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.

Eugene Milder (NPI 1770561722)

Field	Value
Entity Type	Individual
Organization	Eugene Milder
Address	4414 Lake Boone Trl Ste 302
City	Raleigh
State	NC
ZIP	27607
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 9, 2006

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

This is effectively a Medicare-only billing profile: Total Medicare revenue is $2.1M while there is no Medicaid billing on file, so the provider operates without a meaningful Medicaid revenue stream and is highly dependent on Medicare payment dynamics for practice revenue. Absence of Medicaid activity means payer-mix negotiations, network strategy, and access patterns will be driven almost entirely by Medicare volumes and reimbursements.

Revenue is highly concentrated in three codes: the precomputed top 3 Medicare codes account for 90.9% of this provider's total Medicare revenue. J0178 alone accounts for 76.0% of Medicare revenue, with J2778 at 9.1% and 67028 at 5.7%, indicating most revenue is driven by intravitreal drug administrations and the separate injection procedure.

The code mix and dollar distribution identify a medical-retina, intravitreal-injection–centric operation: J0178 (aflibercept), J2778 (ranibizumab), and 67028 (isolated intravitreal injection procedure) dominate revenue, which is consistent with a practice focused on frequent anti-VEGF therapy for retinal disease rather than primarily surgical interventions. Low revenue from surgical retina codes (for example, 67145 at $2.7K) reinforces that injections and drug administration are the core service line.

Competitive standing for the primary drug driver is moderate rather than dominant: J0178 generates $1.6M and 2.3K claims but ranks #395 of 3204 providers nationally (88th percentile) and is labeled “typical, unremarkable volume for this code,” meaning the provider has higher-than-average but not top-tier national volume in aflibercept use. Similarly, J2778 ranks in the 66th percentile and 67028 in the 78th percentile, both described as typical volumes, so the practice is a solid regional participant rather than an outlier leader for those injection codes.

Diagnostic and imaging activity is unusually high relative to national peers, pointing to significant outpatient testing throughput: 92250 (fundus photography) is an “extreme outlier, far above typical national volume” at the 99th percentile ($23.5K revenue, 904 claims) and 92134 (retinal imaging) sits in the 93th percentile ($32.2K revenue, 1.1K claims). This combination suggests the clinic runs substantial imaging services to support frequent injection management, which may be an operational differentiator.

Office evaluation-and-management activity is also elevated: 99213 ranks in the 96th percentile and is described as “notably above typical national volume” (612 claims, $36.7K), with other new- and established-patient E&M codes (99203, 99204) likewise in high percentiles. High E&M throughput alongside the injection and imaging volumes indicates a busy ambulatory clinic that pairs procedural drug administration with active clinical follow-up.

There are a small number of high-dollar, unclassified drug/biologic entries (J3490 with $33.5K total at $1968 avg paid/claim, and J3590 with $29.7K total at $2283 avg paid/claim) reported in low claim counts; both are labeled in the source as “typical, unremarkable volume for this code.” While these line items represent modest shares of total revenue, their high average paid-per-claim suggests occasional use of nonstandard or ad hoc drug billing alongside routine anti-VEGF therapy.

The provider has long tenure in the dataset, with NPI enumeration on 2006-01-09 (~20 years ago), indicating an established practice; combined with concentrated Medicare revenue and the operational profile described above, this suggests a stable, injection-focused retinal practice whose financial performance will be sensitive to changes in anti-VEGF utilization, reimbursement for J0178, and any shifts in Medicare drug reimbursement policy.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,300	$690	$1.6M
J2778	Injection, ranibizumab, 0.1 mg	1,070	$180	$191.4K
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.	1,370	$90	$120.1K
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…	610	$60	$36.7K
J3490	Unclassified drugs	20	$1,970	$33.5K
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.	1,150	$30	$32.2K
J3590	Unclassified biologics	10	$2,280	$29.7K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	900	$30	$23.5K
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…	120	$110	$13.5K
99203	The provider sees a new 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 provider…	170	$70	$11.6K

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

Claims Volume vs. North Carolina Distribution

Eugene Milder — 3 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	100	950	$690	$881K
J2778	16	50	620	$180	$202.2K
J3590	14	10	30	$2,570	$95K
67028	35	120	780	$90	$80K
J3490	71	80	50	$450	$24.1K
99214	15,134	18,060	110	$80	$15.1K
J9035	69	90	140	$50	$13.4K
92134	56	790	70	$30	$7.5K
99213	446	16,320	70	$50	$7.1K
99204	505	8,430	30	$110	$4.8K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shil Patel	VA	Ophthalmology Physician	$6.1M	$0
James Pate	NC	Ophthalmology Physician	$5.2M	$0
Nitin Gupta	NC	Ophthalmology Physician	$4.7M	$0
John Thordsen	NC	Retina Specialist (Ophthalmology) Physician	$3.5M	$0
Rebecca Manning	NC	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Sachin Mudvari	NC	Retina Specialist (Ophthalmology) Physician	$3.2M	$0
Daniel Bennett	NC	Retina Specialist (Ophthalmology) Physician	$3M	$0
Brian Lehpamer	NC	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Elizabeth Tegins	NJ	Ophthalmology Physician	$2.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Autism Society Of North Carolina, Inc.	NC	Community/Behavioral Health Agency	$0	$95.7M
Rex Hospital Inc.	NC	General Acute Care Hospital	$0	$25.3M
Bayada Home Health Care, Inc.	NC	Home Health Agency	$0	$24.8M
Nc Dept Of Health And Human Service	NC	Clinical Medical Laboratory	$0	$16.4M
Jeffers Mann & Artman Pediatric & Adolesent Medicine PA	NC	Pediatric Adolescent Medicine Physician	$0	$10.9M
Pediatric Therapy Associates	NC	Physical Therapist	$0	$10.2M
Blue Ridge Day Surgery Center, LP	NC	Ambulatory Surgical Clinic/Center	$1.6M	$2.2M
John Denny	NC	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Raynor Casey	NC	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Lisa Mckenna	NC	Retina Specialist (Ophthalmology) Physician	$1.9M	$0

Eugene Milder — 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