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

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

Anthony Joseph (NPI 1780900845)

Field	Value
Entity Type	Individual
Organization	Anthony Joseph
Address	7470 N Oracle Rd Ste 100
City	Tucson
State	AZ
ZIP	85704
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 14, 2010

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

Practice profile: The code mix is consistent with an office-based retina specialty focused on intravitreal pharmacotherapy and high-volume retinal diagnostics. The top revenue drivers are intravitreal injection drugs and injection procedures (J0178 $1.2M revenue, J2777 $348.1K revenue, 67028 $143.8K revenue), and the provider also reports heavy diagnostic imaging activity (92134 with 3.3K claims and $91.4K revenue).

Revenue concentration risk: This provider’s billing is heavily concentrated in a small set of services — the precomputed top 3 Medicare codes by revenue account for 76.5% of total Medicare revenue. J0178 alone represents 54.4% of the provider’s Medicare revenue, indicating material exposure to the reimbursement environment and supply costs for that product.

Payer mix: Billing is effectively single-payer Medicare at scale — lifetime Medicare revenue is $2.2M and there is no Medicaid billing on file. Analysts should treat Medicaid access or coverage shifts as immaterial to this provider based on available data, while Medicare policy or price changes could have outsized impact.

Injection competitive standing: For the primary drug and procedural codes that drive revenue, this provider is a solid but not dominant national participant. J0178 ranks #640 of 3204 providers (80th percentile, characterized as typical/unremarkable volume) and J2777 ranks #879 of 2039 providers (57th percentile, typical/unremarkable), suggesting routine market share for anti-VEGF/related biologics rather than market leadership.

High-volume diagnostics and E/M outliers: The provider is an outlier on retina imaging and office visit intensity, which points to a high-throughput clinic model supporting frequent therapeutic injections. 92134 is an extreme outlier at the 99th percentile (3.3K claims, $91.4K revenue) and 99214 is also an extreme outlier at the 99th percentile (1.6K claims, $135.9K revenue), implying consistently high imaging and established-patient visit volumes to support ongoing treatment regimens.

Service mix nuance: Procedural retina surgery appears limited relative to injection and imaging volume — 67028 (isolated intravitreal injection) contributes $143.8K (6.4%) and more invasive surgical codes (e.g., 67145) are minimal by revenue and claims. This pattern reinforces a clinical model oriented around in‑office pharmacologic management and monitoring rather than frequent operative interventions.

Drug sourcing and ancillary services: The provider bills for a mix of branded biologics and other drug categories in small shares, which may reflect a mix of payer-allowed products or practice-level procurement choices. Examples include J2778 (ranibizumab) with $66.4K revenue and Q5128 (ranibizumab biosimilar cimerli) with $28.9K revenue, plus J7999 compounded drug activity ($34.5K revenue), indicating some diversification of injectable therapies though each is a modest share of total Medicare revenue.

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	1,790	$680	$1.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	12,000	$30	$348.1K
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.	1,630	$90	$143.8K
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…	1,560	$90	$135.9K
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…	1,090	$80	$91.7K
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.	3,270	$30	$91.4K
J2778	Injection, ranibizumab, 0.1 mg	370	$180	$66.4K
J7999	Compounded drug, not otherwise classified	470	$70	$34.5K
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…	280	$110	$30.1K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	140	$210	$28.9K

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. Arizona Distribution

Anthony Joseph — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	10	50	780	$690	$734.8K
J2777	21	50	9,000	$30	$525.8K
Q5128	13	20	520	$220	$207.5K
J2778	21	30	550	$180	$198K
67028	24	60	1,240	$90	$119K
J7999	25	50	490	$70	$46.8K
J9035	12	20	210	$50	$22.5K
92014	19	650	140	$80	$21.5K
99214	157	10,410	120	$80	$20.6K
92235	24	40	120	$100	$14.3K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tufts Medical Center, Inc.	MA	General Acute Care Hospital	$0	$164.6M
Rasw, PC	AZ	Retina Specialist (Ophthalmology) Physician	$0	$11.6M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Torsten Wiegand	MA	Retina Specialist (Ophthalmology) Physician	$7.6M	$0
Chirag Shah	MA	Retina Specialist (Ophthalmology) Physician	$5M	$0
Roger Goldberg	CA	Retina Specialist (Ophthalmology) Physician	$4.6M	$0
Miriam Englander-paschalis Ilios	MA	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Babak Jian Seyedahmadi	MA	Ophthalmology Physician	$4.4M	$0
Mark Walsh	AZ	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Jeffrey Heier	MA	Retina Specialist (Ophthalmology) Physician	$3.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Genesis Ob Gyn PLLC	AZ	Obstetrics & Gynecology Physician	$0	$21.7M
Northwest Allied Physicians LLC	AZ	General Practice Physician	$0	$10.3M
Sonora Behavioral Health Hospital, LLC	AZ	Psychiatric Hospital	$0	$9.8M
Southern Arizona Urgent Care LLC	AZ	Urgent Care Clinic/Center	$0	$7.8M
Al Shaafi Medical PC	AZ	Pediatrics Physician	$0	$7.6M
Community Medical Services Arizona-private, LLC	AZ	Methadone Clinic	$0	$7.6M
Pediatrics Gps, Inc	AZ	Pediatrics Physician	$0	$6.2M
Pima Heart Asc LLC	AZ	Ambulatory Surgical Clinic/Center	$3.7M	$59.7K
Ryan Wong	AZ	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Oro Valley Surgical Suites LLC	AZ	Ambulatory Surgical Clinic/Center	$2M	$0

Anthony Joseph — Billing Profile & Reimbursement Data

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Anthony Joseph — 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