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

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

George Fivgas (NPI 1790787448)

Field	Value
Entity Type	Individual
Organization	George Fivgas
Address	7777 Hennessy Blvd
City	Baton Rouge
State	LA
ZIP	70808
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 12, 2005

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

GEORGE FIVGAS is effectively a Medicare-focused practitioner with Total Medicare revenue of $1.3M and no Medicaid billing on file. The provider’s NPI was enumerated 2005-08-12 (~21 years ago), indicating long tenure in the Medicare program and an established billing history concentrated on Medicare patients rather than dual-payer mix.

Revenue is highly concentrated: the precomputed top 3 Medicare codes by revenue account for 78.4% of this provider's total Medicare revenue, with J0178 alone representing 51.2% of Medicare revenue. This degree of concentration indicates that a small set of services—primarily the three top codes—drive the bulk of the practice’s revenue.

The code mix signals an outpatient retina- and clinic-oriented ophthalmology practice: large shares of revenue come from intravitreal injections (J0178 and J2777) and high-volume diagnostic imaging and office examinations (92014 and 92134). Specifically, J0178 (Injection, aflibercept) and J2777 (Injection, faricimab) alongside 92014 (comprehensive established exam) and 92134 (retinal imaging) together define the core clinical workflow and revenue streams.

Clinical volume and competitive standing vary by code: 92014 ranks #102 of 35415 providers nationally (100th percentile) and is labeled an extreme outlier—this practice bills an unusually high number of comprehensive established ophthalmology exams relative to peers. 92134 also ranks highly at #680 of 26868 providers (97th percentile) and is an extreme outlier for retinal imaging volume, suggesting above-typical throughput on diagnostic imaging.

Injection services show an internal contrast in volume and payment: J0178 accounts for 930 claims with an average paid/claim of $694 and $645.4K in revenue (51.2% of Medicare revenue) while J2777 shows 4.3K claims at $29 avg paid/claim totaling $125.3K (9.9% of Medicare revenue). J0178’s rank and percentile are modest (58th percentile; typical, unremarkable volume), so the provider’s largest revenue contribution comes from a code with ordinary national standing, whereas J2777’s high claim count but low average paid/claim produces a smaller revenue share.

Surgical retina procedures are present but limited in scale: codes such as 67042 (17 claims, $13.5K revenue) and 67036 (20 claims, $11.2K revenue) appear at low claim counts and modest revenue contributions. This pattern suggests the practice’s operational emphasis is office-based injections and diagnostics rather than high-volume surgical intervention.

Ancillary diagnostic services support the treatment profile: 92134 (2.5K claims, $66.6K revenue) and 92235 (381 claims, $35.4K revenue) provide significant imaging capacity consistent with retina management and follow-up. The combination of high-volume imaging and frequent comprehensive exams aligns with management of chronic retinal conditions that require serial monitoring and injections.

From a payer and operational risk perspective, the practice’s dependence on a narrow set of Medicare codes (78.4% concentrated in the top three) and absence of Medicaid billing means limited payer diversification. Any material shifts in Medicare utilization or reimbursement for the dominant codes could have outsized revenue impact for this provider, given the concentration and Medicare-only exposure.

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	930	$690	$645.4K
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…	2,660	$80	$218K
J2777	Injection, faricimab‑svoa, 0.1 mg	4,320	$30	$125.3K
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.	880	$80	$73.1K
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.	2,470	$30	$66.6K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	380	$90	$35.4K
J7999	Compounded drug, not otherwise classified	310	$70	$21.1K
92242	The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…	110	$180	$18.8K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$800	$13.5K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	20	$560	$11.2K

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. Louisiana Distribution

George Fivgas — 2 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Louisiana

Full comparison — all codes billed, vs. state median

17 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	50	300	$680	$371.5K
J2777	18	30	6,660	$30	$309.4K
67028	13	70	410	$80	$44.3K
67042	12	20	20	$1,110	$26.6K
92014	2	470	170	$80	$23.9K
67036	7	10	20	$950	$23.7K
92242	5	10	90	$180	$18.5K
J7999	6	20	140	$40	$16.6K
67210	9	10	40	$380	$16.5K
92012	231	350	100	$60	$11.7K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jared Smith	LA	Family Nurse Practitioner	$2.6M	$0
Adam Janot	LA	Retina Specialist (Ophthalmology) Physician	$1.6M	$47.4K
Arthur Delahoussaye	LA	Ophthalmology Physician	$508.2K	$843.1K
Gerald Miletello	LA	Medical Oncology Physician	$1.3M	$0
Raja Talluri	LA	Internal Medicine Physician	$313.7K	$886.9K
Bryan Bienvenu	LA	Hematology & Oncology Physician	$964.2K	$0
Jingya Wang	LA	Radiation Oncology Physician	$856.4K	$0
Andrew Elson	LA	Radiation Oncology Physician	$825.1K	$0
Joseph Nesheiwat	LA	Rheumatology Physician	$767.9K	$0
William Ladd	LA	Cardiovascular Disease Physician	$682.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Our Lady Of The Lake Hospital Inc.	LA	General Acute Care Hospital	$0	$205.8M
Our Lady Of The Lake Physician Group LLC	LA	Internal Medicine Physician	$0	$134M
Professional Emergency Physician Associates, LLC	LA	Emergency Medicine Physician	$0	$28.4M
Radiology Associates LLC	LA	Diagnostic Radiology Physician	$0	$18.6M
Afnb Home Care LLC	LA	In Home Supportive Care Agency	$0	$15.1M
Medlogic,llc	LA	Clinical Medical Laboratory	$0	$13.3M
Baton Rouge Clinic, A Medical Corporation	LA	Internal Medicine Physician	$0	$10.3M
Pathology Group Of Louisiana, A Professional Medical Corporation	LA	Anatomic Pathology & Clinical Pathology Physician	$0	$8.3M
Infusion Partners, LLC	LA	Home Infusion Therapy Pharmacy	$0	$7.3M
Baton Rouge Radiology Group Inc	LA	Diagnostic Radiology Physician	$0	$7.2M

George Fivgas — 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