (36.5%), J2778 contributed $442.2K (22.0%), and J2777 contributed $247.2K (12.3%), making injections the dominant revenue drivers.

Payer mix is effectively single-payer at the claims level: Total Medicare revenue is $2M while there is no Medicaid billing on file. That lack of Medicaid volume means contracting, utilization and quality performance metrics will be driven almost entirely by Medicare experience rather than a blended Medicare/Medicaid profile.

The procedural mix shows heavy reliance on repeated intravitreal anti-VEGF and related biologic injections (J0178, J2778, J2777) as the core service line; this is complemented by diagnostic retinal imaging and separate injection procedure codes such as 67028. High-volume imaging (92134) and fundus photography (92250) support a care pattern of frequent monitoring and follow-up typical for chronic retinal diseases like AMD and diabetic macular edema.

Competitive standing varies by agent: the provider ranks #151 of 1208 for J2778 at the 88th percentile (typical, unremarkable volume) indicating above-peer use of ranibizumab, while J0178 ranks #1198 of 3204 at the 63th percentile (typical, unremarkable volume) and J2777 ranks #1120 of 2039 at the 45th percentile (typical, unremarkable volume). In sum, ranibizumab utilization is relatively strong versus national peers, while aflibercept and faricimab volumes are more middling.

Certain diagnostic and E/M codes are statistical outliers relative to national cohorts: 92134 ranks #916 of 26868 at the 97th percentile and 92250 ranks #675 of 25087 at the 97th percentile (both notably above typical national volume), and office E/M codes 99213 and 99212 also sit at the 97th percentile (notably above typical national volume). Additionally, 99204 ranks #1864 of 227068 at the 99th percentile and is labeled an extreme outlier, indicating unusually high volume of moderate-complexity new patient evaluations compared with national peers.

Surgical retina procedures appear in the mix but represent a much smaller share of revenue: 67028 accounts for $144.1K (7.2%) and ranks #603 of 4255 at the 86th percentile (typical), while more complex vitrectomy codes such as 67042 and 67040 appear at low claim counts and smaller revenue shares. This pattern suggests the practice primarily manages medical retina with occasional surgical intervention rather than operating as a high-volume surgical retina center.

From a contracting and utilization-management perspective, the combination of concentrated anti-VEGF revenue, very high utilization of retinal imaging, and no Medicaid volume creates a Medicare-centric risk and reimbursement profile. Analysts should treat the provider as an established, injection-focused retina practice with above-typical monitoring and new-patient evaluation activity in Medicare data rather than a multisector Medicaid participant.

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	1,090	$670	$733K
J2778	Injection, ranibizumab, 0.1 mg	2,480	$180	$442.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,530	$30	$247.2K
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.	1,700	$90	$144.1K
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…	790	$80	$63.3K
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.	2,130	$30	$57.6K
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…	730	$60	$43.1K
J9035	Injection, bevacizumab, 10 mg	800	$50	$42.9K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	270	$150	$41.5K
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…	270	$110	$29.7K

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. Mississippi Distribution

Martin Thomley — 7 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2778	3	10	1,300	$180	$1.3M
J0178	8	20	670	$680	$990.1K
J2777	6	10	8,460	$30	$325.2K
67028	7	30	600	$80	$107K
J7312	1	10	200	$150	$30.3K
67042	3	10	30	$1,000	$27.9K
92014	41	350	170	$70	$23K
99214	1,618	4,110	170	$70	$21.9K
67108	6	10	20	$960	$19.3K
J9035	2	10	210	$50	$18.1K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wright Lauten	MS	Retina Specialist (Ophthalmology) Physician	$11.8M	$20.3K
Sean Allison	MS	Retina Specialist (Ophthalmology) Physician	$1.7M	$33.4K
Jason Crosson	AE (Armed Forces Europe)	Ophthalmology Physician	$1.2M	$0
Richard Feist	AL	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Robert Wann	NC	Ophthalmology Physician	$1M	$0
John Mason	AL	Ophthalmology Physician	$1M	$0
Michael Albert	AL	Ophthalmology Physician	$1M	$0
Richard Feist	AL	Ophthalmology Physician	$977.5K	$0
Asghar Haider	TN	Retina Specialist (Ophthalmology) Physician	$836.2K	$0
Richard Martindale	AL	Student in an Organized Health Care Education/Training Program	$443.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Wesley Health System LLC	MS	General Acute Care Hospital	$0	$37.9M
Aaa Ambulance Service	MS	Land Ambulance	$5.2M	$20.1M
Middleton & Belknap Pediatric Dentistry PLLC	MS	Pediatric Dentistry	$0	$11.3M
Hattiesburg Clinic PA	MS	Pediatrics Physician	$0	$10.9M
Metro Medical Supply Company LLC	MS	Durable Medical Equipment & Medical Supplies	$0	$10.2M
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$10.1M
Wesley Physician Services LLC	MS	Family Medicine Physician	$0	$8.2M
Latonya Hailes	MS	Community Health Worker	$0	$8M
Oral & Maxillofacial Surgery Clinic Of South Misssissippi, P.A.	MS	Oral and Maxillofacial Surgery (Dentist)	$0	$7.4M
James Harris	MS	Pediatric Dentistry	$0	$7.2M

Martin Thomley — 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