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

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

Timothy Fincher (NPI 1861429318)

Field	Value
Entity Type	Individual
Organization	Timothy Fincher
Address	1625 N Us Highway 75
City	Sherman
State	TX
ZIP	75090
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 27, 2006

Payer Source	Total Paid
Medicare	$41.5K
Medicaid	$0

Key Findings

This provider is a solo/small-practice ophthalmology clinician whose Medicare billing is modest in scale: total Medicare revenue is $41.5K and there is no Medicaid billing on file, making the practice effectively single-payer (Medicare) in the available claims data. The absence of any Medicaid revenue suggests either little to no participation in state programs or that services to Medicaid patients are not billed under this NPI.

Revenue concentration is high: the precomputed top three Medicare codes account for 63.9% of this provider's total Medicare revenue. Those three codes — 92012, 92014, and 67028 — indicate that routine established-patient eye exams and intravitreal injections are the primary income drivers rather than a broad mix of surgical or high-acuity procedures.

The code mix points to a general ophthalmology practice focused on outpatient exam-based care and in-office procedures. The two highest-revenue codes are 92012 (intermediate established-patient eye exam) with $12.6K (30.4% of Medicare revenue) and 92014 (comprehensive established-patient eye exam) with $9.6K (23.1%), combined with 67028 (intravitreal injection) at $4.3K (10.4%), which together imply routine medical management of chronic eye conditions (e.g., macular degeneration, diabetic eye disease) alongside standard diagnostic visits.

Competitive standing on key codes is modest to typical rather than dominant: 92012 ranks #5014 of 17177 providers nationally (71st percentile), reflecting typical, unremarkable volume for that code; 92014 sits near the middle of national peers at the 46th percentile; and 67028 ranks in the 8th percentile nationally, indicating relatively low volume of intravitreal injections compared with other injectors. Overall, the provider participates at conventional volumes for office exams and at low volume for injections relative to national peers.

Several ancillary diagnostic and treatment codes appear at low-to-moderate volumes, supporting the generalist outpatient profile: imaging codes such as 92134 ($2.2K, 5.3% of Medicare revenue) and 92133 ($812, 2.0%) are present but not dominant, and procedures for dry eye (68761) and compounded drugs (J7999) each contribute single-digit percentages of total Medicare revenue. This spread suggests the practice offers standard in-office diagnostics and minor procedures but not a heavy stream of advanced imaging or high-revenue surgical services.

Longevity: the NPI was enumerated around 2006-06-27 (~20 years ago), indicating long-term presence in the Medicare program. That tenure, combined with modest current Medicare revenue and no Medicaid billing, suggests a steady small-volume outpatient ophthalmology practice rather than a recently established or rapidly expanding clinical enterprise.

Given the provider’s payer mix (Medicare-only in available data) and concentrated revenue in established-patient exams, business implications include reliance on routine follow-up visits for revenue stability and limited diversification into higher-revenue procedural lines. If payers or partners are assessing capacity for high-volume injection clinics or surgical referrals, this provider’s comparatively low rank on 67028 and limited overall Medicare revenue indicate limited throughput for large-volume procedural referrals.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	190	$70	$12.6K
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…	110	$90	$9.6K
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.	50	$90	$4.3K
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.	30	$100	$3.2K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	20	$120	$2.3K
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.	70	$30	$2.2K
J7999	Compounded drug, not otherwise classified	30	$70	$2.1K
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…	20	$90	$1.6K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	30	$60	$1.6K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	30	$30	$810

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

Claims Volume vs. Texas Distribution

Timothy Fincher — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67028	1	290	510	$90	$73K
92014	1	2,700	100	$80	$21K
99214	16	32,500	110	$80	$17.6K
J7999	1	140	90	$80	$14.4K
92012	1	1,690	80	$60	$10.9K
68761	1	170	30	$140	$9.2K
92134	1	1,690	70	$30	$8.3K
92004	1	2,070	40	$90	$6.1K
92083	1	1,590	50	$40	$4.1K
92250	2	1,840	50	$30	$3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Andrew Bossen	TX	Ophthalmology Physician	$1M	$0
Matthew Phillips	OK	Ophthalmology Physician	$871.6K	$0
Roy Lehman	TX	Ophthalmology Physician	$697.6K	$0
William Plauche	TX	Ophthalmology Physician	$631.2K	$0
Claire Chu	TX	Ophthalmology Physician	$354.9K	$0
Jeffrey Harris	TX	Optometrist	$201K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aoc Tx, LLC	TX	Home Health Agency	$0	$708M
Quality Home Health Care, Inc.	TX	Home Health Agency	$0	$12.8M
Advanced Laboratory Services LLC	TX	Clinical Medical Laboratory	$441.4K	$736.6K
Nikhil Joshi	TX	Interventional Cardiology Physician	$973.7K	$0
Vijay Khetpal	TX	Ophthalmology Physician	$945.4K	$0
North Texas Surgery Center, LLC	TX	Ambulatory Surgical Clinic/Center	$883.6K	$0
Aditi Swami	TX	Infectious Disease Physician	$627.3K	$0
Sreenadha Vattam	TX	Interventional Pain Medicine Physician	$530.4K	$0
Clint Moss	TX	Dermatology Physician	$528.4K	$0
Deborah Fisher	TX	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$453.4K	$0

Timothy Fincher — 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