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

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

Michael Cassell (NPI 1932107000)

Field	Value
Entity Type	Individual
Organization	Michael Cassell
Address	4320 Wornall Rd
City	Kansas City
State	MO
ZIP	64111
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	July 12, 2005

Payer Source	Total Paid
Medicare	$1.5M
Medicaid	$0

Key Findings

This provider is a retina specialist focused on intravitreal pharmacologic therapy: the top revenue code is J0178 (aflibercept) with $883.1K in Medicare revenue and J0178 alone accounts for 60.4% of the provider’s total Medicare revenue, complemented by faricimab (J2777) and the intravitreal injection procedure (67028). The code mix (high volumes of anti-VEGF drug codes and intravitreal injection procedure 67028) indicates a practice organized around medically managed, procedure-driven retinal care rather than primarily surgical cataract work or broad general ophthalmology visits.

Medicare revenue concentration is high: the precomputed top three Medicare codes together account for 80.4% of total Medicare revenue, demonstrating heavy dependence on a small set of intravitreal drug and injection procedure codes for revenue generation. This concentration suggests that changes in drug pricing, utilization, or payer coverage for these specific agents could materially impact the provider’s revenues.

The provider effectively operates as a single-payer practice for publicly reported claims: total Medicare revenue is $1.5M while there is no Medicaid billing on file, indicating negligible or no participation in Medicaid during the reporting period. Analysts should treat this profile as Medicare-dominant when benchmarking patient mix, payer risk, and population served.

Competitive standing for the top drug code is middling: J0178 volume ranks #1015 of 3204 providers nationally (68th percentile), indicating typical, unremarkable national volume for aflibercept compared with peers rather than market leadership. By contrast, the provider shows high relative volume for certain office visit and imaging codes — for example, 99213 ranks in the 99th percentile and 92134 ranks in the 94th percentile — indicating unusually high activity in established visit E/Ms and retinal imaging compared with national peers.

There are notable statistical outliers in utilization patterns: 99213 is labeled an “extreme outlier, far above typical national volume,” which suggests this provider bills a very high number of mid-level established patient visits relative to national peers; similarly, 92134 (retinal imaging) is described as “notably above typical national volume,” signaling above-average diagnostic imaging intensity tied to retinal disease management. These two outlier labels point to a workflow with frequent follow-up visits and frequent retinal imaging per Medicare beneficiary.

Surgical cataract and other operative codes are present but represent a small share of revenue: 66984 (cataract surgery) contributes $28.4K (1.9% of Medicare revenue) and ranks around the middle of national peers (42nd percentile), indicating the provider performs relatively modest cataract volume compared with general ophthalmology surgical practices. This supports the interpretation that the practice is retina-focused rather than cataract-centric.

Provider tenure is long-standing: the NPI was enumerated on 2005-07-12 (~21 years ago), indicating over two decades of billing history available to build referral relationships and care pathways in the Kansas City market. That longevity combined with the high concentration in retina therapeutics suggests an established retinal specialty practice.

Drug mix shows use of multiple intravitreal agents with different utilization patterns: besides the dominant J0178 (aflibercept), the provider billed J2777 (faricimab) with $177.5K (12.1% of Medicare revenue) and J9035 (bevacizumab) with $39.1K (2.7% of Medicare revenue). The presence of multiple anti-VEGF and related agents indicates therapeutic choice or switching among agents, which has implications for drug procurement, reimbursement risk, and formulary-management engagements with payers.

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	1,280	$690	$883.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,120	$30	$177.5K
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.	1,370	$80	$114.7K
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…	1,150	$60	$70.4K
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…	550	$70	$40.6K
J9035	Injection, bevacizumab, 10 mg	740	$50	$39.1K
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.	1,430	$30	$38.5K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	70	$380	$28.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	160	$160	$25.4K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$870	$11.4K

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. Missouri Distribution

Michael Cassell — 2 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Missouri

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	16	60	820	$690	$683.3K
J2777	34	50	11,730	$30	$388.9K
66984	179	420	50	$390	$74K
67028	13	80	600	$90	$69.7K
J7312	7	10	170	$160	$33.8K
J9035	7	40	170	$60	$21.8K
66821	143	220	50	$210	$21.2K
67108	13	20	10	$1,060	$18K
92014	92	730	120	$80	$18K
92012	133	330	70	$60	$8.8K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Health Physicians	MO	Internal Medicine Physician	$0	$102.8M
David Dyer	KS	Ophthalmology Physician	$7.5M	$0
Bassam Mattar	KS	Hematology & Oncology Physician	$7.2M	$0
Pavan Reddy	KS	Hematology & Oncology Physician	$6.7M	$0
Jeremy Deutsch	KS	Hematology & Oncology Physician	$5.7M	$0
Thomas Finley	OK	Ophthalmology Physician	$4.8M	$0
Daniel Feiler	KS	Ophthalmology Physician	$4.8M	$0
Travis Koeneke	KS	Hematology & Oncology Physician	$4.4M	$0
Christopher Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0
Stephen Wiles	MO	Ophthalmology Physician	$4.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Whole Person, Inc.	MO	In Home Supportive Care Agency	$0	$203.1M
Community Choice, Inc.	MO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$19.6M
St Lukes Hospital Of Kansas City	MO	General Acute Care Hospital	$0	$18.7M
United Seating And Mobility LLC	MO	Durable Medical Equipment & Medical Supplies	$0	$8.8M
Midwest Home Health Care, Inc.	MO	Homemaker	$0	$4.3M
Kalista Engelman	MO	Rheumatology Physician	$1.7M	$0
Julian Magadan	MO	Rheumatology Physician	$1.7M	$0
Tina Shah	MO	Rheumatology Physician	$1.6M	$0
Kent Huston	MO	Rheumatology Physician	$1.5M	$0
Hillary Bownik	MO	Gastroenterology Physician	$959.9K	$0

Michael Cassell — 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