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.

Arnold Nothnagel (NPI 1699754606)

Field	Value
Entity Type	Individual
Organization	Arnold Nothnagel
Address	4690 Munson St Nw
City	Canton
State	OH
ZIP	44718
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 10, 2006

Payer Source	Total Paid
Medicare	$2.9M
Medicaid	$0

Key Findings

This provider is effectively a Medicare-only biller by scale: total Medicare revenue is $2.9M and there is no Medicaid billing on file. That payer mix makes the provider reliant on Medicare reimbursement flows for the entirety of recorded public-payer revenue and suggests limited exposure to Medicaid-managed-care populations in Ohio.

Revenue is highly concentrated in a small number of drug codes: the precomputed top 3 Medicare codes by revenue account for 83.0% of this provider's total Medicare revenue. Specifically, J0178 generated $1.9M (63.1% of total Medicare revenue), J2777 generated $407.2K (13.9%), and J2781 generated $178.2K (6.1%), indicating most dollars come from intravitreal pharmaceutical administrations.

The code mix and top line activity point to a retina-focused, procedure-oriented practice centered on intravitreal pharmacologic therapy and office-based injections. High-volume billing for J0178 (2.7K claims) alongside procedure code 67028 (1.9K claims, $146.9K, 5.0%) and retinal imaging 92134 (1.9K claims, $52.6K, 1.8%) is consistent with a practice that delivers repeated in-office injections and follow-up retinal diagnostics.

Competitive standing on key retina drugs is mixed: J0178 ranks #250 of 3204 providers nationally (92th percentile; notably above typical national volume), marking the provider as a strong national-level user of aflibercept. By contrast, J2777 (14K claims, $407.2K) ranks #751 of 2039 (63th percentile; typical, unremarkable volume) and J2781 (1.5K claims, $178.2K) ranks #49 of 490 (90th percentile; typical, unremarkable volume), indicating leadership in some drug lines but more typical participation in others.

Service-volume signals show high throughput for both procedural and E/M activity: 92134 ranks #1089 of 26868 (96th percentile; notably above typical national volume) and 99213 ranks #10353 of 457151 (98th percentile; notably above typical national volume), which together suggest an above-average frequency of retinal imaging and established-patient office visits relative to national peers. These patterns are consistent with frequent follow-up and monitoring visits required for chronic retinal conditions.

There is a notable difference between claim counts and average paid-per-claim across some drug codes that affects revenue composition: J2777 shows 14K claims at $29 avg paid/claim generating $407.2K, while J0178 shows 2.7K claims at $690 avg paid/claim generating $1.9M. This indicates that a smaller number of higher-paid administrations (J0178) account for the majority of dollars, while one code with very large claim volume contributes meaningfully but at lower per-claim payment.

Operationally, the presence of imaging (92134, 92250) and procedures (67028, 65800) alongside multiple intravitreal drug codes (J0178, J2777, J2781, J2778) suggests the provider manages both pharmacologic therapy and procedural interventions in-office rather than exclusively referring these services out. The combination of high imaging and injection volumes is typical for retina subspecialists managing chronic retinal disease.

The provider is long-tenured in Medicare enrollment, with NPI enumerated on 2006-01-10 (~20 years ago), which supports an established referral base and sustained practice continuity. That tenure, combined with the concentrated Medicare revenue and no Medicaid activity, frames this entity as a stable, Medicare-centric retina specialist for competitive and payer strategy considerations.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,690	$690	$1.9M
J2777	Injection, faricimab‑svoa, 0.1 mg	14,040	$30	$407.2K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,490	$120	$178.2K
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.	1,860	$80	$146.9K
J3490	Unclassified drugs	60	$1,740	$109.7K
J2778	Injection, ranibizumab, 0.1 mg	400	$180	$73.8K
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.	1,950	$30	$52.6K
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…	810	$60	$48.8K
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…	330	$90	$27.7K
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…	140	$110	$15K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Arnold Nothnagel — 3 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	100	840	$680	$729K
J2777	23	70	9,480	$30	$353.3K
J2781	5	20	1,040	$120	$152.4K
J2778	7	20	370	$180	$73.1K
J3490	40	50	100	$560	$73.1K
67028	9	150	470	$90	$64K
92014	213	1,390	100	$70	$12.9K
99214	6,583	20,010	100	$70	$11.7K
99213	193	20,000	70	$50	$6.6K
92134	35	1,010	50	$30	$6.3K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Associates Of Cleveland, Inc.	OH	Retina Specialist (Ophthalmology) Physician	$0	$11.2M
Scott Pendergast	OH	Retina Specialist (Ophthalmology) Physician	$6M	$0
David Miller	OH	Retina Specialist (Ophthalmology) Physician	$4.8M	$0
Llewelyn Rao	OH	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Joseph Coney	OH	Retina Specialist (Ophthalmology) Physician	$3.2M	$140
Shawn Lewis	OH	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Thomas Hull	OH	Retina Specialist (Ophthalmology) Physician	$2.6M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Michael Novak	OH	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Jerome Schartman	OH	Retina Specialist (Ophthalmology) Physician	$2.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Northeast Professional Home, Inc.	OH	Home Health Agency	$0	$25.2M
Northeast Professional Home Care, Inc.	OH	Home Health Agency	$0	$18.5M
Child And Adolescent Behavioral Health	OH	Community/Behavioral Health Agency	$0	$15.8M
Pathway Caring For Children	OH	Community/Behavioral Health Agency	$0	$9.4M
Stark Ambulatory Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$377.2K	$3.5M
Eyes On Stark Surgery Center, LLC	OH	Ambulatory Surgical Clinic/Center	$1.1M	$847.1K
Robert Wenz	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$1.3K
Stephen Conti	OH	Retina Specialist (Ophthalmology) Physician	$1.5M	$10K
Sophia Pachydaki	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$6.3K
Mark Gersman	OH	Retina Specialist (Ophthalmology) Physician	$1.4M	$1.8K

Arnold Nothnagel — 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