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.

Greg Budoff (NPI 1700239530)

Field	Value
Entity Type	Individual
Organization	Greg Budoff
Address	191 Main St Ste 3
City	Manchester
State	CT
ZIP	06042
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 17, 2016

Payer Source	Total Paid
Medicare	$705.2K
Medicaid	$0

Key Findings

This provider's Medicare footprint is small-to-midsize with total Medicare revenue of $705.2K and no Medicaid billing on file (none below), making the practice effectively single‑payer in the dataset. The NPI was enumerated on 2016-07-17 (~10 years ago), indicating roughly a decade of billing history in Medicare claims to evaluate patterns from.

Revenue is highly concentrated in intravitreal drug administration: the precomputed top-3 codes account for 81.0% of the provider's total Medicare revenue, driven primarily by J0178, J2777, and 67028. J0178 alone generates $422K (60.0% of total Medicare revenue) from 627 claims at $673 avg paid/claim, while J2777 contributes $109.2K (15.5%) from 3.9K claims at $28 avg paid/claim and 67028 adds $38K (5.4%) from 380 claims at $100 avg paid/claim.

The code mix and dollar concentration point to a retina-focused injection practice: heavy billing for J0178 (aflibercept) and J2777 (faricimab) indicates routine intravitreal anti-VEGF therapy as the center of revenue, supported by procedural retina codes such as 67028 and diagnostic imaging codes like 92134. This pattern is consistent with a retina specialist operation that prioritizes therapeutic injections and linked retina imaging/laser procedures rather than broad multispecialty ambulatory care.

Competitive standing for the top injection code is middling: J0178 ranks #1736 of 3204 providers nationally (46th percentile) and is described as "typical, unremarkable volume for this code," which suggests the provider is not a dominant national injector of aflibercept but maintains a routine injection practice. J2777 ranks #1692 of 2039 (17th percentile) and is also labeled "typical, unremarkable volume," indicating relatively low national standing on faricimab administration despite the large claim count reported for that code.

Several non-injection services show mixed positioning versus peers: diagnostic retinal imaging 92134 reports 811 claims, $33 avg paid/claim, $26.8K revenue (3.8% of Medicare revenue) and is ranked #2503 of 26868 providers nationally (91th percentile; typical, unremarkable volume for this code), implying higher-than-average activity in imaging relative to many providers while still being characterized as typical in volume. New-patient E/M 99204 is an outlier on intensity of new-patient visits with 153 claims generating $19.1K (2.7% of revenue) and ranks #10099 of 227068 providers nationally (95th percentile; notably above typical national volume for this code), suggesting a heavier-than-typical intake of moderate-complexity new patients.

The provider shows limited use of bevacizumab: J9035 appears with 29 claims, $45 avg paid/claim, $1.3K revenue (0.2% of Medicare revenue) and ranks #1703 of 1852 providers nationally (8th percentile; typical, unremarkable volume for this code), indicating this clinician predominantly uses branded intravitreal agents (aflibercept/faricimab) over bevacizumab in Medicare billing. This therapeutic mix has implications for drug acquisition and reimbursement strategies, as a high share of branded agents drives most of the observable Medicare revenue.

Absence of Medicaid billing (none below) means payer-mix risk and access differences tied to Medicaid are not observable for this provider; all reported public-payer revenue in the dataset is Medicare $705.2K. For payers or network planners, this profile reads as effectively single‑payer (Medicare) and may warrant separate outreach or credentialing assumptions for Medicaid populations because no in-state Medicaid activity is recorded.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	630	$670	$422K
J2777	Injection, faricimab‑svoa, 0.1 mg	3,900	$30	$109.2K
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.	380	$100	$38K
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.	810	$30	$26.8K
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…	230	$100	$24.1K
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…	310	$80	$23.4K
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…	150	$130	$19.1K
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…	70	$110	$8.4K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	20	$270	$6K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	350	$10	$4.5K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Greg Budoff — 1 of 18 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

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	29	40	830	$690	$713.1K
J2777	26	30	8,190	$30	$340.4K
67028	33	50	540	$100	$66.4K
92014	156	580	100	$90	$18.6K
92012	66	300	120	$70	$15.2K
92235	12	30	40	$110	$14.8K
99214	4,756	6,480	90	$90	$14.2K
J9035	31	30	130	$50	$10.4K
67228	3	10	20	$280	$8.5K
99213	5,208	6,440	70	$60	$8.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Retina Consultants PC	CT	Ophthalmology Physician	$0	$25.8M
Ron Margolis	CT	Ophthalmology Physician	$3.5M	$0
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Jerry Neuwirth	CT	Ophthalmology Physician	$2.5M	$0
Marion Stoj	CT	Ophthalmology Physician	$2.4M	$0
Scott Walter	CT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Tavish Nanda	MA	Ophthalmology Physician	$490.9K	$0
Noam Rudnick	CT	Ophthalmology Physician	$243.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ambulance Service Of Manchester, LLC	CT	Land Ambulance	$3.3M	$20.4M
Community Child Guidance Clinic, Inc.	CT	Adolescent and Children Mental Health Clinic/Center	$0	$9.3M
Manchester Public Schools	CT	Local Education Agency (LEA)	$0	$6.5M
Peter Judson	CT	Ophthalmology Physician	$2.6M	$0
Ronald Albert	CT	General Practice Dentistry	$0	$1.3M
Jeffrey Ranaudo	CT	Vascular Surgery Physician	$319.3K	$0
Hazar Dahhan	CT	Cardiovascular Disease Physician	$318.1K	$0
Walgreen Co	CT	Pharmacy	$140.3K	$43.3K
John Pietropaoli	CT	Vascular Surgery Physician	$137.2K	$0
Daniel Veltri	CT	Sports Medicine (Orthopaedic Surgery) Physician	$91.3K	$0

Greg Budoff — Billing Profile & Reimbursement Data

Sign up for Greg Budoff — Billing Profile & Reimbursement Data policy alerts

Greg Budoff — Billing Profile & Reimbursement Data

Sign up for Greg Budoff — 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