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

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

John Dellacroce (NPI 1780619718)

Field	Value
Entity Type	Individual
Organization	John Dellacroce
Address	1794 E Joyce Blvd Ste 3
City	Fayetteville
State	AR
ZIP	72703
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicare	$2.6M
Medicaid	$0

Key Findings

This NPI is firmly a retina-focused ophthalmology practice driven by intravitreal pharmacotherapy: J0178 (2.3K claims, $679 avg paid/claim, $1.5M revenue) alone accounts for 58.0% of the provider's Medicare revenue and J2777 (25.6K claims, $29 avg paid/claim, $741.2K revenue) contributes 27.9%, with the intravitreal injection code 67028 (1.4K claims, $79 avg paid/claim, $108.3K revenue) adding another 4.1%. The mix of high-volume anti-VEGF and newer biologic injections indicates routine office-based retinal injection clinics for conditions like wet AMD, DME, or retinal vascular disease rather than a primary focus on general ophthalmology.

Revenue concentration is very high: the precomputed top-3 Medicare codes account for 90.0% of the provider's total Medicare revenue, underscoring that a narrow set of injection procedures and associated services drive most of the $2.6M in Medicare revenue. That concentration implies financial sensitivity to utilization or reimbursement changes for these specific drugs and injection visits.

This provider is effectively single-payer in scope at the claims level: Total Medicare revenue is $2.6M while there is no Medicaid billing on file. The absence of Medicaid activity means payer negotiations, access, and population risk are dominated by Medicare dynamics rather than a mixed Medicare–Medicaid strategy.

National competitive standing on the headline drug codes is substantial in volume but not dominant: J0178 ranks #410 of 3204 providers nationally (87th percentile; typical, unremarkable volume) and J2777 ranks #374 of 2039 providers nationally (82th percentile; typical, unremarkable volume). In plain terms, the provider treats a high absolute volume for these injections locally but sits within the upper-middle tier of national peers rather than being a national outlier or market leader for those drugs.

Diagnostic imaging volumes are a distinct outlier for posterior-segment care: 92134 shows 2.4K claims, $26 avg paid/claim, $61.5K revenue and ranks #740 of 26868 providers nationally (97th percentile; extreme outlier), and 92250 ranks at the 97th percentile as well. These patterns indicate above-typical use of retinal imaging and documentation—supporting a high-throughput retina clinic model with extensive monitoring and follow-up imaging accompanying injection therapy.

Office evaluation-and-management and routine ophthalmology visit revenue is present but modest relative to injections: 92014 (599 claims, $80 avg paid/claim, $47.9K revenue) and 99214 (382 claims, $83 avg paid/claim, $31.7K revenue) together represent only small percentages of total Medicare revenue. This distribution reinforces that the practice is procedure- and drug-revenue centric rather than being driven by frequent higher-revenue E&M visits.

Surgical and laser procedures are performed but at low volumes: vitrectomy codes 67041 and 67042 each have 11 claims and roughly $8.9K and $8.8K in revenue respectively, while 67145 (46 claims, $142 avg paid/claim, $6.5K revenue) ranks at the 95th percentile (notably above typical national volume) and 67228 (25 claims, $222 avg paid/claim, $5.6K revenue) is at a typical level. The data suggest occasional operative and laser management in addition to the dominant injection practice, likely addressing more complex retinal pathology when needed.

The provider is an established clinician with a long enumeration history: NPI enumerated 2006-07-11 (~20 years ago). That tenure, combined with concentrated injection and imaging volumes, points to a mature, focused retina specialty practice with stable Medicare billing patterns over time.

Medicare: Complete Services Breakdown

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

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,260	$680	$1.5M
J2777	Injection, faricimab‑svoa, 0.1 mg	25,560	$30	$741.2K
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	$80	$108.3K
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.	2,360	$30	$61.5K
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…	600	$80	$47.9K
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…	380	$80	$31.7K
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…	450	$60	$27.2K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	170	$100	$16.7K
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	$110	$16.6K
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,…	680	$20	$16.3K

Showing 1–10 of 17

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 17 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Arkansas Distribution

John Dellacroce — 6 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arkansas

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	30	390	$690	$538.3K
J2777	5	20	12,180	$30	$504.5K
67028	10	40	270	$80	$51.1K
J7999	32	30	100	$130	$20.6K
92014	47	370	150	$70	$19.1K
99214	992	4,300	130	$70	$18.8K
67041	5	10	20	$810	$17.1K
67042	4	10	10	$800	$10.4K
99213	431	4,180	100	$50	$9.6K
67228	7	10	30	$230	$8.8K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Serrhel Adams	AR	Retina Specialist (Ophthalmology) Physician	$3.4M	$35.5K
Patrick O'sullivan	LA	Ophthalmology Physician	$1M	$500.6K
Benjamin Guidry	LA	Ophthalmology Physician	$412.7K	$81.3K
Satya Reddy	LA	Cornea and External Diseases Specialist Physician	$271.7K	$0
Brett Budden	LA	Retina Specialist (Ophthalmology) Physician	$198.1K	$8.1K
Brendon Sumich	LA	Ophthalmology Physician	$134.7K	$4.2K
Daniel Caplan	LA	Ophthalmology Physician	$131K	$5.6K
George Ellis	LA	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$5K	$12.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sanders, Tompkins, Schiro, Landers And Sanders PLLC	AR	Pediatric Dentistry	$0	$30.4M
Children's Therapy Services, Inc.	AR	Pediatric Physical Therapist	$0	$29.2M
Life Styles Inc.	AR	Case Management Agency	$0	$19.6M
Washington Regional Medical Center	AR	General Acute Care Hospital	$0	$10.9M
Cross Therapy Services, Ltd	AR	Pediatric Occupational Therapist	$0	$5.8M
Medical Associates Of Northwest Arkansas PA	AR	Pediatrics Physician	$0	$5.8M
Oral & Facial Surgery Center PA	AR	Oral and Maxillofacial Surgery (Dentist)	$0	$4.8M
Matthew Lockwood	AR	Hematology & Oncology Physician	$4.2M	$0
Thomas A. Sarna, Dds PLLC	AR	Oral and Maxillofacial Surgery Clinic/Center	$0	$3.4M
Washington Regional Medical System	AR	Hospitalist Physician	$0	$3.4M

John Dellacroce — 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