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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

Thomas Williams (NPI 1750345443)

Field	Value
Entity Type	Individual
Organization	Thomas Williams
Address	2424 Century Pl Se
City	Hickory
State	NC
ZIP	28602
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 12, 2006

Payer Source	Total Paid
Medicare	$2.4M
Medicaid	$0

Key Findings

This provider's Medicare business is concentrated in intravitreal pharmacologic therapy: J0178 (aflibercept) accounts for $1.4M in Medicare revenue (58.1% of the provider's Medicare total) with 2.1K claims and ranks #512 of 3204 nationally (84th percentile; typical, unremarkable volume). J2777 (faricimab) is the second major driver with $619.4K (25.3% of Medicare revenue) on 21.4K claims and ranks #483 of 2039 (76th percentile; typical, unremarkable volume). Together with 67028, these top three codes are precomputed to represent 87.8% of this provider's total Medicare revenue, indicating extreme revenue concentration in a narrow set of retinal therapies and procedures.

Overall scale and payer mix are effectively single-payer: lifetime Medicare revenue is $2.4M while there is none for Medicaid (no Medicaid billing on file). This makes the provider dependent on Medicare beneficiaries and Medicare reimbursement for nearly all documented public-payer revenue, with no Medicaid activity to diversify payer risk or patient mix.

The code mix and descriptions indicate a retina-focused ophthalmology practice centered on injection-based care and diagnostic imaging. High revenue shares for J0178 and J2777 (together accounting for 83.4% when cited individually) plus the presence of 67028 (intravitreal injection procedure) point to a workflow organized around frequent intravitreal injections, while surgical retina codes (67041/67042/67036) appear at much smaller volumes, consistent with an injection-first/clinic-based retina service line.

Diagnostic imaging and office visits are prominent compared with peers: 92134 (retinal imaging) generated $51.4K (2.1% of Medicare revenue) with 1.8K claims and ranks #1184 of 26868 (96th percentile; notably above typical national volume), and 99213 has $48.3K (2.0%) with 792 claims and ranks #10964 of 457151 (98th percentile; notably above typical national volume). These elevated percentiles for imaging and routine E/M suggest strong throughput of follow-up and monitoring visits that support the high injection volumes.

Competitive standing on the primary drug codes is solid but not dominant nationally: J0178 ranks in the 84th percentile and J2777 in the 76th percentile, both described as "typical, unremarkable volume," indicating the provider is a meaningful participant in anti-VEGF/faricimab administration but not an outlier or top national center for those drugs. Surgical retina codes show modest national positioning (examples: 67041 ranks #140 of 461, 67042 ranks #531 of 1087), which aligns with a clinic that emphasizes injections over high-volume retinal surgery.

Revenue concentration poses operational and reimbursement sensitivity: with the precomputed top-three share of 87.8% and J0178 alone at $1.4M (58.1%), any changes in Medicare reimbursement, utilization patterns, or drug availability for these specific intravitreal agents could disproportionately affect overall provider revenue. The small contribution from other services (each under ~5% individually) means limited internal offsets if injection revenue declines.

Clinical footprint includes ancillary services consistent with a comprehensive retina clinic: in addition to the dominant injection codes, the provider bills for imaging (92134, 92235, 92250), minor laser (67228, 66821), and occasional intravitreal implants (J7312), which together support diagnosis, treatment planning, and follow-up care for retinal disease. These ancillary codes appear at lower revenue shares but reinforce that the practice offers the typical diagnostic and therapeutic mix needed to manage macular degeneration and related retinal conditions.

Provider tenure is long-standing: the NPI was enumerated on 2006-04-12 (~20 years ago), indicating sustained presence in the Medicare program. Combined with $2.4M in lifetime Medicare revenue and consistently reported injection volumes, the data suggest an established retina-focused practice with multi-year operational continuity in the Medicare market.

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	2,060	$690	$1.4M
J2777	Injection, faricimab‑svoa, 0.1 mg	21,360	$30	$619.4K
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.	1,230	$90	$109.2K
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.	1,840	$30	$51.4K
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…	790	$60	$48.3K
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…	550	$90	$48.2K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	270	$160	$43.1K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$870	$19.9K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$840	$16.8K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	20	$670	$14.8K

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. North Carolina Distribution

Thomas Williams — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	100	950	$690	$881K
J2777	25	70	12,990	$30	$503.7K
67028	40	120	780	$90	$80K
J7312	11	20	390	$160	$56.4K
67042	11	30	20	$990	$23.8K
67041	4	10	20	$1,050	$23.2K
67040	5	10	20	$1,100	$20.9K
67036	7	20	20	$840	$16.7K
66821	191	310	50	$100	$16.5K
99214	1,302	18,060	110	$80	$15.1K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Patrick Kelty	NC	Ophthalmology Physician	$2.4M	$0
Enrique Calderon	NC	Ophthalmology Physician	$713K	$0
Richard Chang	NC	Ophthalmology Physician	$360.2K	$0
James Harris	NC	Ophthalmology Physician	$333.6K	$0
Peter Lipscomb	NC	Ophthalmology Physician	$302.2K	$0
Roderick Hargrove	NC	Ophthalmology Physician	$181.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$40.4M
Bayada Home Health Care, Inc.	NC	Community/Behavioral Health Agency	$0	$28.1M
Christopher H. Brown, Bs Dent, Dds,pa	NC	Oral and Maxillofacial Surgery (Dentist)	$0	$21.8M
Catawba Pediatric Associates, P.A.	NC	Pediatrics Physician	$0	$20.2M
Catawba Valley Medical Center	NC	General Acute Care Hospital	$0	$17.3M
Pediatric Therapy Network	NC	Pediatric Physical Therapist	$0	$12.2M
Urgent Care Of Mountain View PLLC	NC	Urgent Care Clinic/Center	$0	$11.5M
Childrens Neurotherapy Services	NC	Pediatric Occupational Therapist	$0	$9.8M
Creative Change Counseling	NC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.7M
Rafael Rivera, Jr, Dds, PLLC	NC	Dentist	$0	$8.8M

Thomas Williams — 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