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

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

Francis Decroos (NPI 1871627554)

Field	Value
Entity Type	Individual
Organization	Francis Decroos
Address	1961 Northpoint Blvd Ste 110
City	Hixson
State	TN
ZIP	37343
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

FRANCIS DECROOS is operating as a high-volume retinal injection practice: the top revenue drivers are injectable retinal therapeutics J0178 ($926K, 1.3K claims), J2778 ($601.3K, 3.3K claims) and J2777 ($445.4K, 15.4K claims). The procedure and imaging codes reported (67028, 92134) are present but represent much smaller shares of revenue, consistent with a clinic model built around frequent intravitreal injections and follow-up retinal diagnostics.

Revenue concentration is highly focused on a few drug codes: the precomputed top 3 Medicare codes by revenue account for 87.4% of this provider's total Medicare revenue, and those three codes are all injectables used to treat retinal disease. That concentration indicates the provider’s Medicare business is largely dependent on reimbursement and utilization of a small set of high-volume retinal therapeutics.

This provider’s payer mix is effectively single-payer Medicare: lifetime Medicare revenue is $2.3M while there is no Medicaid billing on file. The absence of Medicaid activity means the provider’s public-payer exposure is concentrated in Medicare rather than split across both programs.

Competitive standing versus national Medicare peers is mixed by code: for J2778 the provider ranks #93 of 1208 (92th percentile; typical, unremarkable volume for this code), for J0178 the provider ranks #944 of 3204 (70th percentile; typical, unremarkable volume for this code), and for J2777 the provider ranks #695 of 2039 (66th percentile; typical, unremarkable volume for this code). These ranks signal above-average presence on J2778 relative to peers while overall remaining a modest-to-typical national participant in the same therapeutic space rather than a dominant national outlier.

Imaging utilization is a relative strength: 92134 (computerized retinal imaging) appears with 2.1K claims and $56K revenue and is flagged at the 96th percentile as notably above typical national volume. This elevated imaging rank supports the clinical picture of frequent diagnostic monitoring that accompanies high-throughput injection practices.

Procedural coding for in‑office injections as a separate procedure (67028) is present but smaller in revenue share (1.4K claims, $121.4K, 5.4% of Medicare revenue), indicating that most revenue is driven by drug administration rather than separate surgical procedures. The combination of 67028 activity alongside large drug-code volume is consistent with a clinic workflow that bills both medication and per-injection technical/procedural services.

Tenure is long-standing: the provider NPI was enumerated on 2007-03-15 (~19 years ago), indicating nearly two decades of Medicare enrollment and likely established referral relationships and clinical workflows specific to retinal care. That longevity supports continuity of the high-volume injection and imaging patterns observed.

From a payer/contracting perspective, the practice’s heavy dependence on a small set of injectable retinal drugs (J0178, J2778, J2777) suggests revenue sensitivity to changes in drug pricing, reimbursement policy, or shifts in utilization patterns; analysts should treat changes to those therapeutic codes as high-impact to this provider’s Medicare revenue base.

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
J0178	Injection, aflibercept, 1 mg	1,340	$690	$926K
J2778	Injection, ranibizumab, 0.1 mg	3,320	$180	$601.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	15,360	$30	$445.4K
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.	1,380	$90	$121.4K
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.	2,080	$30	$56K
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…	540	$80	$45.1K
99213	The 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…	480	$60	$27.6K
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…	190	$90	$16.9K
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.	70	$100	$7.2K
J9035	Injection, bevacizumab, 10 mg	110	$50	$5.7K

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. Tennessee Distribution

Francis Decroos — 1 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	29	80	790	$680	$769.8K
J2777	23	50	15,060	$30	$592.1K
J2778	9	40	1,340	$180	$370.2K
67028	31	80	1,130	$90	$98.5K
92014	112	810	120	$80	$19.2K
J9035	45	70	140	$50	$17.1K
99214	4,143	11,370	120	$80	$16.6K
92134	31	600	60	$30	$8.2K
99213	636	11,030	80	$50	$8K
99204	2,900	5,490	30	$100	$5.3K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0
James Vander	PA	Ophthalmology Physician	$6.3M	$0
Marc Spirn	PA	Ophthalmology Physician	$6.3M	$0
Arunan Sivalingam	PA	Ophthalmology Physician	$6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galen Medical Group, PC	TN	Internal Medicine Physician	$0	$10.2M
Agilitas Usa Inc	TN	Physical Therapy Clinic/Center	$0	$7.4M
Dental Center, Inc	TN	Dentist	$0	$7.4M
Lighthouse Kids Hixson, LLC	TN	Behavior Analyst	$0	$3.7M
Devon Ghodasra	TN	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Hixson Pediatric Dentistry PLLC	TN	Pediatric Dentistry	$0	$3.2M
Rohan Shah	TN	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Memorial Health Care System Inc.	TN	General Acute Care Hospital	$0	$2.4M
Chattanooga Pain Management Center LLC	TN	Ambulatory Surgical Clinic/Center	$2.4M	$1.6K
Chelsea Schwind	TN	Dentist	$0	$2.2M

Francis Decroos — 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