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

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

Robert Foster (NPI 1679560528)

Field	Value
Entity Type	Individual
Organization	Robert Foster
Address	1945 Cei Drive
City	Cincinnati
State	OH
ZIP	45242
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 5, 2005

Payer Source	Total Paid
Medicare	$2M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-focused ophthalmology practice: lifetime Medicare revenue is $2M and there is no Medicaid billing on file, indicating virtually single‑payer Medicare exposure rather than a mixed Medicaid/Medicare panel. The absence of any Medicaid claims suggests limited participation in state Medicaid programs or minimal care delivered to Medicaid‑covered patients.

Revenue is highly concentrated in a small set of high-cost ophthalmic therapeutics: the precomputed top 3 Medicare codes account for 78.2% of this provider’s total Medicare revenue, driven primarily by intravitreal drug administration and unclassified drug charges. That concentration implies the business model relies on high-cost injectable therapies rather than a broad mix of low‑value ancillary services.

J0178 (injection, aflibercept) is the single largest revenue driver with $992.1K reported (49.5% of Medicare revenue) and ranks #865 of 3204 providers nationally (73th percentile; typical, unremarkable volume for this code), indicating this provider delivers a substantial but not atypical volume of aflibercept injections compared with peers. J2777 (faricimab) at $393.2K (19.6%) and J3490 (unclassified drugs) at $180.4K (9.0%) round out the top three, reinforcing an intravitreal injection–centric service line.

Several procedure and imaging codes point to a strong retinal care focus: 92134 (computerized retinal imaging) generated $60.8K and ranks in the 97th percentile (notably above typical national volume), while 67028 (isolated intravitreal injection procedure) contributed $140.6K and sits at the 83th percentile (typical, unremarkable volume). Together these codes show the practice pairs high drug utilization with substantial objective retinal imaging and procedural throughput, consistent with a retina subspecialty workflow.

There are select high‑percentile signals that mark above‑typical activity in certain categories: J3590 (unclassified biologics) ranks #30 of 631 (95th percentile; notably above typical national volume), and 92134 is also 97th percentile (notably above typical national volume), suggesting relatively elevated use of certain biologic products and retinal imaging compared with national peers. These outlier labels indicate pockets of intensity within an otherwise typical distribution of injection volumes.

Routine evaluation and management and office visit codes show steady ambulatory throughput rather than heavy general ophthalmology volume: 99214 generated $42.2K (2.1% of Medicare revenue) and is at the 89th percentile (typical, unremarkable volume), while 92014 and 99213 are at the 78th and 93th percentiles respectively, indicating consistent follow‑up visits for established patients alongside the procedural work. This mix supports a model where visits primarily support medical retina treatment and monitoring.

The provider’s Medicare competitive standing is mixed: for high‑value drug codes like J0178 and J2777 the provider ranks in mid‑to‑upper percentiles but is not dominant nationally (e.g., 73th and 62th percentiles respectively, both labeled typical). However, very high percentiles on codes such as 92134 and J3590 show local strengths in retinal imaging and certain biologics, suggesting the provider is a notable regional performer in those specific services even if not a top national volume outlier across all retina drugs.

The practitioner has a long tenure in the Medicare program, with NPI enumeration on 2005-10-05 (~21 years ago), which supports the interpretation that current patterns represent an established practice rather than a new entrant or recent change in billing behavior. That length of enrollment, combined with concentrated revenue from intravitreal therapeutics and retinal imaging, is consistent with an experienced retina‑oriented ophthalmology practice maintaining a stable clinical focus.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,440	$690	$992.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	13,560	$30	$393.2K
J3490	Unclassified drugs	100	$1,790	$180.4K
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.	1,560	$90	$140.6K
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.	2,170	$30	$60.8K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	500	$120	$59.4K
J3590	Unclassified biologics	800	$60	$44K
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…	490	$90	$42.2K
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…	360	$80	$27.3K
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…	460	$60	$27K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Robert Foster — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	30	100	840	$680	$729K
J2777	25	70	9,480	$30	$353.3K
J2781	15	20	1,040	$120	$152.4K
J3490	28	50	100	$560	$73.1K
67028	21	150	470	$90	$64K
J3590	9	100	200	$100	$30K
92014	186	1,390	100	$70	$12.9K
99214	1,220	20,010	100	$70	$11.7K
67210	3	10	30	$340	$10.4K
99213	814	20,000	70	$50	$6.6K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Cei Physicians Psc LLC	OH	Ophthalmologic Surgery Clinic/Center	$4.1M	$1M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Ahmed Alkaliby	FL	Ophthalmology Physician	$2.6M	$0
Cei Physicians Psc LLC	OH	Ambulatory Surgical Clinic/Center	$1.9M	$680.3K
Philip Nelsen	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maxim Healthcare Services, Inc.	OH	Home Health Agency	$0	$63.6M
Bethesda Hospital Inc	OH	General Acute Care Hospital	$0	$57M
Hospice Of Cincinnati Incorporated	OH	Community Based Hospice Care Agency	$0	$54M
Carestar, Inc.	OH	Case Management Agency	$0	$43.1M
Counseling Source Inc	OH	Mental Health Counselor	$0	$41M
Mercy Health Physicians Cincinnati, LLC	OH	Family Medicine Physician	$0	$27.9M
Qualified Emergency Specialists Inc	OH	Emergency Medicine Physician	$0	$18.9M
Crossroads Hospice Of Cincinnati	OH	Community Based Hospice Care Agency	$0	$14.6M
A Best Home Care,inc.	OH	Home Health Agency	$0	$10.4M
Mercy Health Physicians Cincinnati Specialty Care LLC	OH	Surgery Physician	$0	$7.1M

Robert Foster — 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