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

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

Bruce Buerk (NPI 1891792339)

Field	Value
Entity Type	Individual
Organization	Bruce Buerk
Address	89 Sylvania Dr
City	Dayton
State	OH
ZIP	45440
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 30, 2005

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

BRUCE BUERK is a retina specialist (Ophthalmology) in DAYTON, OH with an NPI enumerated 2005-06-30 (~21 years ago). His Medicare lifetime revenue on file is $3.4M and there is no Medicaid billing on file, indicating a long-tenured, Medicare-focused practice footprint.

Revenue is highly concentrated in a small set of outpatient retinal therapies: the precomputed top three Medicare codes account for 87.4% of this provider's total Medicare revenue. The three leading codes are J0178 ($2.2M, 63.8%), J2777 ($553.3K, 16.3%), and 67028 ($248.1K, 7.3%), which together dominate the payer mix captured here.

Clinical/service-line patterns are consistent with a high-volume intravitreal injection practice: J0178 is aflibercept injections, J2777 is faricimab injections, and 67028 is the intravitreal injection procedure when billed as an isolated service. This mix indicates the operation centers on repeated in-office biologic injections for retinal disease rather than a workload dominated by primary-care E/M visits or surgical retina procedures.

On competitive standing, the provider is a strong national performer for key procedural drug codes: J0178 ranks #160 of 3204 providers nationally (95th percentile; notably above typical national volume) and 67028 ranks #113 of 4255 providers nationally (97th percentile; notably above typical national volume). Those ranks signal above-typical national throughput for aflibercept administration and isolated intravitreal injections.

Several codes signal statistical outlier behavior compared with peers: J3590 (Unclassified biologics) reports 1.7K claims and $230.6K revenue (6.8%) and ranks #2 of 631 providers nationally (100th percentile; extreme outlier). Likewise, 92134 (retinal imaging) shows 3.6K claims and $102.1K revenue (3.0%) and ranks #195 of 26868 providers nationally (99th percentile; extreme outlier), and 99213 office visits show 980 claims and $56.8K revenue (1.7%) with a rank of #6731 of 457151 providers nationally (99th percentile; extreme outlier). These figures point to unusually high volumes in certain drug and diagnostic lines relative to national peers.

The payer mix is effectively single-payer on file: Medicare $3.4M versus no Medicaid billing on record. This concentration exposes the provider to Medicare coverage and reimbursement trends for anti-VEGF and related biologic therapies while offering little Medicaid diversification in the claims data.

Claim-level economics vary markedly across top codes: J0178 posts 3.1K claims at $690 avg paid/claim totaling $2.2M, whereas J2777 posts 19.1K claims at $29 avg paid/claim totaling $553.3K. This contrast shows the practice achieves the largest revenue via higher-priced biologic administrations (J0178) despite much higher claim counts for lower-paid units (J2777), which has implications for inventory management, reimbursement oversight, and revenue sensitivity to unit-price changes.

Operationally, the mix of high-volume injection codes and substantial retinal imaging suggests a throughput-oriented outpatient retina clinic: 67028 (2.9K claims, $248.1K) and 92134 (3.6K claims, $102.1K) indicate frequent in-office procedures and diagnostic imaging, while E/M and comprehensive exam codes (for example 99213: 980 claims, $56.8K; 92014: 135 claims, $9.3K) contribute a small share of revenue. Together these patterns are consistent with a practice structured around recurring procedural visits rather than office-based longitudinal medical management as the primary revenue driver.

Medicare: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,140	$690	$2.2M
J2777	Injection, faricimab‑svoa, 0.1 mg	19,080	$30	$553.3K
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.	2,850	$90	$248.1K
J3590	Unclassified biologics	1,750	$130	$230.6K
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.	3,650	$30	$102.1K
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…	980	$60	$56.8K
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…	120	$80	$9.8K
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…	140	$70	$9.3K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	70	$90	$6.2K
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…	50	$110	$5.9K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Bruce Buerk — 5 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	100	840	$680	$729K
J2777	15	70	9,480	$30	$353.3K
67028	3	150	470	$90	$64K
J3590	1	100	200	$100	$30K
92014	538	1,390	100	$70	$12.9K
99214	8,708	20,010	100	$70	$11.7K
99213	113	20,000	70	$50	$6.6K
92134	4	1,010	50	$30	$6.3K
99204	1,999	8,330	30	$100	$4.4K
92235	12	70	40	$90	$4.2K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pediatric Academic Association, Inc.	OH	Pediatrics Physician	$0	$37.2M
Dayton Children's Specialty Physicians, Inc.	OH	Pediatrics Physician	$0	$31.8M
Lester E Cox Medical Centers	MO	Family Medicine Physician	$0	$17M
Cei Physicians Psc LLC	OH	Ophthalmology Physician	$0	$8.5M
Cei Physicians Psc LLC	OH	Ophthalmologic Surgery Clinic/Center	$4.1M	$1M
James Osher	OH	Ophthalmology Physician	$3.7M	$0
Juan Lebron	OH	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Kendall Wannamaker	NC	Ophthalmology Physician	$2.7M	$0
Hang Pham	OH	Ophthalmology Physician	$2.6M	$0
Ahmed Alkaliby	FL	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reliable Home Health Care LLC	OH	Home Health Agency	$0	$8.4M
Dayton Eye Surgery Center L L C	OH	Ambulatory Surgical Clinic/Center	$1.6M	$656.4K
Scott Schoenberger	OH	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Martin Wilkes	OH	Retina Specialist (Ophthalmology) Physician	$2.1M	$0
Digestivecare, LLC	OH	Ambulatory Surgical Clinic/Center	$877K	$1.1M
Endoscopy Center Of Dayton Ltd	OH	Ambulatory Surgical Clinic/Center	$447.5K	$222.8K
Eye Laser And Surgery Center LLC	OH	Ambulatory Surgical Clinic/Center	$664.8K	$0
Bal Srivastava	OH	Cardiovascular Disease Physician	$384.6K	$0
Syed Hasan	OH	Specialist	$306.4K	$0
James Knowles	OH	Ophthalmology Physician	$281.7K	$0

Bruce Buerk — Billing Profile & Reimbursement Data

Sign up for Bruce Buerk — Billing Profile & Reimbursement Data policy alerts

Bruce Buerk — Billing Profile & Reimbursement Data

Sign up for Bruce Buerk — Billing Profile & Reimbursement Data policy alerts

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