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

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

Lee Hofer (NPI 1811989643)

Field	Value
Entity Type	Individual
Organization	Lee Hofer
Address	2715 Damon St
City	Eau Claire
State	WI
ZIP	54701
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 18, 2005

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

This provider reports $1.7M in total Medicare revenue and has no Medicaid billing on file (none), making their footprint effectively single‑payer in the available data. Their NPI was enumerated 2005-08-18 (~21 years ago), indicating long tenure and an established practice history in Eau Claire, WI.

Revenue is highly concentrated in a small set of drug injection codes: the precomputed top 3 Medicare codes account for 82.1% of this provider's total Medicare revenue, with J0178 alone representing 59.9% ($1M) of Medicare receipts. That concentration signals that a few procedure/drug lines dominate the practice’s financial profile rather than a broad mix of office E/M and diagnostic services.

The top Medicare codes (J0178, J2777, J2778, and 67028) point to a procedure-driven, retina-focused ophthalmology practice that delivers high volumes of intravitreal anti‑VEGF injections and associated intravitreal procedures. Supporting diagnostic and management codes such as 92134 (OCT) and 92014 (comprehensive established eye exam) also appear in the top code set, consistent with ongoing medical retina care and imaging follow-up.

Despite J0178 accounting for $1M and 59.9% of this provider’s Medicare revenue, the provider’s national standing on that code is moderate: J0178 ranks #856 of 3204 providers nationally and is described as 73th percentile; typical, unremarkable volume for this code. The pattern suggests the provider is a significant local user of aflibercept but not an uncommon or outlier user at the national level.

Other principal drug codes show similar moderate national positioning: J2777 (7.9K claims, $227.9K, rank #1186 of 2039, 42th percentile; typical, unremarkable volume) and J2778 (807 claims, $145.3K, rank #510 of 1208, 58th percentile; typical, unremarkable volume). These ranks indicate the provider runs a steady stream of varied anti‑VEGF therapies, but does not dominate these markets nationally.

Several diagnostic and office codes show disproportionately high relative volume for outpatient ophthalmology care: 92014 (1.1K claims, $89.2K) is labeled notably above typical national volume and ranks in the 96th percentile, and 92134 (1.2K claims, $35.1K) is in the 93th percentile (typical, unremarkable volume). This combination implies a workflow that pairs frequent therapeutic injections with high follow‑up exam and imaging throughput.

Operationally, claim counts underline procedural throughput: J0178 has 1.5K claims and J2777 has 7.9K claims, while 67028 has 901 claims, indicating routine, repeated intravitreal procedures as a core revenue engine rather than episodic high‑ticket surgeries. Payers and network planners should expect that relationships and contracting around anti‑VEGF drugs and associated injection procedures will materially affect this provider’s revenue stream.

The absence of Medicaid billing (none) means Medicaid participation or exposure is not observable for this provider; strategic assessment and payer mix analysis should treat the entity as effectively Medicare-centric in the available claims universe. For competitive or access planning in Wisconsin, evaluate the provider primarily on Medicare volumes and their procedure/imaging capacity rather than on state Medicaid activity.

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	1,450	$690	$1M
J2777	Injection, faricimab‑svoa, 0.1 mg	7,860	$30	$227.9K
J2778	Injection, ranibizumab, 0.1 mg	810	$180	$145.3K
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…	1,120	$80	$89.2K
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.	900	$90	$82.9K
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.	1,210	$30	$35.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	110	$280	$31K
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	$15.7K
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…	110	$80	$8.6K
J9035	Injection, bevacizumab, 10 mg	140	$60	$8.1K

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. Wisconsin Distribution

Lee Hofer — 3 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wisconsin

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	60	440	$690	$488.1K
J2777	10	30	7,290	$30	$332K
J2778	3	10	520	$180	$131.2K
67028	17	110	310	$80	$43.7K
J9035	31	70	110	$50	$14.5K
66821	25	180	40	$100	$13K
92014	3	720	120	$70	$12.9K
99214	3,654	9,800	80	$70	$9.2K
65855	36	40	30	$160	$6.6K
92012	56	160	50	$60	$5.1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Black River Health Inc	WI	Critical Access Hospital	$0	$13M
Ronald Lange	WI	Ophthalmology Physician	$1.3M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Chris Buntrock	NM	Ophthalmology Physician	$1M	$0
Terrence Mccanna	WI	Ophthalmology Physician	$506.9K	$0
Syed Akbar	IL	Diagnostic Radiology Physician	$280.8K	$223.7K
Bharat Raju	OH	Family Medicine Physician	$59.6K	$433.8K
Kunle Onade	WI	Dermatology Physician	$459.1K	$0
Michael Lin	MN	Diagnostic Radiology Physician	$142.8K	$270.1K
Spenser Morton	NE	Ophthalmology Physician	$375.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Hospice LLC	WI	Community Based Hospice Care Agency	$0	$25.2M
Mchs Hospitals Inc	WI	General Acute Care Hospital	$0	$12.4M
Steven Kristo	WI	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.9M
Mayo Clinic Health System-northwest Wisconsin Region, Inc.	WI	Multi-Specialty Clinic/Center	$0	$7.5M
Milwaukee Health Services System, LLC	WI	Methadone Clinic	$229.3K	$5.6M
Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St Francis	WI	General Acute Care Hospital	$0	$5.7M
Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St Francis	WI	Family Medicine Physician	$0	$4.6M
Mchs Hospitals Inc	WI	Clinic/Center	$0	$4.1M
Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.	WI	Substance Abuse Rehabilitation Facility	$0	$3.9M
Dedra Davis-wallace	WI	Pediatric Dentistry	$0	$3.6M

Lee Hofer — 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