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    OpenPayerNPI Medicare & MedicaidGeoffrey Emerson
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    Geoffrey Emerson — Billing Profile & Reimbursement Data

    NPI 1801848171 · Minneapolis, MN · Retina Specialist (Ophthalmology) Physician

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    Geoffrey Emerson is a retina specialist (ophthalmology) physician provider located in Minneapolis, Minnesota. 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
    OrganizationGeoffrey Emerson
    Address710 E 24th St
    CityMinneapolis
    StateMN
    ZIP55404
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedMay 16, 2006

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

    Payer SourceTotal Paid
    Medicare$3.3M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity dominates their payer footprint: total Medicare revenue is $3.3M while Medicaid billing is listed as none, making the practice effectively single‑payer (Medicare) in the available data. The top 3 Medicare codes by revenue account for 88.3% of all Medicare revenue, indicating a highly concentrated earnings base tied to a few service types.

    The revenue and code mix are consistent with an injection‑centric retina practice. J0178 (aflibercept) alone generated $2.2M (66.0% of Medicare revenue), with Q5128 (ranibizumab biosimilar) at $538.4K (16.1%) and 67028 (intravitreal injection) at $207K (6.2%), together forming the clinical core of the practice’s services and revenue generation.

    Because J0178 accounts for $2.2M and ranks #144 of 3204 providers nationally (96th percentile; notably above typical national volume for this code), the provider is a high‑volume national participant for aflibercept injections. Q5128 (2.5K claims, $538.4K; 87th percentile, described as typical/unremarkable) and 67028 (2.1K claims, $207K; 92th percentile; notably above typical) further support a position as a major injector of anti‑VEGF therapies compared with peers.

    Imaging and office follow‑up volumes are elevated relative to peers, consistent with frequent monitoring of retinal disease: 92134 shows 3.2K claims and $93.3K (2.8% of Medicare revenue) and is described as an extreme outlier (99th percentile, far above typical national volume), while 92012 has 1.1K claims and $75.8K (2.3%) and is also an extreme outlier (98th percentile). These high volumes of diagnostic imaging and intermediate eye exams align with the chronic-care workflow needed for ongoing intravitreal therapy.

    Surgical retina procedures appear to be a small portion of the practice’s activity: codes such as 67113 ($11.9K, 0.4%), 67036 ($10.6K, 0.3%), and 67108 ($10.3K, 0.3%) contribute only modestly to revenue and have lower national standing. This distribution indicates the business model emphasizes repeated in‑office therapeutic injections and monitoring rather than high volumes of complex vitreoretinal surgery.

    The practice’s revenue profile shows dependence on biologic drug reimbursement: the largest revenue share comes from J0178 and other injectable biologic codes rather than diversified procedure or E/M revenue. Given that top drug/injection codes make up 88.3% of Medicare revenue, changes in drug pricing or reimbursement policy could materially affect overall revenue unless the service mix is broadened.

    Operationally the provider appears established and likely has a stable referral base: NPI was enumerated 2006-05-16 (~20 years ago), which suggests long tenure in the market. That longevity, combined with high percentile rankings for several injection and imaging codes, is consistent with an experienced retina specialist running a high‑throughput medical retina clinic.

    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 mg3,210$690$2.2M
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg2,480$220$538.4K
    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.2,130$100$207K
    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.3,220$30$93.3K
    92012For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…1,150$70$75.8K
    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…620$80$52.3K
    J2778Injection, ranibizumab, 0.1 mg250$190$47.1K
    J9035Injection, bevacizumab, 10 mg590$60$32.2K
    J3590Unclassified biologics110$220$24.2K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.130$100$13.1K

    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
    J0178440580$690$743.4K
    Q51284201,410$220$393.8K
    J27781320500$180$121K
    J3590710220$230$73.7K
    67028780420$90$64.8K
    6711331010$1,440$46.2K
    6703671020$1,140$37.5K
    6710881010$1,230$34.4K
    J9035640220$50$16.9K
    9201417830100$80$11.9K

    Showing 1–10 of 21

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Hennepin Healthcare System, IncMNGeneral Acute Care Hospital$420.8K$708.9M
    Hennepin CountyMNCase Manager/Care Coordinator$0$34.9M
    Vitreoretinal Surgery PLLCMNOphthalmology Physician$0$27.8M
    Hennepin Healthcare System, IncMNHome Health Agency$0$23.2M
    Hennepin Healthcare System, IncMNClinic/Center$0$12.3M
    David WilliamsMNRetina Specialist (Ophthalmology) Physician$5.5M$0
    David ParkeMNOphthalmology Physician$4.8M$0
    Sundeep DevMNOphthalmology Physician$4.5M$0
    John DaviesMNOphthalmology Physician$3.9M$0
    Polly QuiramMNOphthalmology Physician$3.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Nu-way House IncMNSubstance Abuse Rehabilitation Facility$0$200.8M
    Childrens Health CareMNChildren's Hospital$0$100M
    Midwest Home Health Care, Inc.MNHome Health Agency$0$73.5M
    Midwest Quality Home Care, Inc.MNHome Health Agency$0$66.7M
    Regents Of The University Of MinnesotaMNFederally Qualified Health Center (FQHC)$0$55.2M
    Minnesota Professional Health Services,incMNHome Health Agency$0$51.9M
    Park Ave Center IncMNSubstance Use Disorder Rehabilitation Clinic/Center$0$50.8M
    Minnesota Quality Care, Inc.MNHome Health Agency$0$48.4M
    Direct Home Health Care, Inc.MNHome Health Agency$0$30.7M
    Aaa A-z Friendly Languages IncMNInterpreter$0$29.4M

    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. Minnesota Distribution
    Geoffrey Emerson — 4 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Minnesota