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

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

Alexander Eaton (NPI 1922021195)

Field	Value
Entity Type	Individual
Organization	Alexander Eaton
Address	1567 Hayley Ln
City	Fort Myers
State	FL
ZIP	33907
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 26, 2006

Payer Source	Total Paid
Medicare	$9.7M
Medicaid	$0

Key Findings

This provider is effectively a single‑payer Medicare practice: lifetime Medicare revenue is reported as $9.7M and there is no Medicaid billing on file, so Medicaid does not contribute to this provider's stated revenue mix. That concentration means the provider's financial profile, referral relationships, and payer negotiation dynamics will be dominated by Medicare volumes and reimbursement patterns.

Revenue concentration is highly focused in a handful of high‑value codes: the precomputed top 3 Medicare codes (J0178, J2778, J3490) account for 64.6% of total Medicare revenue, with J0178 reported at $2.9M (30.2%), J2778 at $1.7M (17.4%), and J3490 at $1.7M (17.0%). These three codes alone drive the majority of the $9.7M Medicare footprint and are the primary levers for any revenue changes.

The code mix and descriptions point to a high‑volume retina/intravitreal injection practice: J0178 (aflibercept) and J2778 (ranibizumab) are the top revenue drivers, and the procedural code 67028 (vitreous injection) also appears among the highest‑revenue codes. High counts for retina imaging codes such as 92134 (6.5K claims) and 92250 (6.5K claims) reinforce that the operation couples frequent anti‑VEGF injections with intensive retinal imaging and monitoring.

Several billing lines are extreme national outliers, signaling dominant scale in specific services: J0178 ranks #49 of 3204 (99th percentile; extreme outlier) and J2778 ranks #11 of 1208 (99th percentile; extreme outlier), while 67028 ranks #4 of 4255 (100th percentile; extreme outlier) and 92250 ranks #1 of 25087 (100th percentile; extreme outlier). These rank/percentile labels indicate the provider operates at volumes far above typical national peers for core injection and imaging services.

Not all high‑revenue lines are described the same way statistically: J3490 is listed with high revenue ($1.7M) and a $1501 avg paid/claim but is characterized as 99th percentile with "typical, unremarkable volume for this code," while J2777 (faricimab) appears with large claim counts (45.8K claims, $1.3M revenue) and is described as 94th percentile; typical, unremarkable volume. Those plain‑English labels suggest some codes are unusually concentrated for this provider (explicitly flagged as "extreme outlier"), whereas others are high in dollar impact but not flagged as atypical versus national patterns.

Operational throughput is substantial and visible in claim counts across medications and diagnostics: J0178 has 4.3K claims, J2778 has 9.1K claims, and J2777 shows 45.8K claims, while major diagnostic codes 92134 and 92250 each show 6.5K claims. This pattern of very large drug claim counts paired with high imaging volumes is consistent with a dedicated retina clinic structured around frequent intravitreal therapies and serial diagnostic monitoring.

The absence of Medicaid billing creates a concentrated payer risk and may affect contracting and access dynamics: with $9.7M in Medicare revenue and no Medicaid on file, the provider lacks the revenue diversification that comes from a dual Medicare/Medicaid mix. For payers and analysts, that means changes to Medicare policy, reimbursement, or referral patterns could have outsized impact on this practice's revenues.

The provider has long tenure in the Medicare program, with the NPI enumerated on 2006-07-26 (~20 years ago), supporting an established clinical presence and referral base. Longstanding enrollment combined with the extreme national ranks on multiple retina procedure and imaging codes is consistent with an entrenched, high‑throughput retina specialty practice in Fort Myers, FL.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,270	$690	$2.9M
J2778	Injection, ranibizumab, 0.1 mg	9,110	$190	$1.7M
J3490	Unclassified drugs	1,100	$1,500	$1.7M
J2777	Injection, faricimab‑svoa, 0.1 mg	45,780	$30	$1.3M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	2,770	$210	$593.2K
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.	5,700	$100	$558.1K
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…	3,040	$90	$270.6K
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.	6,500	$30	$201.6K
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,…	6,540	$30	$189.6K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	800	$160	$124.5K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Alexander Eaton — 11 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	7	250	800	$690	$817.6K
J2777	16	170	12,810	$30	$549.2K
J2778	2	110	660	$180	$234.1K
Q5128	1	40	770	$220	$216.3K
67028	2	300	710	$90	$91.1K
J3490	5	180	70	$280	$87.5K
J7312	2	40	230	$160	$45.5K
92014	5	2,180	160	$80	$28.5K
67210	19	30	30	$410	$24.6K
92012	371	1,170	110	$60	$16.7K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hussein Wafapoor	FL	Retina Specialist (Ophthalmology) Physician	$8.1M	$0
Veronica Kon Graversen	MS	Retina Specialist (Ophthalmology) Physician	$3.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Resource Network Of Florida, LLC	FL	In Home Supportive Care Agency	$0	$20.4M
Unlimited Home Health Services Corp	FL	Home Health Agency	$0	$14.2M
Physicians Primary Care Of Southwest Florida Pl	FL	General Practice Physician	$0	$14.2M
Community Resource Network Of Florida, LLC	FL	In Home Supportive Care Agency	$0	$13.3M
Eleven Ash Inc	FL	Home Health Agency	$0	$11.7M
Pediatric Services Of America, LLC	FL	Nursing Care Agency	$0	$9.5M
Eye Specialists Laser & Surgery Center Inc	FL	Ophthalmologic Surgery Clinic/Center	$1.9M	$0
Edward Humbert	FL	Adult Reconstructive Orthopaedic Surgery Physician	$1.7M	$0
Heart & Vascular Ambulatory Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$1.6M	$0
Ameripath Florida LLC	FL	Clinical Medical Laboratory	$988.4K	$414.6K

Alexander Eaton — 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