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

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

Michael Taylor (NPI 1851338925)

Field	Value
Entity Type	Individual
Organization	Michael Taylor
Address	261 Canyon Crest Dr Ste 100
City	Twin Falls
State	ID
ZIP	83301
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicare	$946.5K
Medicaid	$0

Key Findings

This clinician’s fiscal footprint in federal programs is concentrated in Medicare with Total Medicare revenue of $946.5K and no Medicaid billing on file; the provider is effectively a single-payer (Medicare) biller in the data reported. The NPI was enumerated 2006-05-31 (~20 years ago), indicating long-standing enrollment in the Medicare program which supports continuity of reported activity.

Revenue is highly concentrated in three services: the precomputed top 3 Medicare codes account for 80.7% of this provider's total Medicare revenue. The single largest line item is J0178 ($422.1K, 44.5% of Medicare revenue), followed by J2777 ($245.3K, 25.9%) and 92014 ($98.1K, 10.3%), so a small set of drug-injection and exam codes drive most of spend.

The code mix indicates a retina-focused injection practice combined with routine ophthalmology. High-revenue injectable therapies dominate (J0178 — injection, aflibercept — 610 claims; J2777 — faricimab-svoa — 8.5K claims) alongside established-patient comprehensive eye exams (92014 — 1.2K claims), and the presence of 67028 (573 claims) and J2781 (285 claims) further supports frequent intravitreal procedural care. This blend suggests an operation that delivers recurring intravitreal drug therapy in addition to ongoing medical ophthalmology follow-up.

Competitive standing is mixed across service lines: the practice is a notably above-typical national volume outlier for established-patient comprehensive exams (92014 ranks #1093 of 35415, 97th percentile, described as "notably above typical national volume"), which points to a strong local panel for routine ophthalmic care. By contrast, its primary injection codes show more typical, modest national participation—J0178 ranks #1756 of 3204 (45th percentile, "typical, unremarkable volume") and J2777 ranks #1126 of 2039 (44th percentile, "typical, unremarkable volume").

Ancillary diagnostic and moderate-procedure volumes are relatively elevated for certain imaging codes, which complements the injection-heavy profile. For example, 92134 (retinal imaging) appears with 772 claims and $21.6K in revenue and ranks in the 90th percentile nationally (described as "typical, unremarkable volume" at that percentile), while 92012 (intermediate established exam) has 479 claims and $27.3K and sits in the 89th percentile. These data indicate routine use of retinal diagnostics to support medical retina management rather than a purely surgical cataract practice.

Surgical and minor-procedure activity exists but is limited compared with injection and exam lines: 66984 (cataract extraction with intraocular lens) shows 49 claims and $19.1K (32th percentile, "typical, unremarkable volume") and 66821 (YAG capsulotomy) shows 25 claims and $6.9K (24th percentile, "typical, unremarkable volume"). This pattern suggests that while the provider performs some cataract-related surgery, the practice’s revenue and operational emphasis are more weighted toward medical retina and ongoing outpatient care.

The concentration in a small number of high-cost injectable codes creates payer exposure tied to biologic drug utilization: J0178 alone represents $422.1K (44.5% of Medicare revenue) and, together with J2777, forms the lion’s share of drug-related revenue. For payers and network planners, this means utilization and spend for this provider will be sensitive to changes in injectable therapy mix, drug pricing, or treatment protocols.

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	610	$690	$422.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,460	$30	$245.3K
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…	1,200	$80	$98.1K
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.	570	$80	$46.4K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	290	$120	$34.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	480	$60	$27.3K
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.	770	$30	$21.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	50	$390	$19.1K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	110	$90	$9.8K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	30	$280	$6.9K

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. Idaho Distribution

Michael Taylor — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	13	20	670	$690	$541.7K
J2777	8	10	8,640	$30	$454.7K
J2781	6	10	990	$120	$153.8K
66984	67	150	40	$520	$76K
67028	12	30	470	$90	$66.6K
J7999	17	20	200	$70	$18.9K
66821	49	60	60	$200	$18.3K
92014	2	230	120	$70	$15.5K
92012	5	70	100	$60	$10.2K
92134	15	190	60	$30	$5.9K

Showing 1–10 of 19

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Welch	ID	Ophthalmology Physician	$1.1M	$0
Evan Allan	OK	Ophthalmology Physician	$602.3K	$0
Michael Taylor	WA	Radiation Oncology Physician	$560.8K	$0
Jason Halverson	ID	Ophthalmology Physician	$553.9K	$0
William Hall	WA	Radiation Oncology Physician	$418.9K	$0
James Coombs	ID	Ophthalmology Physician	$269.8K	$0
Kyle Klingler	ID	Ophthalmology Physician	$253.2K	$0
Alexei Polishchuk	WA	Radiation Oncology Physician	$229.4K	$0
Darren Little	WA	Radiation Oncology Physician	$169.7K	$0
Jennifer Olbum	ND	Ophthalmology Physician	$164.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Homestyle Direct LLC.	ID	Home Delivered Meals	$0	$65.4M
St Luke's Clinic LLC	ID	Family Medicine Physician	$0	$39.5M
Primary Therapy Source, LLC	ID	Physical Therapist	$0	$11.7M
Wright Physical Therapy Limited Partnership	ID	Physical Therapist	$0	$8.8M
Smiles 4 Kids, LLC	ID	Pediatric Dentistry	$0	$8.7M
Family Health Services Corporation	ID	Federally Qualified Health Center (FQHC)	$0	$8.1M
St. Luke's Magic Valley Regional Medical Center, Ltd.	ID	General Acute Care Hospital	$0	$7.9M
Twin Falls School District #411	ID	Local Education Agency (LEA)	$0	$6.6M
Sunshine Therapy LLC	ID	Behavior Analyst	$0	$5.7M
Magic Valley Paramedics L L C	ID	Land Ambulance	$976.6K	$4.6M

Michael Taylor — 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