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    OpenPayerNPI Medicare & MedicaidEdgar Ready
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    Edgar Ready — Billing Profile & Reimbursement Data

    NPI 1932136355 · Huntsville, AL · Retina Specialist (Ophthalmology) Physician

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    Edgar Ready is a retina specialist (ophthalmology) physician provider located in Huntsville, Alabama. This profile covers 10 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
    OrganizationEdgar Ready
    Address401 Meridian St N
    CityHuntsville
    StateAL
    ZIP35801
    TaxonomyRetina Specialist (Ophthalmology) Physician
    NPI EnumeratedJune 28, 2006

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

    Payer SourceTotal Paid
    Medicare$2.5M
    Medicaid$0

    Key Findings

    This provider’s Medicare footprint is the primary payer relationship: Total Medicare revenue is $2.5M and there is no Medicaid billing on file, indicating the practice is effectively single-payer (Medicare) in the available claims data. The absence of Medicaid billing suggests limited commercial participation in Medicaid networks or a patient panel skewed toward Medicare-eligible beneficiaries.

    Revenue is highly concentrated in a small set of injection and procedure codes: the precomputed top three Medicare codes (J0178, J2777, 67028) account for 89.5% of the provider’s Medicare revenue. Those three codes individually account for $1.8M (J0178, 74.4%), $207.1K (J2777, 8.4%), and $165.3K (67028, 6.7%), signifying operational and reimbursement exposure concentrated in intravitreal therapy and related ocular procedures.

    The code mix is consistent with a retina-focused, injection-centric ophthalmology practice: high revenue from J0178 (aflibercept) and meaningful billing for J2777 (faricimab) and J9035 (bevacizumab) coupled with 67028 (vitreous injection) and 92134 (retinal imaging) indicates day-to-day operations are organized around intravitreal anti-VEGF therapy plus retina imaging and follow-up E/M visits. This pattern aligns with a practice model that prioritizes procedure-driven revenue rather than diverse multispecialty office care.

    J0178 is the dominant single revenue driver at $1.8M (74.4%) and the provider ranks #263 of 3204 nationally for this code (92th percentile; typical, unremarkable volume). That ranking places the provider well above many peers in absolute position, but the code-level annotation characterizes the volume as within the expected activity range for retina specialists rather than uniquely dominant.

    Despite the procedural concentration, the provider shows unusually high volumes in certain service lines: 99213 (1.7K claims, $101.4K, 4.1%) ranks #1422 of 457151 (100th percentile; extreme outlier) and 92134 (2.8K claims, $74.3K, 3.0%) ranks #518 of 26868 (98th percentile; extreme outlier). These designations indicate the provider delivers office E/M visits and retinal imaging at rates far above typical national peers, suggesting a high patient throughput for follow-up visits and diagnostic imaging associated with ongoing injection protocols.

    The practice’s anti-VEGF agent mix shows clear preference and economic reliance on aflibercept: J0178 yields $1.8M (74.4%) compared with J2777 at $207.1K (8.4%) and J9035 at $39.7K (1.6%). This distribution highlights clinical and purchasing patterns that favor aflibercept as the primary therapeutic agent, with faricimab and bevacizumab used at markedly lower revenue levels.

    From a competitive-standing perspective across reported codes the provider’s profile is mixed: several retina procedure codes (J0178, 67028) sit at high national percentiles (#263 of 3204 and #419 of 4255 respectively) indicating a strong national presence for key procedures, while other codes (J2777, J9035, 99214) are at more modest percentiles and described as typical, unremarkable volumes. Overall, the provider is a significant, established participant in intravitreal injections nationally but not universally dominant across all retina-related codes.

    The provider has a long tenure in the Medicare program (NPI enumerated 2006-06-28 (~20 years ago)), which, combined with the concentrated injection-and-imaging revenue profile, suggests a mature retina practice that has operated with a stable service mix focused on high-frequency intravitreal therapy and associated follow-up care. That longevity may support established referral patterns and operational workflows centered on injection clinics and retinal diagnostics.

    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.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg2,650$690$1.8M
    J2777Injection, faricimab‑svoa, 0.1 mg7,140$30$207.1K
    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.1,970$80$165.3K
    99213The 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…1,720$60$101.4K
    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.2,750$30$74.3K
    J9035Injection, bevacizumab, 10 mg720$60$39.7K
    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…360$80$30K
    99204The 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…100$100$9.9K
    99203The provider sees a new 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 provider…70$70$4.4K
    92250Code 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,…20$20$380

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 10 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    10 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178240920$690$706.2K
    J277712207,140$30$267.9K
    67028340990$90$82.5K
    J90351040410$50$24.5K
    992141,3897,330120$80$16.8K
    9921396,47080$50$7.9K
    92134741050$30$6.4K
    992043853,75030$100$4.8K
    992034532,21030$70$3.1K
    9225031939060$20$2.2K

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Health Care Authority Of The City Of HuntsvilleALGeneral Acute Care Hospital$0$17.8M
    Vikram SainiALRetina Specialist (Ophthalmology) Physician$3.1M$0
    Andrew McfarlandVARetina Specialist (Ophthalmology) Physician$3.1M$0
    Daniel BennettNCRetina Specialist (Ophthalmology) Physician$3M$0
    Daniel KasugaTXRetina Specialist (Ophthalmology) Physician$2.9M$0
    Leon W. Lewis M.d., P.C.ALObstetrics & Gynecology Physician$0$2.6M
    Hh Physicians NetworkALSpecialist$0$2.4M
    Wasim SamaraTXOphthalmology Physician$2.3M$0
    Kevin WellsTXOphthalmology Physician$2.1M$0
    Charles ClarkTXOphthalmology Physician$2.1M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Tennessee Valley Neonatology, IncALNeonatal-Perinatal Medicine Physician$0$22.2M
    Happi HealthALFederally Qualified Health Center (FQHC)$0$17.6M
    Emergency Physicians GroupALEmergency Medicine Physician$0$13.5M
    Healthgroup Of AlabamaALContractor$0$13.4M
    The Valley FoundationALMulti-Specialty Clinic/Center$0$11.3M
    David WhiteALNeurology Physician$7M$0
    The Children's Hospital Of AlabamaALPediatric Pulmonology Physician$0$5.6M
    Huntsville Pediatric Associates, LLCALPediatrics Physician$0$4.8M
    Dental Associates Of Huntsville, LLCALGeneral Practice Dentistry$0$4.7M
    Health Group Of AlabamaALContractor$0$4.1M

    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. Alabama Distribution
    Edgar Ready — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama