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

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

Jason So (NPI 1801282249)

Field	Value
Entity Type	Individual
Organization	Jason So
Address	2848 Niles Rd
City	Saint Joseph
State	MI
ZIP	49085
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	April 13, 2015

Payer Source	Total Paid
Medicare	$2.8M
Medicaid	$0

Key Findings

This provider’s Medicare footprint is the dominant payer exposure: lifetime Medicare revenue is $2.8M and there is no Medicaid billing on file, so the practice is effectively single‑payer (Medicare) on the claims record provided. That concentration means payer mix is minimal and state Medicaid programs are not part of this provider’s documented revenue stream.

Revenue is highly concentrated in a small set of injectable and retinal procedure codes: the precomputed top 3 Medicare codes account for 88.9% of the provider’s Medicare revenue, with J0178 (aflibercept) alone accounting for $1.8M (63.9% of Medicare revenue), J2777 (faricimab) contributing $501.1K (17.9%), and 67028 contributing $199.3K (7.1%). This concentration signals that a few high‑value treatment codes drive the bulk of reported revenue.

The code mix is consistent with a retina‑specialist, procedure‑focused practice: large volumes and revenue for intravitreal injection codes (J0178: 2.6K claims; J2777: 17.3K claims; J2778: 369 claims) plus retinal imaging 92134 (1.4K claims, $39.6K) and procedure code 67028 (2.4K claims, $199.3K) indicate a clinic that centers on medical retina treatments, recurring in‑office injections, and diagnostic imaging. Typical E/M codes (92014, 99214, 99213) appear at modest counts relative to injection codes, supporting a throughput model built around procedures rather than high volumes of extended office‑only visits.

Competitive standing is mixed: J0178 is the provider’s largest revenue source ($1.8M; 63.9%) but ranks #283 of 3204 providers nationally (91th percentile; typical, unremarkable volume for this code), suggesting the provider’s high dollar exposure to aflibercept comes from high unit value rather than an outlier billing footprint. By contrast, 67028 ranks #205 of 4255 providers nationally (95th percentile; notably above typical national volume for this code), indicating the provider is above typical peers on that specific procedural volume.

Several codes show statistically elevated volume relative to peers and point to clinical strengths: J3590 (681 claims, $46.3K) ranks #44 of 631 providers nationally (93th percentile; notably above typical national volume), and 92134 (1.4K claims, $39.6K) ranks #1630 of 26868 providers nationally (94th percentile; notably above typical national volume). These elevated percentiles for unclassified biologics and retinal imaging suggest focused service lines beyond the main anti‑VEGF drugs.

Surgical retina activity appears present but limited: vitrectomy and retinal repair codes are billed at low counts and low shares of revenue (67036: 19 claims, $10.6K, 0.4%; 67041: 14 claims, $12.2K, 0.4%; 67108: 12 claims, $10.6K, 0.4%), implying the practice performs some surgical procedures but that surgery is not a major revenue driver compared with intravitreal therapies. This pattern is consistent with a primarily clinic‑based medical retina practice that does occasional surgical cases.

The business and reimbursement risk profile is concentrated: reliance on a few high‑revenue biologic codes (top 3 = 88.9% of Medicare revenue) and a Medicare‑only billing record (no Medicaid) mean changes in drug utilization, reimbursement, or payer mix could materially affect revenue. Analysts should view this provider as having concentrated clinical exposure to anti‑VEGF/biologic administration and limited diversification into other payer streams.

The provider has an established NPI tenure that supports the observed billing history: NPI enumerated 2015-04-13 (~11 years ago), aligning with a sustained Medicare revenue stream of $2.8M over the period reported and suggesting an active, ongoing retina practice rather than a short‑term billing spike.

Medicare: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,600	$690	$1.8M
J2777	Injection, faricimab‑svoa, 0.1 mg	17,280	$30	$501.1K
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.	2,430	$80	$199.3K
J2778	Injection, ranibizumab, 0.1 mg	370	$180	$66.4K
J3590	Unclassified biologics	680	$70	$46.3K
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.	1,410	$30	$39.6K
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…	460	$90	$39.4K
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…	420	$90	$37K
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…	280	$60	$17.6K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	10	$870	$12.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Jason So — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	5	110	680	$690	$630.2K
J2777	12	60	7,200	$30	$321K
J2778	35	50	730	$180	$240.5K
67028	3	160	440	$90	$57.6K
67041	5	10	20	$1,090	$19.6K
J3590	7	80	140	$80	$19.6K
67036	6	10	20	$910	$16.4K
92014	124	1,080	100	$80	$14.8K
67108	7	10	10	$840	$11.7K
99214	1,136	15,470	80	$80	$11.4K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Benjamin Nicholson	MI	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Mohamed Gendy	IN	Ophthalmology Physician	$653.6K	$1.6M
David Brown	MI	Ophthalmology Physician	$1.1M	$0
James Kim	IN	Ophthalmology Physician	$772.8K	$252.2K
Stanley Pletcher	MI	Ophthalmology Physician	$230.7K	$0
David Cooke	MI	Ophthalmology Physician	$225.5K	$0
Michael Seward	WA	Ophthalmology Physician	$146K	$0
Rikki Enzor	CA	Cornea and External Diseases Specialist Physician	$90.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lakeland Hospitals At Niles And St Joseph, Inc	MI	General Acute Care Hospital	$0	$78.1M
Region Iv Area Agency On Aging, Inc	MI	Case Management Agency	$0	$36.3M
Hsh Senior Services, LLC	MI	Home Health Agency	$0	$35.6M
Lakeland Medical Practices	MI	Internal Medicine Physician	$0	$20.9M
Epmg Southwest Michigan PLLC	MI	Emergency Medicine Physician	$0	$11.9M
Great Lakes Surgery Center LLC	MI	Ambulatory Surgical Clinic/Center	$1.3M	$51.3K
Erick Rivas	MI	Family Medicine Physician	$245.1K	$306.6K
Thomas Pow	MI	Interventional Cardiology Physician	$247.1K	$0
Muhammad Abdel Migeed	MI	Clinical Cardiac Electrophysiology Physician	$220.8K	$400
Janene Donarski	MI	Psychologist	$190.2K	$0

Jason So — Billing Profile & Reimbursement Data

Sign up for Jason So — Billing Profile & Reimbursement Data policy alerts

Jason So — Billing Profile & Reimbursement Data

Sign up for Jason So — Billing Profile & Reimbursement Data policy alerts

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