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

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

Retina Consultants Of Southern Colorado P C (NPI 1720203862)

Field	Value
Entity Type	Organization
Organization	Retina Consultants Of Southern Colorado P C
Address	2770 N Union Blvd
City	Colorado Springs
State	CO
ZIP	80909
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 16, 2007

Payer Source	Total Paid
Medicaid	$9M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,910	$870	$3.4M
J2777	Injection, faricimab‑svoa, 0.1 mg	1,130	$1,400	$1.6M
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.	19,230	$80	$1.5M
J2778	Injection, ranibizumab, 0.1 mg	710	$860	$613.2K
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…	10,190	$50	$458.7K
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.	27,430	$20	$411.4K
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…	6,470	$40	$278.2K
J9035	Injection, bevacizumab, 10 mg	4,390	$50	$215.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	5,710	$30	$188.4K
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…	4,720	$30	$146.3K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Colorado providers billing the same CPT/HCPCS codes.

Claims Volume vs. Colorado Distribution

Retina Consultants Of Southern Colorado P C — 9 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	1	10	400	$1,250	$678K
J0178	Injection, aflibercept, 1 mg	1	20	180	$870	$465.7K
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…	2,226	2,520	330	$100	$352K
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…	1,628	2,630	430	$90	$268.2K
J2778	Injection, ranibizumab, 0.1 mg	1	10	120	$670	$194.6K
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…	21	410	370	$90	$187.5K
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	40	410	$80	$167.8K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	213	450	250	$100	$120.7K
J9035	Injection, bevacizumab, 10 mg	2	20	330	$70	$73.8K
J0177	Injection, aflibercept hd, 1 mg	1	10	30	$2,830	$73.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Retina Consultants Of Southern Colorado P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Luu	CO	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Ramin Sarrafizadeh	CO	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Adam Martidis	CO	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Ryan Rich	CO	Ophthalmology Physician	$3.1M	$0
Stanford Taylor	CO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Cecinio Ronquillo	CO	Ophthalmology Physician	$2.1M	$0
Matthew Miller	CO	Glaucoma Specialist (Ophthalmology) Physician	$309.2K	$0
Steven Christiansen	CO	Ophthalmology Physician	$302.9K	$0
Scott Smetana	CO	Ophthalmology Physician	$297.4K	$0
Scott Butikofer	CO	Ophthalmology Physician	$231.8K	$0

Nearby Providers

Other providers in the same ZIP code as Retina Consultants Of Southern Colorado P C, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Voyager Home Health Care LLC	CO	Home Health Agency	$0	$69.7M
Uch-mhs	CO	General Acute Care Hospital	$0	$69M
Rocky Mountain Health Care Services	CO	PACE Provider Organization	$0	$38.5M
Buck Jack LLC	CO	Speech-Language Pathologist	$0	$32.7M
Mountain View Home Care Inc.	CO	In Home Supportive Care Agency	$0	$19.3M
Emergency Medical Specialists, PC	CO	Emergency Medicine Physician	$0	$13.2M
Colorado Domestic Care Inc.	CO	Home Health Agency	$0	$11.6M
Radiology & Imaging Consultants PC	CO	Diagnostic Radiology Physician	$0	$9.5M
Hero Dental Of Springs PC	CO	General Practice Dentistry	$0	$9.3M
Akvc Central LLC	CO	Pediatric Optometrist	$0	$8.8M

Retina Consultants Of Southern Colorado P C — Billing Profile & Reimbursement Data

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Retina Consultants Of Southern Colorado P C — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References