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

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

Meredith Gershon (NPI 1699746339)

Field	Value
Entity Type	Individual
Organization	Meredith Gershon
Address	888 White Plains Rd Ste 202
City	Trumbull
State	CT
ZIP	06611
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 31, 2006

Payer Source	Total Paid
Medicare	$834.7K
Medicaid	$0

Key Findings

This provider’s Medicare footprint totals $834.7K in lifetime Medicare revenue, while Total Medicaid revenue is listed as none (no Medicaid billing on file), making the practice effectively single‑payer Medicare by the available claims data. The precomputed concentration metric shows that the top 3 Medicare codes account for 89.8% of this provider's total Medicare revenue, indicating a highly focused revenue stream.

Clinical/service-line profile is dominated by intravitreal drug therapy and associated procedures: J0178 appears as the single largest revenue driver with 784 claims, $694 avg paid/claim, and $544.1K revenue (65.2% of this provider's total Medicare revenue), complemented by substantial billing for J2777 (5.3K claims, $29 avg paid/claim, $154.9K revenue, 18.6%) and the injection procedure 67028 (513 claims, $99 avg paid/claim, $50.8K revenue, 6.1%). Together these codes (J0178, J2777, 67028) suggest the practice primarily delivers regular intravitreal injections for retinal disease and is organized around a high-volume interventional retina workflow.

Revenue concentration is pronounced: the precomputed top‑3 share of 89.8% signals that drug and injection procedure reimbursement, rather than a diversified mix of office visits or ancillary testing, underpin most Medicare revenue. This dependence on a small set of high-revenue codes could make payer contract economics and drug reimbursement policy changes particularly impactful for the practice.

Competitive standing for the top drug and procedure codes is largely middle‑of‑the‑pack nationally: J0178 ranks #1522 of 3204 providers nationally (52th percentile; typical, unremarkable volume for this code), J2777 ranks #1485 of 2039 providers nationally (27th percentile; typical, unremarkable volume for this code), and 67028 ranks #2195 of 4255 providers nationally (48th percentile; typical, unremarkable volume for this code). These percentiles indicate the provider is not a national outlier or dominant volume leader for these injections, but operates at a typical volume level seen among peers.

Supporting services and office visits supply modest additional revenue and appear aligned with an injection-focused practice: 92134 (901 claims, $32 avg paid/claim, $28.8K revenue, 3.5%) ranks #2327 of 26868 providers nationally (91th percentile; typical, unremarkable volume for this code), while intermediate and comprehensive exam codes such as 92012 (299 claims, $71 avg paid/claim, $21.2K revenue, 2.5%) and 92014 (89 claims, $93 avg paid/claim, $8.3K revenue, 1.0%) show meaningful use consistent with follow-up visits and retinal imaging tied to the injection workflow. The presence of these diagnostic and E/M codes supports a coordinated clinical pathway of imaging, assessment, and repeated intravitreal treatment.

Operationally the provider shows long tenure: NPI enumerated (registered) 2006-01-31 (~20 years ago), which indicates an established billing history and likely continuity of clinical service in the market. Lifetime Medicare revenue of $834.7K alongside that tenure suggests a steady, mid‑scale Medicare practice rather than a new entrant or a high-volume group practice.

The absence of Medicaid billing (none — no Medicaid billing on file) creates a concentrated payer profile with nearly all reimbursed activity captured in Medicare claims. For payers and network planners this signals low Medicaid exposure from this provider and a potential opportunity or need to engage if Medicaid access or capacity in the specialty is a concern in the local market.

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	780	$690	$544.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	5,340	$30	$154.9K
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.	510	$100	$50.8K
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.	900	$30	$28.8K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	300	$70	$21.2K
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…	160	$60	$9.8K
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…	80	$130	$9.6K
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…	90	$90	$8.3K
J9035	Injection, bevacizumab, 10 mg	80	$60	$4.6K
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…	20	$110	$1.8K

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. Connecticut Distribution

Meredith Gershon — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	23	40	830	$690	$713.1K
J2777	24	30	8,190	$30	$340.4K
67028	29	50	540	$100	$66.4K
92014	311	580	100	$90	$18.6K
92012	71	300	120	$70	$15.2K
92235	30	30	40	$110	$14.8K
J9035	20	30	130	$50	$10.4K
99213	1,541	6,440	70	$60	$8.1K
92134	30	320	60	$30	$7.7K
99204	267	2,660	30	$120	$4.6K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Connecticut Retina Consultants LLC	CT	Ophthalmology Physician	$0	$8.3M
Wayne Larrison	CT	Ophthalmology Physician	$1.9M	$0
Nancy Miller-rivero	NY	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
James Weisz	CT	Ophthalmology Physician	$1.3M	$0
Matthew Dombrow	CT	Ophthalmology Physician	$1M	$0
Richard Kaplan	CT	Ophthalmology Physician	$800.1K	$0
Aaron Steen	CT	Dermatology Physician	$364.3K	$0
Andrew Herbst	CT	MOHS-Micrographic Surgery Physician	$333.9K	$0
Jason Mayo	CT	Diagnostic Radiology Physician	$267.4K	$0
Christopher Lynch	CT	Adult Reconstructive Orthopaedic Surgery Physician	$264K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Coordinated Transportation Solutions, Inc.	CT	Transportation Broker	$0	$94.1M
Fairfield County Healthcare Associates	CT	Pediatrics Physician	$0	$16.5M
Progressive Diagnostics, LLC	CT	Clinical Medical Laboratory	$222.3K	$6M
Childrens Dentistry Of Trumbull, PC	CT	Pediatric Dentistry	$0	$4M
Nephrology Associates, PC	CT	Nephrology Physician	$0	$2.4M
Trumbull Pediatrics PC	CT	General Practice Physician	$0	$1.7M
Town Of Trumbull	CT	Ambulance	$494.9K	$1.1M
Trumbull Public Schools	CT	Local Education Agency (LEA)	$0	$1.4M
Raphael Capasso	CT	Optometrist	$0	$1.2M
Connecticut In Home Assistance LLC	CT	Chore Provider	$0	$1.1M

Meredith Gershon — Billing Profile & Reimbursement Data

Sign up for Meredith Gershon — Billing Profile & Reimbursement Data policy alerts

Meredith Gershon — Billing Profile & Reimbursement Data

Sign up for Meredith Gershon — Billing Profile & Reimbursement Data policy alerts

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