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    OpenPayerNPI Medicare & MedicaidThomas Finley
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    Thomas Finley — Billing Profile & Reimbursement Data

    NPI 1821201088 · Tulsa, OK · Ophthalmology Physician

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    Thomas Finley is a ophthalmology physician provider located in Tulsa, Oklahoma. This profile covers 27 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
    OrganizationThomas Finley
    Address2424 E 21st St Ste 200
    CityTulsa
    StateOK
    ZIP74114
    TaxonomyOphthalmology Physician
    NPI EnumeratedMay 7, 2007

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

    Payer SourceTotal Paid
    Medicare$4.8M
    Medicaid$0

    Key Findings

    This provider is effectively single-payer: lifetime Medicare revenue is $4.8M while there is no Medicaid billing on file. The absence of any Medicaid claims indicates the practice’s patient mix and revenue are dominated by Medicare beneficiaries rather than a dual Medicare/Medicaid payer mix.

    Revenue is highly concentrated in a small set of injection and retina procedure codes: the precomputed top 3 Medicare codes account for 81.5% of total Medicare revenue, led by J2777 ($2.2M, 44.7%), J0178 ($1.5M, 31.1%), and 67028 ($279K, 5.8%). This concentration shows the majority of billing dollars derive from a few high-value intravitreal and retina procedures.

    The CPT/HCPCS mix indicates a retina-focused ophthalmology practice with heavy use of intravitreal biologic agents and advanced retinal imaging. High-volume drug codes (J2777, J0178, J9035) combined with very large volumes of retinal imaging and office E/M (92134 and 92014) point to ongoing medical-retina management rather than a purely refractive or routine general ophthalmology practice.

    On competitive standing, the provider is a major national participant for certain retina therapies: J2777 ranks #41 of 2039 providers nationally (98th percentile; notably above typical national volume for this code) and 67028 ranks #85 of 4255 providers nationally (98th percentile; notably above typical national volume for this code). By contrast, J0178 ranks #443 of 3204 providers nationally (86th percentile; typical, unremarkable volume for this code), indicating strong dominance in some newer therapeutics but more moderate positioning for others.

    Diagnostic and E/M volumes are extreme outliers relative to peers: 92134 shows 5.2K claims and $139.6K revenue and is labeled an extreme outlier, far above typical national volume for this code, while 92014 has 1.8K claims and $146.8K revenue and is also an extreme outlier, far above typical national volume for this code. Those patterns are consistent with a high-throughput retina clinic that performs frequent imaging and follow-up visits for chronic retinal disease.

    The provider has been enumerated on the NPI file since 2007-05-07 (~19 years ago), signaling an established practice footprint that plausibly supports the sustained high volumes observed in injection and imaging codes. Long tenure combined with concentrated, high-volume services suggests an entrenched referral and treatment pathway for retina care.

    The payer and service-line concentration create measurable revenue concentration risk: with 81.5% of Medicare revenue coming from the top three codes and no Medicaid revenue reported, the practice is highly dependent on intravitreal drug reimbursement and Medicare coverage trends for those specific agents. Any shifts in utilization patterns, reimbursement, or drug mix for J2777 or J0178 could materially affect total revenue.

    Surgical and ancillary retina procedures are present but represent smaller revenue contributions; codes such as 67041, 67036, and 67108 appear with modest revenue shares and generally rank in typical to unremarkable national percentiles. This mix indicates the provider performs some vitreoretinal surgery and ancillary procedures but that the core revenue engine is medical-retina treatment and imaging rather than high-volume surgery.

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg74,280$30$2.2M
    J0178Injection, aflibercept, 1 mg2,180$690$1.5M
    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.3,140$90$279K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg820$220$177.8K
    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…1,790$80$146.8K
    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.5,170$30$139.6K
    J9035Injection, bevacizumab, 10 mg1,340$50$72.1K
    J2778Injection, ranibizumab, 0.1 mg380$180$69.5K
    92235The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…440$100$41.8K
    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…310$120$35.8K

    Showing 1–10 of 27

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 27 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    27 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178530790$690$801.2K
    J277722023,040$30$781.1K
    Q5128210800$220$182.2K
    J2778510420$180$173.2K
    67028140720$80$88.9K
    67042101030$980$37.1K
    J9035130330$50$23.5K
    6703611020$900$19.9K
    9223532060$100$19.5K
    6710821020$1,020$19.5K

    Showing 1–10 of 27

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    David DyerKSOphthalmology Physician$7.5M$0
    Bassam MattarKSHematology & Oncology Physician$7.2M$0
    Pavan ReddyKSHematology & Oncology Physician$6.7M$0
    Jeremy DeutschKSHematology & Oncology Physician$5.7M$0
    Daniel FeilerKSOphthalmology Physician$4.8M$0
    Travis KoenekeKSHematology & Oncology Physician$4.4M$0
    Christopher DakhilKSHematology & Oncology Physician$4.4M$0
    Stephen WilesMOOphthalmology Physician$4.4M$0
    Shaker DakhilKSHematology & Oncology Physician$4.4M$0
    Justin GoodenKSUndersea and Hyperbaric Medicine (Preventive Medicine) Physician$4.3M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Family & Children's Services, IncOKCommunity/Behavioral Health Agency$0$77.4M
    Justin ParschauerOKOphthalmology Physician$3.2M$0
    Jerry L Greer Dds PCOKOral and Maxillofacial Surgery (Dentist)$0$2.5M
    Tulsa Retina Consultants PLLCOKOphthalmology Physician$0$2.2M
    Family & Children's Services, IncOKPsychiatry Physician$0$1.7M
    Scott MeyersOKMOHS-Micrographic Surgery Physician$691.4K$0
    Lindsay CunninghamOKRheumatology Physician$502.1K$0
    Mark LehmanOKDermatology Physician$350.7K$0
    George MonksOKDermatology Physician$327.7K$0
    Kelli LovelaceOKDermatology Physician$267.3K$0

    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. Oklahoma Distribution
    Thomas Finley — 8 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma