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

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

Peter Rhee (NPI 1730280421)

Field	Value
Entity Type	Individual
Organization	Peter Rhee
Address	999 Home Plaza
City	Waterloo
State	IA
ZIP	50701
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicare	$1M
Medicaid	$0

Key Findings

PETER RHEE is an ophthalmology physician who has been NPI-enumerated since 2006-09-26, indicating roughly 20 years of Medicare billing tenure; that long tenure supports a stable clinical practice with sustained Medicare engagement rather than a recent entrant or short-term provider. Total lifetime Medicare revenue on file is $1M and there is no Medicaid billing on file, so this profile is effectively single-payer (Medicare) in scope for public claims data and any Medicaid exposure is absent or not reported.

Revenue concentration in Medicare is high: the precomputed top 3 Medicare codes by revenue account for 73.3% of this provider's total Medicare revenue, signaling that a small set of services — primarily intravitreal injections and cataract surgery — dominate the business. The single largest code, J0178, generates $493.4K (48.3% of total Medicare revenue) and together with 66984 ($190.5K, 18.7%) and 66982 ($64.4K, 6.3%) forms the core revenue mix.

The procedure mix indicates a service-line focused ophthalmology practice centered on retinal injections and cataract surgery: J0178 (aflibercept injection) and 67028 (intravitreal injection) reflect ongoing medical retina treatment activity, while 66984 and 66982 are cataract extraction with intraocular lens implantation codes, showing a substantial surgical cataract volume. Supporting ophthalmic diagnostics and follow-up E/M codes such as 92014, 92134, 92136, and 99213/99214 appear lower in share but consistent with a full-scope ophthalmic clinic that pairs procedures with exam and imaging services.

Competitive standing across the largest codes is mixed: for J0178 the provider ranks #1615 of 3204 (49th percentile), which is typical and unremarkable national volume for that injection code rather than market-leading. For cataract code 66984 the provider ranks #2127 of 15965 (87th percentile), indicating relatively high national volume on that cataract procedure compared with peers; 66982 ranks #79 of 4580 (98th percentile), an extreme high-volume position for that complex cataract code and suggesting above-typical specialization or referral-driven cases for complex lens implantation.

Several codes are statistical outliers in national comparisons and highlight areas of above-typical activity: 99204 ranks in the 99th percentile (described as an extreme outlier, far above typical national volume for that new-patient E/M code), and 92136 and 99213 also rank in the 99th and 97th percentiles respectively (noted as extreme outlier and notably above typical), implying unusually high volumes of specific diagnostics and established-patient visits relative to national peers. These outlier labels point to concentrated practice patterns in certain office-based evaluations and ocular imaging.

Operationally, the dominance of a single drug administration code (J0178 at 48.3% of Medicare revenue) combined with high cataract procedural revenue implies the practice likely relies on recurring office-based therapeutic injections plus surgical cataract throughput for revenue stability; this mix has implications for staffing, clinic flow, and supply/implant expense management. The absence of Medicaid billing means payers and analysts should treat this profile as Medicare-centric when modeling expected payer mix, reimbursement risk, or network value.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	710	$690	$493.4K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	870	$220	$190.5K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	210	$300	$64.4K
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…	720	$60	$39.6K
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…	500	$80	$37.6K
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.	410	$80	$34.6K
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…	440	$80	$33.7K
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.	1,030	$30	$27.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	120	$230	$27.4K
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…	260	$90	$24.4K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Peter Rhee — 5 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	20	40	640	$690	$760.2K
67028	31	60	420	$80	$80.6K
66984	15	340	50	$340	$50.4K
66982	6	60	40	$450	$39K
92014	79	500	200	$70	$19.8K
99214	589	4,690	100	$70	$14.4K
66821	21	130	40	$210	$14.4K
99213	98	4,740	100	$50	$8K
92136	9	80	190	$20	$7.8K
92134	25	450	80	$30	$6.8K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mchs Hospitals Inc	WI	Rural Acute Care Hospital	$0	$45.3M
Family Health Center Of Marshfield Inc	WI	Dental Clinic/Center	$0	$20.4M
Marshfield Clinic Inc	WI	Clinic/Center	$526.8K	$19.6M
Wolfe Clinic Inc	IA	Ophthalmology Physician	$0	$18.2M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$11.8M
Lakeview Medical Center Inc Of Rice Lake	WI	Rural Acute Care Hospital	$0	$10M
Thomas Buroker	IA	Medical Oncology Physician	$9.4M	$0
Kyle Alliman	IA	Ophthalmology Physician	$8.7M	$0
Alex Kartvelishvili	IA	Ophthalmology Physician	$8.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Exceptional Persons Inc	IA	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$80.3M
Vgm Group, Inc.	IA	Durable Medical Equipment & Medical Supplies	$0	$54.4M
Goodwill Industries Of Ne Iowa Inc	IA	Community Based Hospice Care Agency	$0	$52.5M
Veridian Fiscal Solutions LLC	IA	Community/Behavioral Health Agency	$0	$47M
North Star Community Services, Inc	IA	Developmentally Disabled Services Day Training Agency	$0	$26.7M
Families First Counseling Services Of Iowa, L.L.C.	IA	Community/Behavioral Health Agency	$0	$16.3M
Resources For Human Development	IA	Community/Behavioral Health Agency	$0	$13.1M
Cedar Valley Community Support Services	IA	Developmentally Disabled Services Day Training Agency	$0	$11.1M
Vgm Group, Inc.	IA	Case Management Agency	$0	$5.4M
Pathways Behavioral Services Inc	IA	Community/Behavioral Health Agency	$0	$4.5M

Peter Rhee — 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