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

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

Joshua Robinson (NPI 1770741381)

Field	Value
Entity Type	Individual
Organization	Joshua Robinson
Address	3535 W 13 Mile Rd # 344
City	Royal Oak
State	MI
ZIP	48073
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 30, 2008

Payer Source	Total Paid
Medicare	$3.7M
Medicaid	$0

Key Findings

This provider is effectively single-payer at the claims level: Total Medicare revenue is $3.7M and there is no Medicaid billing on file, indicating the provider’s Medicare activity is the sole recorded public-payer footprint in this dataset. Analysts should treat this profile as Medicare-dominant when modeling payer mix and exposure.

Revenue is highly concentrated in a small number of drug and injection codes: the precomputed top 3 Medicare codes by revenue account for 88.3% of this provider's total Medicare revenue, driven primarily by J2777, J0178, and 67028. Those three codes together indicate the bulk of billing value comes from intravitreal pharmacologic therapy and the injections that deliver it.

The code mix and dollar volumes point to a procedure-focused retina/injection practice model: J2777 shows 55.9K claims, $29 avg paid/claim, $1.6M revenue (43.3% of total Medicare revenue), J0178 shows 2.2K claims, $687 avg paid/claim, $1.5M revenue (39.8%), and 67028 shows 2.1K claims, $93 avg paid/claim, $194.6K revenue (5.2%). Taken together, these entries are consistent with frequent intravitreal anti-VEGF administration and billing for the injections themselves rather than a practice dominated by high-volume surgical procedures.

Competitive standing by code is mixed: J2777 ranks #80 of 2039 providers nationally (96th percentile; notably above typical national volume for this code), indicating unusually high national volume for faricimab administration. By contrast, J0178 ranks #453 of 3204 providers nationally (86th percentile; typical, unremarkable volume), so aflibercept use appears strong but not exceptional relative to peers.

67028 and associated procedural imaging are also above typical: 67028 ranks #354 of 4255 providers nationally (92th percentile; notably above typical national volume) with 2.1K claims and $194.6K revenue, and 92134 shows 3.2K claims, $91.8K revenue and ranks #337 of 26868 providers nationally (99th percentile; extreme outlier). These placements suggest the provider delivers injections at a higher-than-typical cadence and pairs those visits with advanced retinal imaging.

Office visit volume shows notable concentration in established-patient E/Ms used in longitudinal injection management: 99213 appears with 2.5K claims, $162.3K revenue and ranks #404 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume for this code). This pattern supports a workflow where frequent, lower-complexity follow-up visits accompany the injection regimen.

Tenure and specialty are consistent with an established ophthalmology practice: the NPI was enumerated on 2008-05-30 (~18 years ago) and taxonomy is Ophthalmology Physician in ROYAL OAK, MI, which supports interpreting high injection and imaging volumes as the product of an experienced, locally entrenched retina/injection clinic. This longevity can inform expectations about referral networks and steady patient flow.

Operational and payer-negotiation implications arise from the high drug/injection concentration and absence of Medicaid billing: with J2777 and J0178 making up the majority of revenue, the provider’s financial performance is sensitive to drug pricing, buy-and-bill arrangements, and payer coverage policies for these agents. Analysts evaluating contract risk or revenue resilience should prioritize review of drug procurement practices, reimbursement rates for J2777 and J0178, and the impact of single-payer reliance on Medicare.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	55,920	$30	$1.6M
J0178	Injection, aflibercept, 1 mg	2,170	$690	$1.5M
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.	2,090	$90	$194.6K
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…	2,500	$70	$162.3K
J2778	Injection, ranibizumab, 0.1 mg	600	$180	$105.7K
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.	3,170	$30	$91.8K
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…	380	$80	$30.7K
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…	160	$120	$19.4K
J9035	Injection, bevacizumab, 10 mg	310	$50	$15.9K
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…	70	$90	$6.1K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Joshua Robinson — 5 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	110	680	$690	$630.2K
J2777	1	60	7,200	$30	$321K
J2778	28	50	730	$180	$240.5K
67028	7	160	440	$90	$57.6K
92014	153	1,080	100	$80	$14.8K
99214	8,726	15,470	80	$80	$11.4K
J9035	6	30	70	$50	$9.5K
92235	92	100	40	$100	$7.8K
92134	4	820	60	$30	$7.1K
99213	3	14,810	60	$60	$6.6K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Palmetto Retina Center LLC	SC	Ophthalmology Physician	$0	$10.6M
John Payne	SC	Ophthalmology Physician	$4M	$0
John Wells	SC	Ophthalmology Physician	$3.9M	$0
William Clark	SC	Ophthalmology Physician	$3.3M	$0
Barron Fishburne	SC	Retina Specialist (Ophthalmology) Physician	$3.3M	$0
John Renfro	SC	Ophthalmology Physician	$3.1M	$0
Jeffrey Gross	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0
David Johnson	SC	Retina Specialist (Ophthalmology) Physician	$3M	$0
Oksana Demediuk	GA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Gregg Kaiser	SC	Ophthalmology Physician	$2.8M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
William Beaumont Hospital	MI	Hospitalist Physician	$0	$167.9M
William Beaumont Hospital	MI	General Acute Care Hospital	$0	$162.4M
Judson Center, Inc.	MI	Community/Behavioral Health Agency	$0	$21.2M
Associated Retinal Consultants, PC	MI	Ophthalmology Physician	$0	$21.1M
Allergy & Asthma Associates Of Mi PC	MI	Allergy & Immunology Physician	$0	$15.9M
Community Homes, Inc.	MI	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$7.5M
Sandeep Randhawa	MI	Retina Specialist (Ophthalmology) Physician	$7M	$0
American Anesthesiology Of Michigan PC	MI	Anesthesiology Physician	$0	$5.7M
Jeremy Wolfe	MI	Retina Specialist (Ophthalmology) Physician	$3.7M	$0
Tamer Mahmoud	MI	Retina Specialist (Ophthalmology) Physician	$2.8M	$0

Joshua Robinson — 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