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    OpenPayerNPI Medicare & MedicaidDaniel Will
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    Daniel Will — Billing Profile & Reimbursement Data

    NPI 1861485906 · West Columbia, SC · Retina Specialist (Ophthalmology) Physician

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    Daniel Will is a retina specialist (ophthalmology) physician provider located in West Columbia, South Carolina. This profile covers 19 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
    OrganizationDaniel Will
    Address124 Sunset Ct
    CityWest Columbia
    StateSC
    ZIP29169
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedAugust 24, 2005

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

    Payer SourceTotal Paid
    Medicare$2.8M
    Medicaid$0

    Key Findings

    This provider is effectively single‑payer in the available data: total Medicare revenue is $2.8M and there is no Medicaid billing on file, indicating Medicare is the sole documented public payer and Medicaid does not appear in this provider's revenue mix. That concentration exposes the practice to Medicare reimbursement dynamics and limits visibility into Medicaid-dependent patient segments.

    Revenue is highly concentrated in a small set of drugs and services: the precomputed top 3 Medicare codes by revenue account for 77.1% of this provider's total Medicare revenue, driven by J0178 (52.9%), J2778 (16.4%), and 92014 (7.8%). This concentration shows the practice depends heavily on a narrow set of high‑value intravitreal drug administrations and a high volume of comprehensive ophthalmologic follow‑up visits.

    The clinical/service mix is consistent with a retina specialty practice: large volumes and revenue from intravitreal injections (J0178 and J2778) combined with high utilization of retina imaging (92134) and procedural vitreous injections (67028) indicate ongoing medical retina treatment and monitoring rather than primarily general ophthalmology. The presence of 92014 at scale further implies regular longitudinal management of established patients, consistent with repeat injection and follow‑up workflows.

    Competitive standing for anti‑VEGF therapy is above average but not dominant nationally: J0178 (rank #484 of 3204, 85th percentile) and J2778 (rank #148 of 1208, 88th percentile) reflect typical, unremarkable but higher‑volume participation compared with peers — the provider is a substantial, active dispenser of these drugs regionally but does not sit at the very top of national volume lists. In contrast, newer/alternate biologic use is lower: J2777 ranks #1501 of 2039 (26th percentile), indicating relatively modest adoption of that agent.

    Several code volumes are statistical outliers on the high side, signaling exceptional throughput for specific services: 92014 ranks #154 of 35415 (100th percentile; extreme outlier, far above typical national volume) and 92134 ranks #105 of 26868 (100th percentile; extreme outlier, far above typical national volume). These extreme outlier labels suggest unusually large volumes of comprehensive established‑patient visits and computerized retinal imaging relative to national peers, consistent with a high‑volume retina clinic focused on monitoring and treatment.

    Procedural revenue outweighs office E&M revenue in Medicare billing: intravitreal drug codes (J0178, J2778 and related injection codes) and diagnostic imaging (92134) generate the majority of payments, while office visit codes 99213 (416 claims, $30.4K revenue, 1.1%) and 99214 (301 claims, $26.5K revenue, 1.0%) represent a relatively small share of Medicare revenue. This mix indicates the practice’s economics are driven more by drug and procedure reimbursement than by routine E&M office visits.

    The provider shows a long‑standing Medicare presence: the NPI was enumerated 2005-08-24 (~21 years ago), supporting the interpretation that current billing patterns reflect an established practice with sustained referral and treatment workflows over two decades. Long tenure combined with extreme outlier volumes for follow‑up and imaging suggests an entrenched service line for retina care.

    Operational implication for payers and network planners: given the absence of Medicaid billing and heavy Medicare dependence (high concentration in a few injection and retina imaging codes), payers should treat this provider as a specialized retina therapy center focused on intravitreal treatments and monitoring. Contracting or network inclusion strategies should account for high procedural throughput, reliance on drug reimbursement, and the provider’s demonstrated above‑typical national volumes for key retina services.

    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.

    19 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,120$690$1.5M
    J2778Injection, ranibizumab, 0.1 mg2,510$180$452.5K
    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…2,300$90$216.1K
    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.2,040$100$197.8K
    J2777Injection, faricimab‑svoa, 0.1 mg5,220$30$146.2K
    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.4,250$30$135.9K
    J9035Injection, bevacizumab, 10 mg650$60$35.6K
    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…420$70$30.4K
    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…300$90$26.5K
    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…10$920$11.9K

    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

    Full comparison — all codes billed, vs. state median

    19 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01783050970$690$1.1M
    J2777654015,960$30$594.7K
    J277821301,440$180$337.4K
    6702828501,140$90$110.3K
    67042413020$1,150$32.3K
    J9035340200$50$26.1K
    920144540160$80$24.3K
    992144,1917,860160$80$23.2K
    92012347240110$60$14.2K
    92235233050$100$11K

    Showing 1–10 of 19

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Retina Center LLCSCOphthalmology Physician$0$10.6M
    John PayneSCOphthalmology Physician$4M$0
    John WellsSCOphthalmology Physician$3.9M$0
    Joshua RobinsonMIOphthalmology Physician$3.7M$0
    William ClarkSCOphthalmology Physician$3.3M$0
    Barron FishburneSCRetina Specialist (Ophthalmology) Physician$3.3M$0
    Jeffrey GrossSCRetina Specialist (Ophthalmology) Physician$3M$0
    David JohnsonSCRetina Specialist (Ophthalmology) Physician$3M$0
    Oksana DemediukGARetina Specialist (Ophthalmology) Physician$2.9M$0
    Leo SantamarinaPAOphthalmology Physician$2.4M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Palmetto Infusion Services LLCSCInfusion Therapy Clinic/Center$0$93.6M
    Lexington Health IncSCGeneral Acute Care Hospital$0$27.4M
    Lexington County Health Services District IncSCGeneral Acute Care Hospital$0$19.2M
    United Cerebral Palsy Of South Carolina, IncSCIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility$0$15.7M
    Lexington Health IncSCEmergency Medicine Physician$0$4.2M
    Karen Park Family Dentistry, P.A.SCDentist$0$4.2M
    Lexington County Health ServSCGeneral Acute Care Hospital$0$4M
    Steven MaddenSCHematology & Oncology Physician$4M$0
    Lexington Treatment Specialists LLCSCMethadone Clinic$76.7K$3.6M
    Lexington Health IncSCObstetrics & Gynecology Physician$0$3.5M

    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. South Carolina Distribution
    Daniel Will — 2 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — South Carolina