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    OpenPayerNPI Medicare & MedicaidScott Sneed
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    Scott Sneed — Billing Profile & Reimbursement Data

    NPI 1740281948 · Traverse City, MI · Retina Specialist (Ophthalmology) Physician

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    Scott Sneed is a retina specialist (ophthalmology) physician provider located in Traverse City, Michigan. This profile covers 15 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationScott Sneed
    Address860 E Front St
    CityTraverse City
    StateMI
    ZIP49686
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedAugust 10, 2005

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    SCOTT SNEED is a retina-focused ophthalmology practice with lifetime Medicare revenue of $2.8M and no Medicaid billing on file, making the provider effectively single-payer (Medicare) in this dataset and limiting payer-mix exposure to non-Medicaid payers. The absence of any Medicaid claims suggests referrals and patient mix are concentrated in Medicare-aged or Medicare-covered populations rather than state-covered lines.

    Revenue is highly concentrated in a small set of biologic injection codes: the precomputed top three Medicare codes account for 86.3% of the provider's total Medicare revenue, indicating a procedure-driven practice centered on intravitreal biologic therapy rather than general ophthalmic office visits or diagnostic testing. This concentration implies that anti-VEGF and related intravitreal injections are the primary service line driving the practice’s economics.

    The single largest revenue source is J0178 (aflibercept) at $1.3M, representing 45.3% of Medicare revenue and reflecting heavy utilization of aflibercept for retinal disease management. J2778 (ranibizumab) and J2777 (faricimab-svoa) are the next largest, at 24.4% and 16.6% respectively, together with J0178 forming the dominant treatment mix and supporting the interpretation of a retina practice that performs frequent intravitreal injections.

    Competitive standing by national rank shows mixed results across the top codes: the provider ranks in the 94th percentile nationally for J2778 (rank #78 of 1208), indicating notably high utilization of ranibizumab compared with peers, while J0178 sits in the 81th percentile (rank #608 of 3204) and J2777 in the 67th percentile (rank #671 of 2039), both described as typical or unremarkable volumes. These percentile positions suggest SCOTT SNEED is a high-volume user of ranibizumab relative to peers but otherwise a modest-to-typical national participant for the other major biologics.

    Non-procedure E/M and diagnostic codes are present but contribute much less to revenue: 99214 generates $123.7K (4.5% of Medicare revenue) and ranks as an extreme outlier nationally (99th percentile), indicating unusually high billing volume for moderate-complexity office visits compared with other clinicians. Diagnostic imaging codes such as 92134 and procedure code 67028 also appear but account for single-digit percentages of total revenue, reinforcing that injections are the core revenue driver while evaluations and imaging are secondary.

    The provider’s NPI was enumerated on 2005-08-10, which indicates approximately 21 years of Medicare enrollment; this tenure supports an established practice likely experienced in retina procedures and in operating within Medicare reimbursement structures. Long-standing enrollment combined with the concentrated injection mix suggests operational stability focused on intravitreal therapy delivery.

    Given the heavy dependence on a few biologic injection codes (86.3% concentrated in the top three), the provider’s financial performance is sensitive to changes in utilization patterns, reimbursement rates, or shifts in drug mix for aflibercept, ranibizumab, and faricimab-svoa. For payers and network planners, this profile signals a specialist whose value proposition centers on procedural retinal care rather than broad ambulatory ophthalmology services.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    15 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,830$690$1.3M
    J2778Injection, ranibizumab, 0.1 mg3,720$180$676.1K
    J2777Injection, faricimab‑svoa, 0.1 mg15,900$30$461.1K
    67028The 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.1,630$90$149.9K
    99214The 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…1,410$90$123.7K
    92134The 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.1,960$30$54.9K
    99204The 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…120$110$13.5K
    99213The 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…150$70$10K
    92014An 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…130$60$7.8K
    92235The 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…80$100$7.3K

    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

    Full comparison — all codes billed, vs. state median

    15 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017817110680$690$630.2K
    J277715607,200$30$321K
    J2778350730$180$240.5K
    6702814160440$90$57.6K
    J35906380140$80$19.6K
    920144351,080100$80$14.8K
    992144515,47080$80$11.4K
    922352910040$100$7.8K
    921342482060$30$7.1K
    9201242046050$60$6.8K

    Showing 1–10 of 15

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Associated Retinal Consultants, PCMIOphthalmology Physician$0$21.1M
    Sandeep RandhawaMIRetina Specialist (Ophthalmology) Physician$7M$0
    Scott PendergastOHRetina Specialist (Ophthalmology) Physician$6M$0
    Ramon LeeILRetina Specialist (Ophthalmology) Physician$4M$8.5K
    Jeremy WolfeMIRetina Specialist (Ophthalmology) Physician$3.7M$0
    Christianne WaCARetina Specialist (Ophthalmology) Physician$3.5M$0
    Douglas CovertMIRetina Specialist (Ophthalmology) Physician$3.2M$0
    Nathan FarleyMIRetina Specialist (Ophthalmology) Physician$3M$0
    Tamer MahmoudMIRetina Specialist (Ophthalmology) Physician$2.8M$0
    George WilliamsMIRetina Specialist (Ophthalmology) Physician$2.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Autism Center Of Northern MichiganMICommunity/Behavioral Health Agency$0$19M
    Jonathan TimmMIBehavior Analyst$0$6.2M
    North Arrow Aba, LLCMIBehavior Analyst$0$5.8M
    Diane FianderMIRetina Specialist (Ophthalmology) Physician$2.2M$0
    North Flight Aero MedMIAir Ambulance$772.9K$716.6K
    John McmanusMIOphthalmology Physician$290.4K$0
    Mark PomaranskiMIMOHS-Micrographic Surgery Physician$273K$0
    Brian HeeringaMISurgery Physician$153.4K$0
    Paula CahillMIDermatology Physician$142.6K$0
    Peter FedorMIOphthalmology Physician$136.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Michigan Distribution
    Scott Sneed — 4 of 15 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Michigan