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    OpenPayerNPI Medicare & MedicaidJonathan Yoken
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    Jonathan Yoken — Billing Profile & Reimbursement Data

    NPI 1902804081 · Portland, OR · Retina Specialist (Ophthalmology) Physician

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    Jonathan Yoken is a retina specialist (ophthalmology) physician provider located in Portland, Oregon. This profile covers 13 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
    OrganizationJonathan Yoken
    Address10819 Se Stark St
    CityPortland
    StateOR
    ZIP97216
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJuly 12, 2005

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

    Payer SourceTotal Paid
    Medicare$1.5M
    Medicaid$0

    Key Findings

    This provider is a retina-focused ophthalmology practice whose top procedures are intravitreal drug injections and associated injection procedures; the three highest-revenue Medicare codes are J0178, J2777, and 67028, and their descriptions point to routine anti-VEGF and novel biologic intravitreal therapy administration for retinal disease. The code mix (drug codes J0178 and J2777 plus the intravitreal procedure 67028) is consistent with a clinic that primarily delivers in-office retinal injections rather than surgical retinal procedures.

    Revenue is highly concentrated in a small number of drug and injection codes: the precomputed top-3 codes account for 82.4% of this provider's total Medicare revenue, led by J0178 at $924.8K (63.4% of Medicare revenue), followed by J2777 at $168.8K (11.6%) and 67028 at $109K (7.5%). This concentration indicates the practice’s financial dependence on intravitreal pharmacotherapies and associated administration fees.

    The payer mix is effectively single-payer (Medicare): lifetime Medicare revenue is $1.5M while there is no Medicaid billing on file. Analysts should treat this profile as Medicare-dominant when evaluating utilization, negotiating rates, or considering network coverage impact.

    Competitive standing across the provider’s top codes is mixed: J0178 ranks #924 of 3204 providers nationally (71st percentile), which represents a solid but not dominant national position for aflibercept administration; 67028 ranks #1266 of 4255 (70th percentile), also above median volume. By contrast, J2777 ranks #1419 of 2039 (30th percentile), indicating relatively lower national volume for faricimab billing, so the practice is a meaningful participant on older anti-VEGF use but a more modest user of newer faricimab therapy.

    Imaging and follow-up services are relatively prominent for a retina practice: 92134 shows 1.6K claims and $53.7K revenue (3.7% of Medicare revenue) and ranks in the 95th percentile nationally as "notably above typical national volume," which supports a high-throughput OCT diagnostic workflow. Established patient exams (92014) also appear at above-median volume (561 claims, $52.7K, 87th percentile), suggesting ongoing chronic disease management and repeat visits.

    Drug-code profile shows use of both standard and non-standard billing paths: J3490 (Unclassified drugs) generated $100.2K (6.9% of Medicare revenue) with 62 claims and $1,616 avg paid/claim, while J7999 (Compounded drug) produced $32.9K (2.3%) over 464 claims and ranks in the 86th percentile. The presence of material revenue in J3490 and a high-percentile rank for J7999 indicate notable use of non-standard or compounded medications alongside labeled biologics.

    Operationally, injection claim counts and average payments diverge across drug codes: J0178 shows 1.4K claims at $678 avg paid/claim while J2777 shows 5.8K claims at $29 avg paid/claim. This pattern suggests differing unitization or billing granularity between the two drug codes—large claim volume for J2777 but much lower per-claim payment—an important consideration when modeling per-encounter revenue and drug utilization trends.

    The provider's NPI has been enumerated since 2005-07-12 (~21 years ago), indicating long tenure in the market. Combined with $1.5M lifetime Medicare revenue and the concentrated injection-driven revenue mix, the data are consistent with an established, steady retina practice focused on outpatient pharmacologic care rather than broad multispecialty or Medicaid-serving activity.

    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.

    13 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,360$680$924.8K
    J2777Injection, faricimab‑svoa, 0.1 mg5,820$30$168.8K
    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.1,100$100$109K
    J3490Unclassified drugs60$1,620$100.2K
    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.1,630$30$53.7K
    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…560$90$52.7K
    J7999Compounded drug, not otherwise classified460$70$32.9K
    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…80$100$7.9K
    92235The 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…30$120$3K
    67145The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by applying an intense light (such as a laser) to create scar tissue…10$200$2.8K

    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

    Full comparison — all codes billed, vs. state median

    13 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J01781660840$680$623.7K
    J2777303010,050$30$527.6K
    670282370580$90$72.3K
    J3490185040$640$42.9K
    J79991550270$70$23.4K
    9201428440110$80$16K
    92235253060$100$11.1K
    992143,0026,07080$70$10.3K
    921342139080$30$8.1K
    9200428133040$90$4.8K

    Showing 1–10 of 13

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Eye Health Northwest, PCOROphthalmology Physician$0$15.7M
    Stephen DavisARRetina Specialist (Ophthalmology) Physician$2.5M$4.7K
    Christopher AdermanORRetina Specialist (Ophthalmology) Physician$2.2M$0
    Elizabeth Verner-coleORRetina Specialist (Ophthalmology) Physician$1.7M$0
    Brian Chan-kaiORRetina Specialist (Ophthalmology) Physician$1.3M$0
    Joseph SimonettOROphthalmology Physician$532.6K$0
    Christopher KirkpatrickWIOphthalmology Physician$288.6K$0
    David SandersOROphthalmology Physician$229.6K$0
    Jonathan KempOROphthalmology Physician$221.9K$0
    Shane KimOROphthalmology Physician$191.1K$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Byram Healthcare Centers, Inc.ORDurable Medical Equipment & Medical Supplies$0$123.8M
    Fora Health Inc.ORMental Health Clinic/Center (Including Community Mental Health Center)$0$54.4M
    Portland Adventist Medical CenterORGeneral Acute Care Hospital$0$41.8M
    Portland Adventist Medical CenterORFamily Medicine Physician$0$12.8M
    Portland Adventist Medical CenterORFamily Medicine Physician$0$5.8M
    Portland Adventist Medical CenterOREmergency Medical Services (Emergency Medicine) Physician$0$5M
    Cep America LLCOREmergency Medicine Physician$0$2.9M
    Diagnostic Radiologists PCORDiagnostic Radiology Physician$0$2.7M
    Rsa - Portland, LLCOREnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$1.3M
    Anchor Within CounselingORCommunity/Behavioral Health Agency$0$951.7K

    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. Oregon Distribution
    Jonathan Yoken — 0 of 13 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oregon