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

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

Tracy Kangas (NPI 1881662484)

Field	Value
Entity Type	Individual
Organization	Tracy Kangas
Address	1128 Duff Avenue
City	Ames
State	IA
ZIP	50010
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 9, 2006

Payer Source	Total Paid
Medicare	$1.1M
Medicaid	$0

Key Findings

This provider reports $1.1M in total Medicare revenue and has no Medicaid billing on file (none below), making their public payer activity effectively single‑payer and concentrated in the Medicare population. The absence of Medicaid claims suggests a limited role in state Medicaid networks or an exclusively Medicare-focused panel, which will shape payer-contracting and access analyses.

Revenue is highly concentrated in a very small set of drugs and procedures: the precomputed top 3 Medicare codes by revenue account for 92.0% of the provider's Medicare revenue. The top earners are J0178 ($883.1K, 78.1% of Medicare revenue), J2777 ($87K, 7.7%), and 67028 ($70.5K, 6.2%), indicating the business is dependent on a narrow procedural/drug mix.

Clinical/service-line signals point to a retina-focused ophthalmology practice: J0178 (aflibercept) dominates revenue and 67028 documents intravitreal injection as a procedure, while retinal imaging code 92134 ($30.9K, 2.7%) appears on the list. Together these codes and their descriptions indicate the operation centers on intravitreal anti‑VEGF therapy and posterior‑segment diagnostics rather than broad general ophthalmology.

Competitive standing on the headline drug is modest but not dominant: J0178 ranks #1015 of 3204 providers nationally (68th percentile; typical, unremarkable volume), meaning the provider is an active but not top-tier national biller for aflibercept. By contrast, J2777 ranks #1838 of 2039 (9th percentile; typical, unremarkable volume), signifying relatively low national participation with that code despite it contributing $87K to revenue.

Procedure and ancillary volumes show mixed strength: 67028 (intravitreal injection) ranks #1556 of 4255 (63th percentile; typical, unremarkable volume) and 92134 (retinal imaging) ranks #1960 of 26868 (93th percentile; typical, unremarkable volume), suggesting above‑typical reliance on imaging among peers while injection procedure volume is more middle‑of‑market. These patterns imply the practice combines procedure throughput with imaging services to support therapeutic management.

Office evaluation-and-management activity is present but a smaller share of revenue: 99214 generated $36.4K (3.2% of Medicare revenue) and ranks #60518 of 479517 (87th percentile; typical, unremarkable volume). This indicates the provider maintains ongoing established‑patient visits at a rate higher than many peers, consistent with chronic retina treatment follow‑up.

The provider's NPI was enumerated on 2006-03-09 (~20 years ago), reflecting long tenure in the Medicare program. That longevity, combined with concentrated revenue from recurring injections, suggests an established referral and follow‑up pattern for retinal disease management.

The heavy dependence on a single drug code and the stated concentration (J0178 = $883.1K and top 3 = 92.0% of Medicare revenue) creates sensitivity to changes in drug utilization patterns or reimbursement for those specific codes. From a payer or network perspective, this profile represents both an operational focus to negotiate around and a concentration risk if therapeutic choices or coverage policies shift.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,280	$690	$883.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	3,000	$30	$87K
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.	870	$80	$70.5K
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…	440	$80	$36.4K
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.	1,150	$30	$30.9K
J3590	Unclassified biologics	160	$60	$9.2K
J7999	Compounded drug, not otherwise classified	150	$40	$5.9K
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…	60	$60	$3.2K
99204	The provider sees a new 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 provider…	10	$120	$1.7K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	40	$30	$910

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Iowa Distribution

Tracy Kangas — 2 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Iowa

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	23	20	43,140	$30	$1.7M
J0178	12	40	640	$690	$760.2K
67028	19	60	420	$80	$80.6K
J3590	15	30	140	$100	$26.7K
99214	601	4,690	100	$70	$14.4K
99213	3,163	4,740	100	$50	$8K
J7999	1	10	140	$60	$7.6K
92134	21	450	80	$30	$6.8K
99204	1,584	1,870	30	$100	$5K
92083	312	390	50	$40	$3.1K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mcfarland Clinic PC	IA	Multi-Specialty Clinic/Center	$0	$26.7M
Venkatesh Rudrapatna	IA	Hematology & Oncology Physician	$3.4M	$0
Sreenath Kodali	IA	Hematology & Oncology Physician	$3.2M	$0
James Eadie	IN	Ophthalmology Physician	$2.2M	$251.1K
Ruchita Amin	IN	Ophthalmology Physician	$2.1M	$71K
Joel Chasan	IN	Ophthalmology Physician	$2.1M	$6.2K
Sahana Vyas	IN	Ophthalmology Physician	$1.6M	$399.4K
Sonam Patel	IA	Hematology & Oncology Physician	$1.8M	$0
Joseph Merchant	IA	Hematology & Oncology Physician	$1.8M	$0
Christopher Pelzek	IN	Ophthalmology Physician	$1.5M	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainstream Living, Inc.	IA	Social Worker	$0	$134.3M
Youth And Shelter Services, Inc.	IA	Counselor	$0	$11.4M
Mary Greeley Medical Center	IA	General Acute Care Hospital	$0	$9.1M
Mary Greeley Medical Center	IA	Land Ambulance	$0	$4.4M
The Richmond Center	IA	Mental Health Counselor	$0	$2.4M
Steven Anderson	IA	Ophthalmology Physician	$755.9K	$0
David Sosnouski	IA	Diagnostic Radiology Physician	$592.7K	$0
Randy Anderson	IA	Diagnostic Radiology Physician	$513.4K	$0
Ryan Vincent	IA	Ophthalmology Physician	$499K	$0
Brenda Burrough	IA	Hospitalist Physician	$436.9K	$0

Tracy Kangas — 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