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    OpenPayerNPI Medicare & MedicaidRonald Lange
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    Ronald Lange — Billing Profile & Reimbursement Data

    NPI 1841291051 · Eau Claire, WI · Ophthalmology Physician

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    Ronald Lange is a ophthalmology physician provider located in Eau Claire, Wisconsin. This profile covers 12 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
    OrganizationRonald Lange
    Address2715 Damon St
    CityEau Claire
    StateWI
    ZIP54701
    TaxonomyOphthalmology Physician
    NPI EnumeratedAugust 10, 2005

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

    Payer SourceTotal Paid
    Medicare$1.3M
    Medicaid$0

    Key Findings

    This provider’s billed Medicare footprint is $1.3M in lifetime revenue and there is no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in scope. The NPI was enumerated 2005-08-10 (~21 years ago), indicating an established billing history rather than a recent entrant to the market.

    Revenue is highly concentrated in three injectable retinal drug codes: J0178 (36.7% of Medicare revenue), J2777 (29.8%), and J2778 (20.7%), with the precomputed statement that the top 3 Medicare codes account for 87.2% of this provider's total Medicare revenue. This concentration signals that anti‑VEGF/anti‑angiogenic drug administration is the primary revenue driver for the practice.

    The code mix and claim volumes point to a retina-focused, procedure‑oriented practice: J2777 shows 13.1K claims ($29 avg paid/claim, $381.1K revenue), J0178 has 684 claims ($687 avg paid/claim, $469.9K revenue), and J2778 has 1.5K claims ($181 avg paid/claim, $265.3K revenue). These specific agents (faricimab, aflibercept, ranibizumab) are consistent with treatment of wet AMD/diabetic macular edema and other intravitreal injection indications, meaning day-to-day operations are likely organized around frequent injection visits and associated monitoring.

    Competitive standing on the top drug codes is modest-to-typical nationally rather than dominant: J0178 ranks #1650 of 3204 providers nationally (48th percentile; typical, unremarkable volume for this code), J2777 ranks #793 of 2039 (61th percentile; typical, unremarkable volume for this code), and J2778 ranks #298 of 1208 (75th percentile; typical, unremarkable volume for this code). In plain terms, the provider is not an extreme national outlier on these injections but does participate at a meaningful, practice-defining level.

    Services that support the injection business are also present at appreciable volumes: 99213 has 554 claims ($60 avg paid/claim, $33.2K revenue) and ranks #22556 of 457151 providers nationally (95th percentile; notably above typical national volume), and 92134 has 937 claims ($28 avg paid/claim, $26.2K revenue) and ranks #2270 of 26868 providers nationally (92th percentile; typical, unremarkable volume for this code). This mix suggests a steady throughput of established patient visits and retinal imaging to monitor disease and manage injection schedules.

    Procedural surgery volumes appear limited relative to injection work: 66821 (YAG capsulotomy) accounts for 38 claims ($285 avg paid/claim, $10.8K revenue; 0.8% of Medicare revenue), and code 67028 (isolated intravitreal injection procedure) contributes $66K (5.2%). The small share of cataract‑related laser revenue and the dominance of drug codes indicate the practice’s financial exposure is concentrated in pharmacologic retinal therapies rather than surgical case volume.

    Operational and payer implications: because the practice’s Medicare income is heavily dependent on high-volume drug administration codes (the top three composing 87.2% of Medicare revenue), it is sensitive to changes in drug reimbursement, coding guidance for intravitreal agents, and site-of-care billing practices. The absence of Medicaid billing on file further concentrates payer risk on Medicare payment policy and formulary/access shifts rather than a diversified payer mix.

    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.

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg680$690$469.9K
    J2777Injection, faricimab‑svoa, 0.1 mg13,140$30$381.1K
    J2778Injection, ranibizumab, 0.1 mg1,470$180$265.3K
    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.740$90$66K
    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…550$60$33.2K
    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.940$30$26.2K
    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…180$90$15.6K
    66821The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.40$290$10.8K
    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…80$80$6.8K
    J9035Injection, bevacizumab, 10 mg60$60$3.2K

    Showing 1–10 of 12

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    12 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01782460440$690$488.1K
    J27776307,290$30$332K
    J2778110520$180$131.2K
    6702825110310$80$43.7K
    J90356470110$50$14.5K
    6682110318040$100$13K
    92014262720120$70$12.9K
    992144,7369,80080$70$9.2K
    921343160060$30$4.7K
    992131019,38060$50$4.7K

    Showing 1–10 of 12

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Lee HoferWIOphthalmology Physician$1.7M$0
    Cumberland Memorial Hospital IncWICritical Access Hospital$0$1.6M
    Alexander RingeisenMNRetina Specialist (Ophthalmology) Physician$1.1M$0
    Chris BuntrockNMOphthalmology Physician$1M$0
    Terrence MccannaWIOphthalmology Physician$506.9K$0
    Syed AkbarILDiagnostic Radiology Physician$280.8K$223.7K
    Kunle OnadeWIDermatology Physician$459.1K$0
    Michael LinMNDiagnostic Radiology Physician$142.8K$270.1K
    Spenser MortonNEOphthalmology Physician$375.7K$0
    John MoffittWIOphthalmology Physician$280.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    St Croix Hospice LLCWICommunity Based Hospice Care Agency$0$25.2M
    Mchs Hospitals IncWIGeneral Acute Care Hospital$0$12.4M
    Steven KristoWIOrthodontics and Dentofacial Orthopedics Dentistry$0$7.9M
    Mayo Clinic Health System-northwest Wisconsin Region, Inc.WIMulti-Specialty Clinic/Center$0$7.5M
    Milwaukee Health Services System, LLCWIMethadone Clinic$229.3K$5.6M
    Sacred Heart Hospital Of The Hospital Sisters-3rd Order Of St FrancisWIGeneral Acute Care Hospital$0$5.7M
    Sacred Heart Hospital Of The Hospital Sisters- 3rd Order Of St FrancisWIFamily Medicine Physician$0$4.6M
    Mchs Hospitals IncWIClinic/Center$0$4.1M
    Lutheran Social Services Of Wisconsin And Upper Michigan, Inc.WISubstance Abuse Rehabilitation Facility$0$3.9M
    Dedra Davis-wallaceWIPediatric Dentistry$0$3.6M

    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. Wisconsin Distribution
    Ronald Lange — 2 of 12 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Wisconsin