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    OpenPayerNPI Medicare & MedicaidCraig Hartranft
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    Craig Hartranft — Billing Profile & Reimbursement Data

    NPI 1760454532 · Roanoke, VA · Ophthalmology Physician

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    Craig Hartranft is a ophthalmology physician provider located in Roanoke, Virginia. This profile covers 13 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
    OrganizationCraig Hartranft
    Address5296 Peters Creek Rd
    CityRoanoke
    StateVA
    ZIP24019
    TaxonomyOphthalmology Physician
    NPI EnumeratedFebruary 6, 2006

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is the dominant payer relationship: total Medicare revenue is $2.8M and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) in the available dataset. Absence of Medicaid claims suggests limited engagement with state Medicaid programs rather than a mixed payer panel.

    Revenue is highly concentrated in a few retinal drug codes: the precomputed top 3 Medicare codes by revenue account for 84.7% of this provider's total Medicare revenue, with J0178 generating $1.7M (60.3% of Medicare revenue), J2778 generating $351.9K (12.4%), and J2777 generating $342.8K (12.1%). This concentration indicates that a small set of injectable therapeutics drives the bulk of billing.

    The CPT/HCPCS mix points to a retina-focused, procedure-driven ophthalmology practice centered on intravitreal pharmacotherapy and imaging. High-volume drug codes J0178 (2.5K claims, $689 avg paid/claim) and J2777 (11.8K claims, $29 avg paid/claim) combined with procedure code 67028 (1.9K claims, $90 avg paid/claim, $167.8K revenue) and retinal imaging 92134 (2.2K claims, $32 avg paid/claim) are consistent with frequent intravitreal injection visits supported by OCT diagnostics.

    Operational profile: the practice generates many procedure encounters relative to evaluation-and-management visits. E/M codes 99215 (45 claims, $138 avg paid/claim) and 99214 (21 claims, $78 avg paid/claim) contribute minimal revenue compared with drug and imaging codes, implying workflows optimized for injection clinics and rapid follow-up visits rather than predominantly extended office-based E/M care.

    Competitive standing by national rank is mixed across top drugs: J0178 ranks #328 of 3204 providers (90th percentile), indicating above-average national activity for aflibercept use; J2778 ranks #224 of 1208 (82th percentile), reflecting stronger-than-average ranibizumab activity; while J2777 ranks #889 of 2039 (56th percentile), placing faricimab billing closer to the national median. These ranks show the provider is a notable but not dominant national participant for aflibercept and ranibizumab, and a more modest participant for faricimab.

    There are strong statistical outliers in diagnostic and follow-up services that reinforce the retina-clinic profile: 92012 has 2.1K claims and $136.4K revenue and ranks #69 of 17177 providers (100th percentile; extreme outlier, far above typical national volume for this code), and 92134 ranks in the 97th percentile (notably above typical national volume). Such elevated volumes of intermediate eye exams and OCT interpretation are consistent with high-frequency monitoring of chronic retinal disease.

    The detailed code-level pattern shows a contrast between high-value, lower-count claims and high-count, low-unit-value claims: J0178 posts high average payment ($689) on 2.5K claims yielding $1.7M, whereas J2777 posts a very large claim count (11.8K) but a low average payment ($29) resulting in $342.8K. This mix implies the practice captures most revenue from a dominant high-priced biologic while also delivering many low-unit-cost administrations or supply-billed services that cumulatively contribute meaningful revenue.

    Provider tenure suggests established local presence: the NPI was enumerated 2006-02-06 (~20 years ago), indicating long-standing registration that is consistent with a stable specialty practice likely built around retinal injection services and longitudinal follow-up care.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,480$690$1.7M
    J2778Injection, ranibizumab, 0.1 mg1,970$180$351.9K
    J2777Injection, faricimab‑svoa, 0.1 mg11,820$30$342.8K
    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.1,860$90$167.8K
    92012For 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…2,070$70$136.4K
    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.2,190$30$70K
    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…310$90$28.8K
    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…160$110$16.8K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…50$140$6.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.30$110$3.3K

    Showing 1–10 of 13

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017821801,400$690$1.1M
    J2777326013,200$30$517.1K
    J2778540560$180$171.5K
    6702822901,000$90$107.1K
    92014302870170$80$32.8K
    9921411,71412,890140$80$21K
    92012143080$60$11.9K
    921343968070$30$9.7K
    992151,7654,03040$120$9.5K
    9223565040$110$7.3K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Vistar Eye Center, IncVASpecialist$0$11.4M
    Michael McclintockVARetina Specialist (Ophthalmology) Physician$5.4M$0
    Timothy ByrnesVARetina Specialist (Ophthalmology) Physician$4.7M$0
    Vishak JohnNCOphthalmology Physician$4.3M$0
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0
    Anna MackinVARetina Specialist (Ophthalmology) Physician$3.1M$0
    Yevgeniy ShildkrotVAOphthalmology Physician$1.5M$0
    James TiedemanVAOphthalmology Physician$782.7K$0
    Frank CotterVAOphthalmology Physician$683.7K$0
    Chad AlbrightVAOphthalmology Physician$560.3K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Depaul Community ResourcesVAFoster Care Agency$0$86.6M
    Family Preservation Services LLCVACommunity/Behavioral Health Agency$0$58.8M
    Pinnacle Treatment Services Of Roanoke, LLCVASubstance Use Disorder Rehabilitation Clinic/Center$0$14.2M
    Roanoke County Board Of SupervisorsVALand Ambulance$1.3M$1.7M
    Bradley GoadVAInternal Medicine Physician$444.3K$0
    Quasir RazaVAInternal Medicine Physician$409K$0
    Donald ScothornVAOptometrist$304.1K$0
    Natasha HartVAPsychiatric/Mental Health Nurse Practitioner$233.6K$0
    Sharee BirkettVAFamily Nurse Practitioner$200.9K$0
    Branda HodgesVAPsychiatric/Mental Health Nurse Practitioner$153.8K$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. Virginia Distribution
    Craig Hartranft — 1 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia