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

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

Claron Alldredge (NPI 1841200284)

Field	Value
Entity Type	Individual
Organization	Claron Alldredge
Address	4360 Washington Blvd
City	Ogden
State	UT
ZIP	84403
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 8, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

The provider’s lifetime Medicare revenue is $1.3M and there is no Medicaid billing on file, making this practice effectively single‑payer (Medicare) in the available claims data. Analysts should treat this profile as a Medicare-focused billing footprint rather than a mixed Medicaid/Medicare operation.

Revenue is highly concentrated in intravitreal drug codes: the precomputed top three Medicare codes account for 83.0% of the provider’s Medicare revenue, led by J0178 ($576.6K, 43.8%) and J2777 ($447.2K, 34.0%), with J2778 contributing $67.7K (5.1%). This concentration indicates that a small set of injectable therapies drives the bulk of billings and payments.

The top revenue-driving codes are anti‑VEGF and related intravitreal injections (J0178 – aflibercept; J2777 – faricimab; J2778 – ranibizumab), which implies a retina-focused ophthalmology practice model centered on repeat injectable treatments for retinal disease. Those drug codes’ descriptions and dollar shares suggest ongoing, procedure-based eye care rather than a primarily clinic‑visit or inpatient surgical practice.

Competitive standing for the high‑value injection codes is moderate: J0178 ranks #1470 of 3204 (54th percentile) and is described as "typical, unremarkable volume for this code," J2777 ranks #693 of 2039 (66th percentile) with the same characterization, and J2778 ranks #890 of 1208 (26th percentile) also labeled "typical, unremarkable volume for this code." These ranks indicate the provider is a modest, regionally active participant in these drug markets rather than a national leader or extreme outlier.

Diagnostic imaging and comprehensive exam codes show meaningful support services: 92134 produced $33.3K (1.2K claims) and ranks #1839 of 26868 (93th percentile; described as "typical, unremarkable volume for this code"), while 92014 generated $52.3K (679 claims) and ranks #3486 of 35415 (90th percentile; "typical, unremarkable volume for this code"). This mix suggests the practice performs its own retinal imaging and established patient comprehensive exams at a higher‑than‑median peer frequency, supporting the injection treatment workflow.

Evaluation & management (E/M) codes are present but secondary to procedure revenue: 99214 accounts for $8K (101 claims) and 99213 accounts for $7.7K (116 claims), with national ranks near the median (48th and 63th percentiles respectively) and described as "typical, unremarkable volume for this code." These figures imply office visits accompany but do not drive the practice’s revenue, consistent with an injection‑centered model.

There is evidence of limited surgical and advanced procedural capability: 67042 (vitrectomy/ILM peel) produced $10.2K (13 claims) and 67210 (retinal laser) produced $9.9K (28 claims), each representing small shares of total revenue. These data indicate the provider can perform surgical interventions but at low volumes relative to anti‑VEGF injection activity.

The provider’s NPI was enumerated on 2006-08-08 (~20 years ago), indicating an established billing tenure; combined with $1.3M lifetime Medicare revenue and the heavy dependence on a few intravitreal drug codes, this suggests a stable, specialized practice with consistent procedural throughput rather than a broad, high‑volume multiservice ophthalmology center.

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	830	$690	$576.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	15,420	$30	$447.2K
J2778	Injection, ranibizumab, 0.1 mg	370	$190	$67.7K
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.	690	$90	$61.1K
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…	680	$80	$52.3K
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.	1,230	$30	$33.3K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	260	$110	$28.8K
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…	10	$780	$10.2K
67210	The provider destroys a lesion of the retina using a laser beam that heats up the tissue.	30	$350	$9.9K
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…	100	$80	$8K

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. Utah Distribution

Claron Alldredge — 0 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	40	620	$690	$683.2K
J2777	11	20	13,140	$30	$523.9K
J2778	8	10	870	$180	$224.3K
J2781	15	20	960	$120	$126.6K
67028	21	60	440	$90	$61.7K
67210	2	10	130	$390	$50.8K
67042	11	20	20	$1,100	$26.3K
J7999	19	20	120	$70	$16.9K
92014	18	330	140	$70	$16.6K
66821	87	100	40	$230	$13.1K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	Children's Hospital	$0	$129.5M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$65.8M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$54.1M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$44.3M
Ihc Health Services Inc	UT	Home Infusion Therapy Pharmacy	$0	$38.1M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$26.9M
Ihc Health Services Inc	UT	General Acute Care Hospital	$0	$25.3M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$20.4M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ivy Lane Pediatrics, LLC	UT	Home Health Agency	$0	$37M
Ogden Clinic PC	UT	Family Medicine Physician	$0	$8.3M
Ihc Health Services Inc	UT	Durable Medical Equipment & Medical Supplies	$0	$5.1M
Utah Hematology Oncology PC	UT	Hematology & Oncology Physician	$0	$4.6M
Mt Ogden Utah Surgical Center LLC	UT	Ambulatory Surgical Clinic/Center	$1.2M	$1.3M
South Ogden Operations, LLC	UT	Assisted Living Facility	$0	$2.4M
Lisa Leishman	UT	Ophthalmology Physician	$1.6M	$419.9K
Sutton Clinical Services LLC	UT	Mental Health Counselor	$0	$1.8M
Ogden Clinic Specialty Services LLC	UT	Sports Medicine (Family Medicine) Physician	$0	$1.7M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$1.6M

Claron Alldredge — 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