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

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

Scott Schoenberger (NPI 1811176548)

Field	Value
Entity Type	Individual
Organization	Scott Schoenberger
Address	89 Sylvania Dr
City	Beavercreek
State	OH
ZIP	45440
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	October 30, 2007

Payer Source	Total Paid
Medicare	$2.1M
Medicaid	$0

Key Findings

SCOTT SCHOENBERGER is a Retina Specialist (Ophthalmology) with an NPI enumerated 2007-10-30 (~19 years ago), indicating long-standing Medicare participation and likely established referral relationships in the Beavercreek, OH market. The taxonomy and service mix in the claims data are consistent with a subspecialty retina practice rather than a general ophthalmology clinic.

This provider’s lifetime Medicare revenue is $2.1M and there is no Medicaid billing on file, so the practice is effectively single-payer in our dataset with Medicare accounting for the entirety of recorded public-payer revenue. The absence of Medicaid billing on file limits in-state payer comparisons and suggests Medicare-centric revenue exposure.

Revenue is highly concentrated in a small set of drug and procedure codes: the precomputed top three Medicare codes account for 87.9% of the provider’s Medicare revenue, led by J0178 ($1.4M, 68.8%), followed by J2777 ($247.1K, 11.9%) and 67028 ($147.5K, 7.1%). This concentration indicates the practice’s financial performance is driven predominantly by intravitreal drug administrations and related retinal procedures.

The code mix and descriptions point to a medical-retina operational model focused on high-volume intravitreal injections and advanced posterior-segment diagnostics. High-volume drug codes J0178 (aflibercept) and J2777 (faricimab) combined with substantial utilization of retinal imaging (92134: 2.3K claims, $63.9K, 3.1%) suggest the clinic runs a procedure-oriented workflow with frequent imaging follow-up.

Competitive standing on key codes is mixed: J0178 ranks #500 of 3204 providers nationally (84th percentile) and 67028 ranks #631 of 4255 (85th percentile), both described as typical/ unremarkable volume despite being above median peers; J2777 sits at #1121 of 2039 (45th percentile) which is midpack. In short, the provider is above many peers on some injection and procedure volumes but is not a dominant national leader for all top codes.

Two codes signal anomalous concentration relative to peers: J3590 (Unclassified biologics) appears at 896 claims, $78K (3.8%) and ranks #20 of 631 providers nationally (97th percentile; notably above typical), and 92134 ranks #803 of 26868 providers nationally (97th percentile; extreme outlier). These flags indicate unusually high billing for unclassified biologics and retinal imaging compared with national norms, meriting operational review if payer benchmarking or contract negotiations are planned.

Evaluation-and-management activity contributes a small share of revenue relative to procedures and drugs: 99213 appears with 492 claims, $29K (1.4%) and 99214 with 184 claims, $15.8K (0.8%), which supports the characterization of a procedure/drug-driven revenue model rather than an E/M-heavy practice. Analysts should expect business performance and utilization metrics to track with injection and imaging throughput rather than visit volume.

Surgical procedures are present but represent a modest portion of Medicare revenue: 67042 (28 claims, $24K, 1.2%) and 67108 (15 claims, $13K, 0.6%) show that the provider performs vitreoretinal surgeries but at relatively low volume. This mix suggests the practice is primarily an injection/imaging clinic with occasional surgical interventions rather than a high-volume surgery center.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,090	$680	$1.4M
J2777	Injection, faricimab‑svoa, 0.1 mg	8,520	$30	$247.1K
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.	1,660	$90	$147.5K
J3590	Unclassified biologics	900	$90	$78K
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.	2,280	$30	$63.9K
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…	490	$60	$29K
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…	30	$860	$24K
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…	240	$70	$17K
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…	180	$90	$15.8K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	20	$870	$13K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Scott Schoenberger — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	100	840	$680	$729K
J2777	39	70	9,480	$30	$353.3K
67028	15	150	470	$90	$64K
J3590	6	100	200	$100	$30K
67042	20	50	20	$960	$29.7K
67108	17	30	20	$1,020	$26.5K
92014	329	1,390	100	$70	$12.9K
99214	5,821	20,010	100	$70	$11.7K
99213	698	20,000	70	$50	$6.6K
92134	19	1,010	50	$30	$6.3K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Academic Association, Inc.	OH	Pediatrics Physician	$0	$37.2M
Dayton Children's Specialty Physicians, Inc.	OH	Pediatrics Physician	$0	$31.8M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Cei Physicians Psc LLC	OH	Ophthalmologic Surgery Clinic/Center	$4.1M	$1M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Bruce Buerk	OH	Retina Specialist (Ophthalmology) Physician	$3.4M	$0
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliable Home Health Care LLC	OH	Home Health Agency	$0	$8.4M
Dayton Eye Surgery Center L L C	OH	Ambulatory Surgical Clinic/Center	$1.6M	$656.4K
Martin Wilkes	OH	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Digestivecare, LLC	OH	Ambulatory Surgical Clinic/Center	$877K	$1.1M
Endoscopy Center Of Dayton Ltd	OH	Ambulatory Surgical Clinic/Center	$447.5K	$222.8K
Eye Laser And Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$664.8K	$0
Bal Srivastava	OH	Cardiovascular Disease Physician	$384.6K	$0
Syed Hasan	OH	Specialist	$306.4K	$0
James Knowles	OH	Ophthalmology Physician	$281.7K	$0
Mark Krebs	OH	Clinical Cardiac Electrophysiology Physician	$276K	$0

Scott Schoenberger — 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