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    OpenPayerNPI Medicare & MedicaidLucas Lindsell
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    Lucas Lindsell — Billing Profile & Reimbursement Data

    NPI 1841235959 · Blue Ash, OH · Ophthalmology Physician

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    Lucas Lindsell is a ophthalmology physician provider located in Blue Ash, Ohio. This profile covers 16 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
    OrganizationLucas Lindsell
    Address1945 Cei Dr
    CityBlue Ash
    StateOH
    ZIP45242
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 20, 2006

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

    Payer SourceTotal Paid
    Medicare$2.4M
    Medicaid$0

    Key Findings

    This provider’s Medicare activity is concentrated in intravitreal biologic therapy: J0178 (aflibercept), J2777 (faricimab-svoa), and 67028 (vitreous injection) account for the majority of revenue, with the precomputed top-3 codes representing 84.8% of the provider’s total Medicare revenue. The code mix—two high-revenue biologic injection codes plus a separate injection procedure—indicates the practice is primarily delivering retinal intravitreal injections rather than high volumes of general ophthalmology office visits or diverse surgical procedures.

    Total Medicare revenue for this provider is reported as $2.4M while there is no Medicaid billing on file; this provider is effectively single-payer from the available claims data, with Medicare representing the full documented public-payer footprint. Absence of Medicaid billing suggests either no Medicaid panel or billing through other clinicians/groups for non-Medicare patients, which has implications for network participation and payer contracting strategies.

    J0178 generated $975.5K (41.3% of Medicare revenue) and J2777 generated $906.5K (38.4% of Medicare revenue), together dominating income and signaling high dependence on a small set of pharmacologic retinal therapies. That concentration means changes in coverage, reimbursement, or utilization for these specific biologics would materially affect this provider’s Medicare revenue stream.

    Competitive standing for the top biologic codes is mixed: J2777 ranks #277 of 2039 providers nationally (86th percentile), indicating above-typical national volume and a relatively strong presence among clinicians billing that code. In contrast, J0178 ranks #880 of 3204 providers (73th percentile), which places the provider at a typical-to-modest volume level nationally for aflibercept despite its large revenue share locally, suggesting efficiency or pricing differences rather than unusually large patient volume for that drug.

    The practice also reports notable utilization of diagnostic retinal imaging via 92134 (2.2K claims, $60.6K revenue), which ranks #893 of 26868 providers nationally (97th percentile) and is described as notably above typical national volume. High percentile standing on 92134 supports that this provider conducts frequent retinal imaging, consistent with a retina-focused practice that monitors patients receiving intravitreal injections.

    Other E/M and ophthalmology visit codes (99214, 99213, 92014) appear at typical national percentiles and contribute relatively minor shares of revenue, indicating the business model relies far more on drug and procedure revenue than on routine office visits. This pattern is consistent with a specialist-retina practice where therapeutic injections and imaging drive revenue rather than standard primary ophthalmology office encounters.

    Surgical vitrectomy and related procedures are present but represent a small portion of revenue: 67042 and 67036 together account for modest sums ($26.9K and $12.3K respectively) and sit in mid-range national percentiles (74th and 54th). This suggests the provider performs some posterior segment surgery but that it is not the dominant revenue stream compared to intravitreal pharmacologic therapy.

    Provider tenure is long-standing: the NPI was enumerated in 2006-06-20 (~20 years ago), indicating sustained Medicare enrollment and likely experience in retinal care. That longevity may support established referral relationships and familiarity with managing high-cost biologic therapies within Medicare workflows.

    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.

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,420$690$975.5K
    J2777Injection, faricimab‑svoa, 0.1 mg31,260$30$906.5K
    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.1,320$90$123K
    J3590Unclassified biologics500$170$85.5K
    J0179Injection, brolucizumab-dbll, 1 mg320$250$78.5K
    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.2,170$30$60.6K
    99214The 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…410$80$34.2K
    67042In 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$870$26.9K
    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…340$80$26K
    99213The 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…380$60$21.9K

    Showing 1–10 of 16

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    16 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017831100840$680$729K
    J27775709,480$30$353.3K
    J0179310320$250$101.1K
    6702832150470$90$64K
    J359023100200$100$30K
    67042185020$960$29.7K
    67036165020$870$21K
    920142011,390100$70$12.9K
    992141,78520,010100$70$11.7K
    992131,21220,00070$50$6.6K

    Showing 1–10 of 16

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    West Chester Hospital LLCOHGeneral Acute Care Hospital$0$19.5M
    Cei Physicians Psc LLCOHOphthalmology Physician$0$8.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    Cei Physicians Psc LLCOHOphthalmologic Surgery Clinic/Center$4.1M$1M
    James OsherOHOphthalmology Physician$3.7M$0
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    Kendall WannamakerNCOphthalmology Physician$2.7M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Maxim Healthcare Services, Inc.OHHome Health Agency$0$63.6M
    Bethesda Hospital IncOHGeneral Acute Care Hospital$0$57M
    Hospice Of Cincinnati IncorporatedOHCommunity Based Hospice Care Agency$0$54M
    Carestar, Inc.OHCase Management Agency$0$43.1M
    Counseling Source IncOHMental Health Counselor$0$41M
    Mercy Health Physicians Cincinnati, LLCOHFamily Medicine Physician$0$27.9M
    Qualified Emergency Specialists IncOHEmergency Medicine Physician$0$18.9M
    Crossroads Hospice Of CincinnatiOHCommunity Based Hospice Care Agency$0$14.6M
    A Best Home Care,inc.OHHome Health Agency$0$10.4M
    Mercy Health Physicians Cincinnati Specialty Care LLCOHSurgery Physician$0$7.1M

    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. Ohio Distribution
    Lucas Lindsell — 1 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio