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

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

Douglas Mehr (NPI 1720070899)

Field	Value
Entity Type	Individual
Organization	Douglas Mehr
Address	3855 W 7800 S Ste 100
City	West Jordan
State	UT
ZIP	84088
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	August 16, 2005

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This profile is overwhelmingly Medicare-driven: lifetime Medicare revenue is $2.7M while there is no Medicaid billing on file (none below), so the provider effectively operates with single‑payer exposure to Medicare. The precomputed concentration metric shows the top 3 Medicare codes by revenue account for 66.5% of the provider's total Medicare revenue, indicating heavy dependence on a small set of services for most billings.

Clinical mix and service line are consistent with a retina practice focused on intravitreal pharmacotherapy and retinal imaging. The highest‑revenue codes are drug/injection codes J2777, J3490, and J2781 (faricimab, unclassified drugs, and pegcetacoplan respectively), supported by procedure codes for injections (67028) and retinal imaging (92134, 92235), which together portray an operation centered on repeated in‑office injections and diagnostic imaging for retinal disease.

Revenue concentration is acute at the code level: J2777 accounts for $1M (36.9% of Medicare revenue), J3490 accounts for $458K (16.8%), and J2781 accounts for $350.5K (12.8%). Those three codes together make up the stated 66.5% share of Medicare revenue, showing that a small set of injectable therapies drives most payments.

The provider shows a mixed competitive standing across specific drugs. J2781 ranks #15 of 490 nationally (97th percentile; notably above typical national volume), indicating unusually high national volume for pegcetacoplan; by contrast J2777 ranks #221 of 2039 (89th percentile; typical, unremarkable volume) and J3490 ranks #241 of 2838 (91th percentile; typical, unremarkable volume), which points to above‑median but not dominant positioning for those codes.

Claims and pricing patterns diverge by drug: J2777 has very high claim volume (34.8K claims) at a low average paid per claim ($29 avg paid/claim) but drives $1M in revenue, whereas J3490 appears as a lower‑frequency, higher‑paid item (264 claims at $1735 avg paid/claim) generating $458K. J2781 sits between those patterns with 2.9K claims at $120 avg paid/claim and $350.5K in revenue, reflecting a mix of high‑frequency and mid‑priced intravitreal therapies in the practice.

Diagnostic imaging and office visit codes contribute modestly to revenue but are notable for volume in some cases: 92134 produced $49K (1.8% of Medicare revenue) with 1.8K claims and ranks #1273 of 26868 providers nationally (95th percentile; notably above typical national volume), suggesting the practice performs retinal imaging at higher than typical volume even though these codes are a small share of total dollars. Other evaluation and management codes (92014, 92235, 92250) appear at much smaller revenue shares, reinforcing that drug/injection services dominate revenue.

The absence of Medicaid billing (none below) means this provider has minimal observed exposure to Medicaid reimbursement dynamics and is therefore more sensitive to Medicare policy or price changes than to state Medicaid trends. For payers and networks evaluating contracting risk, this single‑payer concentration should be considered when assessing revenue stability and payer mix.

The provider has a long NPI tenure, enumerated 2005-08-16 (~21 years ago), which indicates an established practice presence in West Jordan, UT; the longevity combined with high volume on select retina drugs (especially J2781) suggests an experienced retina specialist whose business model centers on intravitreal therapy administration and associated retinal diagnostics.

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
J2777	Injection, faricimab‑svoa, 0.1 mg	34,800	$30	$1M
J3490	Unclassified drugs	260	$1,740	$458K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	2,920	$120	$350.5K
J0178	Injection, aflibercept, 1 mg	470	$690	$321.5K
J2778	Injection, ranibizumab, 0.1 mg	1,550	$180	$282.6K
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.	1,540	$100	$146.3K
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.	1,750	$30	$49K
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…	550	$80	$43.4K
J7999	Compounded drug, not otherwise classified	300	$70	$21.5K
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…	160	$100	$15.1K

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. Utah Distribution

Douglas Mehr — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	22	40	620	$690	$683.2K
J2777	5	20	13,140	$30	$523.9K
J2778	3	10	870	$180	$224.3K
J3490	4	30	80	$1,690	$199.5K
J2781	1	20	960	$120	$126.6K
67028	10	60	440	$90	$61.7K
J9035	5	10	110	$50	$17.5K
J7999	6	20	120	$70	$16.9K
92014	32	330	140	$70	$16.6K
66821	77	100	40	$230	$13.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Granger Medical Clinic PC	UT	Multi-Specialty Clinic/Center	$0	$5.1M
Christopher Gee	UT	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Andrew Davis	UT	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Rebekah Gensure	UT	Retina Specialist (Ophthalmology) Physician	$969.8K	$0
Salt Lake Retina, LLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$768.8K
Mary Jane Pennington	UT	Pediatrics Physician	$729.8K	$15K
Neal Khurana	SD	Vascular & Interventional Radiology Physician	$704.3K	$0
Granger Medical Specialists LLC	UT	Clinic/Center	$0	$618K
Douglas Heiner	UT	Procedural Dermatology Physician	$530K	$0
Todd Randolph	AR	Anatomic Pathology & Clinical Pathology Physician	$405.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Homecare LLC	UT	Home Health Agency	$0	$14.9M
Jordan Valley Medical Center LP	UT	Rehabilitation Hospital Unit	$0	$9.1M
Affinity Behavior And Mental Health Services, LLC	UT	Community/Behavioral Health Agency	$0	$7.4M
Jordan Valley Medical Center LP	UT	General Acute Care Hospital	$0	$7.3M
Wasatch Pediatrics, Inc	UT	Pediatrics Physician	$0	$5.8M
Family Surgical Suite	UT	Ambulatory Surgical Clinic/Center	$0	$4.8M
Kids Behavioral Health Of Utah, Inc	UT	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$4.1M
Jordan West Family Counseling Inc	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1M
Valued Medical Care LLC	UT	Urgent Care Clinic/Center	$0	$836.2K
Southwest Children's Clinic	UT	Specialist	$0	$700.5K

Douglas Mehr — 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