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

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

Steve Witkin (NPI 1790772887)

Field	Value
Entity Type	Individual
Organization	Steve Witkin
Address	325a Kennedy Memorial Dr
City	Waterville
State	ME
ZIP	04901
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 4, 2005

Payer Source	Total Paid
Medicare	$339K
Medicaid	$0

Key Findings

This provider’s Medicare business is heavily concentrated in retinal drug administration: J0178 (aflibercept injection) alone is listed as generating $284K in Medicare revenue and represents 83.8% of the provider’s Medicare revenue, and the three highest‑revenue Medicare codes together account for 93.0% of total Medicare revenue. The claim counts and unit payments reported for J0178 (414 claims, $686 avg paid/claim) indicate that drug injection services are the primary revenue driver in this practice.

Operationally, the CPT mix is consistent with an ophthalmology practice focused on intravitreal therapy and retinal care: J0178 and 67028 (intravitreal injection procedure, 232 claims, $90 avg paid/claim, $20.9K revenue) are the top billers, with ancillary retinal imaging codes such as 92134 (349 claims, $28 avg paid/claim, $9.8K revenue) also present. The presence of comprehensive exam codes (92014, 76 claims) and E/M codes (99213, 180 claims; 99214, 69 claims) suggests the practice combines procedural retinal care with routine ophthalmic follow‑up visits.

Revenue scale and payer mix are effectively single‑payer: lifetime Medicare revenue is $339K while there is no Medicaid billing on file, indicating the provider currently operates without a Medicaid revenue stream. For payer strategy and contracting, this means Medicare reimbursement patterns and drug pricing dynamics will largely determine the practice’s financial performance.

Competitive standing for the top Medicare drug code is modest rather than dominant: J0178 ranks #2103 of 3204 providers nationally (34th percentile) and is described as a typical, unremarkable volume for this code, implying the provider is not among the higher‑volume national injectors. Similarly, 67028 ranks in the 30th percentile (described as typical, unremarkable volume), reinforcing that injection volumes are routine relative to peers rather than outlier-high.

Distribution across non-drug services is mixed but not highly concentrated: 99213 contributes $10.4K (3.1% of Medicare revenue) and is ranked in the 76th percentile nationally (described as typical, unremarkable volume), while 92134 is notable for imaging activity (349 claims, $9.8K revenue) and is reported at the 83th percentile (described as typical, unremarkable volume). These relative percentiles suggest above‑median engagement in office evaluation and retinal imaging compared with broad national peers, even though revenue weight remains dominated by J0178.

Clinical service implications are clear: the code mix (high use of J0178 and 67028 alongside retinal imaging 92134 and periodic comprehensive exams 92014) indicates a practice model centered on recurring intravitreal injections with associated monitoring, consistent with treatment of chronic retinal disease such as wet AMD or diabetic macular edema. Payers evaluating utilization should expect most Medicare payments to fund anti‑VEGF drug administration and associated procedural follow‑up.

Tenure and continuity: the provider’s NPI was enumerated on 2005-10-04 (~21 years ago), indicating a long-established practice profile in Medicare claims data; this longevity supports stability of the billing pattern and suggests any changes in code mix are more likely due to clinical case mix shifts than new market entry.

There are no Medicaid claims to evaluate, so the provider should be treated as effectively single‑payer (Medicare) for the available claims history. Analysts focused on in‑state Medicaid competitive dynamics will find no direct billing record here and should rely on Medicare patterns and local market knowledge to infer where this clinician fits into regional retina service capacity.

Medicare: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	410	$690	$284K
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.	230	$90	$20.9K
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…	180	$60	$10.4K
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.	350	$30	$9.8K
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…	80	$80	$6.3K
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	$6.2K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	20	$40	$980
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,…	20	$20	$390

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 8 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Steve Witkin — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

8 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	12	20	990	$690	$652.2K
67028	17	30	410	$90	$51.1K
92014	170	240	150	$80	$14.7K
99214	1,295	2,500	70	$70	$7.2K
92134	19	180	50	$30	$4.5K
99213	249	2,350	50	$50	$4.3K
92083	132	180	40	$40	$2.2K
92250	126	150	60	$20	$2.1K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maine Eye Care Associates	ME	Ophthalmology Physician	$0	$4.1M
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Deborah Witkin	ME	Ophthalmology Physician	$1.6M	$0
Maine Eye Care Associates	ME	Ambulatory Surgical Clinic/Center	$479K	$980.4K
Lawrence Piazza	ME	Ophthalmology Physician	$374.6K	$0
Peter Kohler	ME	Ophthalmology Physician	$163.5K	$0
Linda Schumacher-feero	ME	Ophthalmology Physician	$88.9K	$0
Ian Jones	ME	Optometrist	$80K	$0
Helen Bell Necevski	ME	Optometrist	$73.9K	$0
Nour Maya Haddad	ME	Ophthalmology Physician	$65.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Mental Health Center	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143M
Jmpb Inc.	ME	Community/Behavioral Health Agency	$0	$40.2M
Discovery House Of Central Maine, Inc.	ME	Methadone Clinic	$398.8K	$24.5M
Care & Comfort	ME	Mental Health Counselor	$0	$24.8M
Eastern Maine Healthcare Systems Inland Hospital	ME	General Acute Care Hospital	$0	$18.3M
Blue Sky Counseling P.C.	ME	Community/Behavioral Health Agency	$0	$11.6M
Maine General Community Care	ME	Case Management Agency	$0	$11.4M
Delta Ambulance Corp.	ME	Land Ambulance	$985.5K	$9.8M
Paramount Behavioral Services, Inc	ME	Community/Behavioral Health Agency	$0	$9.3M
Waters Edge Therapy, Inc	ME	Community/Behavioral Health Agency	$0	$5.2M

Steve Witkin — 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