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    OpenPayerNPI Medicare & MedicaidEric Schneider
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    Eric Schneider — Billing Profile & Reimbursement Data

    NPI 1790949485 · Nashville, TN · Retina Specialist (Ophthalmology) Physician

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    Eric Schneider is a retina specialist (ophthalmology) physician provider located in Nashville, Tennessee. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationEric Schneider
    Address345 23rd Ave N
    CityNashville
    StateTN
    ZIP37203
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 11, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$4.1M
    Medicaid$0

    Key Findings

    This provider bills $4.1M in total Medicare revenue and has no Medicaid billing on file, so its public payer activity is effectively single‑payer Medicare. The absence of Medicaid revenue suggests the provider’s Medicare patterns capture the entirety of publicly reported billing activity for analysis and benchmarking.

    Revenue is highly concentrated in a small set of intravitreal injection codes: the precomputed top three codes account for 77.5% of Medicare revenue, driven by J0178 ($2.2M, 53.7%), Q5128 ($584K, 14.3%), and J2777 ($391.4K, 9.6%). This concentration indicates the practice’s financial profile is largely dependent on anti‑VEGF and related intravitreal therapies.

    The code mix and top revenue drivers identify a retina-focused, injection‑centric practice model: J0178 (aflibercept) is the single largest revenue source, and substantial billing for office established visits and retinal imaging (92014: $147.9K, 3.6%; 92134: $83.6K, 2.0%; 92250: $13.7K, 0.3%) supports a chronic disease management workflow with frequent follow‑up and imaging.

    Competitive standing varies by product class. For the dominant J0178 the provider ranks #136 of 3204 nationally (96th percentile) and is described as notably above typical national volume, indicating this clinician is a major aflibercept injector; by contrast Q5128 ranks #43 of 373 (89th percentile) and J2777 ranks #752 of 2039 (63th percentile), both labeled as typical or unremarkable volumes, so the provider’s leadership appears specific to aflibercept rather than across all biologics.

    Several service codes are statistical outliers on utilization metrics for Medicare: 92014 is an extreme outlier (rank #329 of 35415, 99th percentile) and 92134 is an extreme outlier as well (rank #409 of 26868, 98th percentile), while 92250 is notably above typical national volume (96th percentile). These elevated exam and imaging volumes suggest a large established patient panel or a practice model emphasizing frequent monitoring and diagnostics for retinal disease.

    Surgical retina activity is present but secondary to injection work: 67028 generates $209.2K (5.1%) and ranks #225 of 4255 (95th percentile, notably above typical), while other surgical codes such as 67042 ($20.7K, 0.5%) and 67036 ($13.6K, 0.3%) appear at much lower revenue levels. This pattern indicates the practice performs some surgical interventions but remains predominantly outpatient/injection focused.

    Drug billing includes both standard biologics and less‑specific entries: J3490 (unclassified drugs) accounts for $95K (2.3%) with a high average paid/claim reported, and J9035 (bevacizumab) contributes $6.1K (0.1%). The presence of unclassified drug billing at meaningful dollars, alongside multiple ranibizumab biosimilars and faricimab entries, reflects a mixed drug portfolio and varied product use beyond the dominant aflibercept volume.

    The provider has an established NPI enrollment date of 2008-07-11 (~18 years ago), indicating long tenure in the market. Combined with the high ranks on injection, exam, and imaging codes, this tenure supports the interpretation of a mature, referral‑driven retina practice with stable Medicare volume and referral relationships in Nashville.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,250$680$2.2M
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg2,730$210$584K
    J2777Injection, faricimab‑svoa, 0.1 mg13,980$30$391.4K
    67028The 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.2,380$90$209.2K
    J2778Injection, ranibizumab, 0.1 mg890$180$158.4K
    92014An 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…1,850$80$147.9K
    Q5124Injection, ranibizumab-nuna, biosimilar, (byooviz), 0.1 mg640$180$116.4K
    J3490Unclassified drugs50$1,790$95K
    92134The 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.2,990$30$83.6K
    99204The 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…230$110$25.2K

    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

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178380790$680$769.8K
    J2777285015,060$30$592.1K
    Q51285201,190$210$394K
    J277825401,340$180$370.2K
    Q5124610690$180$137.8K
    670287801,130$90$98.5K
    J73121110210$150$45.8K
    J3490406070$400$41.9K
    67042184020$1,020$34.5K
    6703682020$940$24.4K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Retina PCTNRetina Specialist (Ophthalmology) Physician$0$6M
    Roy WallaceTNRetina Specialist (Ophthalmology) Physician$5.4M$0
    David ReichsteinTNRetina Specialist (Ophthalmology) Physician$4.9M$141.7K
    Carl AwhTNRetina Specialist (Ophthalmology) Physician$4.7M$0
    Brandon BusbeeTNRetina Specialist (Ophthalmology) Physician$4.3M$0
    Franco RecchiaTNRetina Specialist (Ophthalmology) Physician$3.6M$2.6K
    Akshay ThomasTNRetina Specialist (Ophthalmology) Physician$3.2M$52K
    Everton ArrindellTNRetina Specialist (Ophthalmology) Physician$3M$0
    Jay GloverTNRetina Specialist (Ophthalmology) Physician$2.9M$0
    Peter SonkinTNRetina Specialist (Ophthalmology) Physician$2.2M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hca Health Services Of Tennessee, Inc.TNGeneral Acute Care Hospital$0$45.9M
    Pediatrix Medical Group Of Tennessee, P.C.TNNeonatal-Perinatal Medicine Physician$0$32.3M
    Saint Thomas Medical PartnersTNInternal Medicine Physician$0$21.9M
    Radiology Alliance PCTNDiagnostic Radiology Physician$0$13.2M
    Emergency Medicine Services Of Tn, PCTNEmergency Medicine Physician$0$12.9M
    Tennessee Maternal-fetal Medicine LLCTNSpecialist$0$12.5M
    The Next Door, Inc.TNSubstance Abuse Rehabilitation Facility$0$8.6M
    Tennessee Oncology PLLCTNHematology & Oncology Physician$0$8.5M
    Vcphcs Ix, LLCTNSubstance Use Disorder Rehabilitation Clinic/Center$257.7K$6.6M
    Pediatric Associates Of Davidson County, P.C.TNPediatrics Physician$0$5.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Tennessee Distribution
    Eric Schneider — 5 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Tennessee