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

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

David Lewis (NPI 1760522817)

Field	Value
Entity Type	Individual
Organization	David Lewis
Address	600 Highland Ave # F4349
City	Madison
State	WI
ZIP	53792
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

The provider’s billing mix is strongly centered on intravitreal anti-VEGF therapy and related retinal care: J0178 (1K claims, $726.3K revenue) and J2777 (10.1K claims, $294.1K revenue) are the largest revenue drivers, and 67028 (765 claims, $74.2K revenue) appears as the procedural code for isolated intravitreal injections. These codes and their descriptions indicate an operational focus on outpatient retinal injection therapy rather than broad multispecialty ophthalmic surgery.

Revenue concentration is high: the precomputed top-3 Medicare codes account for 80.3% of this provider’s total Medicare revenue, with a single code, J0178, representing 53.3% of Medicare receipts. That concentration signals material dependence on a small set of injection-related services for the practice’s Medicare earnings.

This profile is effectively single-payer at scale: lifetime Medicare revenue is $1.4M while Medicaid revenue is listed as none, so the provider has no Medicaid billing on file. Operational and reimbursement risk for this practice is therefore tightly linked to Medicare policy and utilization trends for retinal injection therapies.

On national standing for the top injection products, the provider is a modest participant rather than a dominant national player: J0178 ranks #1244 of 3204 providers nationally (61th percentile; typical, unremarkable volume for this code) and J2777 ranks #1005 of 2039 providers nationally (51th percentile; typical, unremarkable volume for this code). Those rank/percentile positions indicate routine, not exceptional, injection volume relative to peers.

Diagnostic imaging and established-patient visits show above-typical intensity: 92134 (1.4K claims, $43.4K revenue) ranks #1582 of 26868 providers nationally (94th percentile; notably above typical national volume for this code) and 92133 (359 claims, $8.6K revenue) ranks in the 95th percentile (notably above typical national volume for this code). Alongside 99214 (475 claims, $38K revenue; 89th percentile; typical), this suggests heavier-than-average use of retinal imaging and higher-complexity office visits to support the injection service line.

The provider performs some cataract-related procedures but at modest frequency: 66984 (95 claims, $34.6K revenue) and 66821 (31 claims, $7.8K revenue) are present but rank near the middle or lower national percentiles (66984 at the 49th percentile; 66821 at the 32th percentile). This pattern is consistent with a primarily medical-retina practice that occasionally performs or bills for cataract surgery and YAG capsulotomy.

The provider has an established billing history, with NPI enumeration dated 2007-02-07 (~19 years ago), and lifetime Medicare revenue of $1.4M. That tenure supports interpretation of these patterns as stable practice behavior rather than a short-term anomaly, with a mid-scale Medicare footprint focused on intravitreal therapies and retinal diagnostics.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,050	$690	$726.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,140	$30	$294.1K
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.	770	$100	$74.2K
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…	660	$90	$58.1K
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.	1,450	$30	$43.4K
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…	480	$80	$38K
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…	100	$360	$34.6K
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…	330	$60	$20.7K
J9035	Injection, bevacizumab, 10 mg	270	$50	$14.4K
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…	100	$100	$9.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wisconsin Distribution

David Lewis — 8 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	60	440	$690	$488.1K
J2777	8	30	7,290	$30	$332K
66984	251	310	350	$50	$66.4K
67028	23	110	310	$80	$43.7K
J9035	23	70	110	$50	$14.5K
66821	123	180	40	$100	$13K
92014	19	720	120	$70	$12.9K
99214	277	9,800	80	$70	$9.2K
92012	61	160	50	$60	$5.1K
92134	15	600	60	$30	$4.7K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jason Ysasaga	TX	Ophthalmology Physician	$9.9M	$0
Ryan Rush	TX	Ophthalmology Physician	$9.7M	$0
Christopher Fisher	OK	Internal Medicine Physician	$7.6M	$0
Antonio Aragon	TX	Ophthalmology Physician	$7.3M	$0
Brian Phelps	OK	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Christopher Fuller	TX	Ophthalmology Physician	$3.6M	$0
Constantine Saadeh	TX	Rheumatology Physician	$3.6M	$0
Michael Hood	OK	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Jim Lu	IL	Anatomic Pathology Physician	$2.7M	$584.1K
Ashok Reddy	NM	Ophthalmology Physician	$3.2M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wisconsin Hospitals And Clinics Authority	WI	General Acute Care Hospital	$0	$120M
Jagroop Basraon	WI	Clinical Cardiac Electrophysiology Physician	$1.1M	$0
Noemi Brunner	WI	Diagnostic Radiology Physician	$35.1K	$739.2K
Rakesh Mandal	WI	Clinical Pathology/Laboratory Medicine Physician	$67.1K	$547.9K
Daniel Guerra Rodas	WI	Nephrology Physician	$147.6K	$462.1K
Ali Pirasteh	WI	Diagnostic Radiology Physician	$498.3K	$0
Robert Hegeman	WI	Medical Oncology Physician	$393.7K	$0
Michael Christopher	WI	Dermatology Physician	$386K	$0
Mark Mounajjed	WI	Infectious Disease Physician	$381.5K	$0
Christine Vetter	WI	Diagnostic Radiology Physician	$367.5K	$0

David Lewis — Billing Profile & Reimbursement Data

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David Lewis — 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