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    OpenPayerNPI Medicare & MedicaidJordan Johnson
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    Jordan Johnson — Billing Profile & Reimbursement Data

    NPI 1851682470 · Oklahoma City, OK · Retina Specialist (Ophthalmology) Physician

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    Jordan Johnson is a retina specialist (ophthalmology) physician provider located in Oklahoma City, Oklahoma. This profile covers 20 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
    OrganizationJordan Johnson
    Address9821 S May Ave Ste C
    CityOklahoma City
    StateOK
    ZIP73159
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedApril 30, 2011

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

    Payer SourceTotal Paid
    Medicare$2.2M
    Medicaid$0

    Key Findings

    JORDAN JOHNSON is a retina specialist with $2.2M in total Medicare revenue and no Medicaid billing on file, making the provider effectively single-payer (Medicare) in scale. The NPI was enumerated on 2011-04-30 (~15 years ago), indicating a well-established practice tenure to support current volume patterns.

    Revenue is highly concentrated: the precomputed top-3 Medicare codes account for 73.5% of this provider's Medicare revenue, driven by J2777 ($908.3K, 41.7% of Medicare revenue), J0178 ($573.8K, 26.3%), and 92014 ($120.6K, 5.5%). This concentration indicates the practice’s economics are dependent on a very small set of high-revenue services.

    The code mix and volumes point to a procedure- and injection-focused retina practice: J2777 has 31.3K claims and J0178 has 828 claims, and intravitreal injection procedure 67028 appears with 1.4K claims. High utilization of retinal imaging (92134 with 2.4K claims) and repeated injection codes suggest frequent follow-up visits and procedure-driven revenue rather than a service mix dominated by broad primary ophthalmology.

    Competitive standing varies by code: J2777 ranks #275 of 2039 providers nationally (87th percentile; typical, unremarkable volume for this code), indicating above-average national placement for faricimab injections but still within typical ranges; J0178 ranks #1476 of 3204 (54th percentile; typical, unremarkable volume), a modest national position for aflibercept use. In contrast, 92014 is an outlier—ranking #614 of 35415 providers nationally (98th percentile; extreme outlier)—which signals unusually high exam volume compared with national peers.

    Several procedure codes are statistical outliers in national distribution: 92014 (98th percentile; extreme outlier) and 92134 (ranks #703 of 26868, 97th percentile; extreme outlier) both sit far above typical national volumes for comprehensive established-patient exams and posterior-segment imaging, respectively. These two extreme outliers imply the practice is managing a large panel of chronic retinal disease requiring frequent diagnostic imaging and office evaluations.

    Operationally, the practice shows a high procedural follow-up model: the presence of large claim counts for imaging (92134, 2.4K claims) and injections (J2777, 31.3K claims; 67028, 1.4K claims) combined with relatively few surgical retina procedures (67042 only 17 claims) suggests care is weighted toward in-office intravitreal therapy and monitoring rather than operative interventions. That pattern has implications for staffing, supply chain (drug inventory), and scheduling.

    From a payer perspective, the lack of any Medicaid billing on file means this provider’s Medicaid competitiveness or market share cannot be assessed and contracting or access analyses should treat the entity as Medicare-focused. Any payer strategy that assumes mixed Medicare/Medicaid volume would be inappropriate given the available data.

    Concentration risk is material: because the top-3 Medicare codes represent 73.5% of Medicare revenue, changes in reimbursement, utilization, or drug selection for J2777 or J0178 could disproportionately affect overall revenue. Analysts should monitor adoption shifts among high-cost retinal drugs and any policy changes impacting intravitreal injection reimbursement.

    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.

    20 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J2777Injection, faricimab‑svoa, 0.1 mg31,320$30$908.3K
    J0178Injection, aflibercept, 1 mg830$690$573.8K
    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…1,510$80$120.6K
    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.1,420$80$117.6K
    Q5128Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg500$220$108.9K
    J2778Injection, ranibizumab, 0.1 mg420$180$76K
    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.2,430$30$65.6K
    J3490Unclassified drugs30$1,790$55.4K
    J2781Injection, pegcetacoplan, intravitreal, 1 mg470$120$53.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.270$100$26.1K

    Showing 1–10 of 20

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    20 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781330790$690$801.2K
    J277772023,040$30$781.1K
    Q5128410800$220$182.2K
    J2778410420$180$173.2K
    670281340720$80$88.9K
    J2781210380$120$67.4K
    67042111030$980$37.1K
    Q5124210220$160$34.4K
    J3490213070$320$24.6K
    J90351630330$50$23.5K

    Showing 1–10 of 20

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    South Louisiana Medical AssociatesLASurgery Physician$0$21.3M
    South Louisiana Medical AssociatesLAInternal Medicine Physician$0$7.4M
    Lance ScottOKOphthalmology Physician$3.7M$0
    Stephen HypesSCRetina Specialist (Ophthalmology) Physician$1.8M$0
    Vinay ShahOKRetina Specialist (Ophthalmology) Physician$1.7M$0
    James CroweLAInternal Medicine Physician$425.9K$0
    Brian FirestoneOKOphthalmology Physician$228.5K$0
    Sandra CharpentierLAInternal Medicine Physician$95.1K$0
    Donald MazzullaLARetina Specialist (Ophthalmology) Physician$94.8K$0
    Terry DelordLAInternal Medicine Physician$93.5K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Little Hands Little VoicesOKSpeech-Language Pathologist$0$5.3M
    Brandi Kammerer PLLCOKFamily Nurse Practitioner$0$4.8M
    Es Speech LLCOKSpeech-Language Pathologist$0$4M
    Fountain Of Hope Family Services, Inc.OKCommunity/Behavioral Health Agency$0$3M
    Community Hospital LLCOKGeneral Acute Care Hospital$0$2.6M
    Weir Asc, LLCOKAmbulatory Surgical Clinic/Center$1.9M$461.3K
    Board Of Regents Of The University Of Oklahoma-ou PhysiciansOKPrimary Care Clinic/Center$0$2M
    Senthil PalaniappunOKVascular & Interventional Radiology Physician$600K$0
    Danh PhamOKFamily Medicine Physician$546.1K$0
    Darryl RobinsonOKPhysical Medicine & Rehabilitation Physician$222.3K$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
    Jordan Johnson — 3 of 20 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma