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

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

O'neil Biscette (NPI 1891848966)

Field	Value
Entity Type	Individual
Organization	O'neil Biscette
Address	2001 Coolidge Rd
City	East Lansing
State	MI
ZIP	48823
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicare	$1.7M
Medicaid	$0

Key Findings

O'NEIL BISCETTE is a retina specialist in EAST LANSING, MI with an NPI enumerated 2007-01-19 (~19 years ago). The provider’s lifetime Medicare revenue is $1.7M and there is no Medicaid billing on file, indicating Medicare is the sole public-payer revenue source in the dataset.

Revenue is highly concentrated in a small set of injectable and office-visit codes: the precomputed top 3 Medicare codes account for 82.7% of total Medicare revenue. The single largest code is J0178 ($1.2M, 68.9% of Medicare revenue), followed by 67028 ($130.4K, 7.8%) and 99213 ($99.7K, 6.0%), which together drive the vast majority of billings.

The code mix — dominated by J0178 (injection, aflibercept) and supported by J2777 (faricimab), 67028 (intravitreal injection as a procedure), and high-volume retinal imaging 92134 — indicates an outpatient retina/injection-focused practice model that centers on intravitreal biologic therapy and frequent follow-up visits and imaging. This pattern is consistent with a clinic delivering recurring anti-VEGF/faricimab treatments and routine retina surveillance.

Competitive standing for the primary drug code is solid but not market-leading: J0178 ranks #705 of 3204 providers nationally (78th percentile; typical, unremarkable volume for this code), so the provider performs at a higher-than-average but not dominant level for aflibercept administration. By contrast, J3590 (unclassified biologics) ranks #24 of 631 (96th percentile; notably above typical national volume), showing above-typical use of unclassified biologic billing relative to peers.

Several codes show extreme outlier volumes that point to very high patient throughput for non-procedural care and imaging: 99213 ranks #1575 of 457151 providers nationally (100th percentile; extreme outlier, far above typical national volume) and 92134 ranks #591 of 26868 providers nationally (98th percentile; extreme outlier, far above typical national volume). Together these suggest unusually high counts of established-patient visits and OCT-type retinal imaging relative to national peers.

Although the practice is injection- and office-visit centric, there is a surgical/interventional capability at low volumes — 67042 (vitrectomy/ILM peel) appears with 15 claims generating $12.8K (0.8% of Medicare revenue) and laser codes such as 67228 and 67145 are present at modest levels. This mix implies the provider can offer some operating-room interventions and retinal laser care but that these are a minor revenue stream compared with injections and imaging.

Being effectively single-payer in the public dataset (Medicare $1.7M, Medicaid none) concentrates reimbursement risk and contracting leverage around Medicare terms; absence of Medicaid billing suggests limited Medicaid patient volume or non-participation in state programs, which is important when evaluating network strategies or access to lower-income populations.

The combination of an NPI active for ~19 years, concentrated high-value injection revenue (J0178), and extreme outlier volumes for 99213 and 92134 is consistent with an established retina referral practice delivering recurrent intravitreal therapy and high-frequency monitoring. Analysts should interpret the profile as a mature, injection-centric operation with strong Medicare activity but limited Medicaid presence.

Medicare: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,680	$690	$1.2M
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.	1,450	$90	$130.4K
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…	1,660	$60	$99.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	3,120	$30	$90.5K
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.	2,630	$30	$73.7K
J3590	Unclassified biologics	850	$70	$58.9K
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…	160	$100	$16K
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…	180	$90	$15.6K
67042	In 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…	20	$850	$12.8K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	40	$240	$8.7K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

O'neil Biscette — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	21	110	680	$690	$630.2K
J2777	50	60	7,200	$30	$321K
67028	20	160	440	$90	$57.6K
J3590	4	80	140	$80	$19.6K
67042	15	30	20	$1,030	$18.6K
99214	3,900	15,470	80	$80	$11.4K
92235	15	100	40	$100	$7.8K
92134	7	820	60	$30	$7.1K
67228	6	30	30	$250	$6.7K
99213	12	14,810	60	$60	$6.6K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with O'neil Biscette, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ahmed El-sanhouri	MI	Retina Specialist (Ophthalmology) Physician	$2.5M	$0
Scott Piette	MI	Glaucoma Specialist (Ophthalmology) Physician	$341.9K	$0
John Mackovjak	MI	Ophthalmology Physician	$257.9K	$0
Jenn Liu	MI	Ophthalmology Physician	$147.1K	$0
Craig Lewis	MI	Ophthalmic Plastic and Reconstructive Surgery Physician	$138.5K	$0
Anjulie Gang	MI	Ophthalmology Physician	$131.4K	$0

Nearby Providers

Other providers in the same ZIP code as O'neil Biscette, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cypress Home Care, Inc.	MI	Home Health Agency	$0	$9.1M
Pine Hollow Partner LLC	MI	Nurse Practitioner	$0	$7.1M
Michigan State University	MI	Behavior Analyst	$0	$5.6M
Edward W. Sparrow Hospital Association	MI	Urgent Care Clinic/Center	$0	$5.4M
Ashim Aggarwal	MI	Ophthalmology Physician	$1.3M	$0
Michigan Surgical Center,llc	MI	Ambulatory Surgical Clinic/Center	$1.1M	$157.2K
Richard Pittsley	MI	Rheumatology Physician	$765.8K	$0
Julia Hobson	MI	Diagnostic Radiology Physician	$367.1K	$0
Rafid Yousif	MI	Urology Physician	$202.4K	$0
Anurag Tikaria	MI	Nephrology Physician	$171K	$0

O'neil Biscette — Billing Profile & Reimbursement Data

Sign up for O'neil Biscette — Billing Profile & Reimbursement Data policy alerts

O'neil Biscette — Billing Profile & Reimbursement Data

Sign up for O'neil Biscette — 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