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.

Stephen Wiles (NPI 1932136959)

Field	Value
Entity Type	Individual
Organization	Stephen Wiles
Address	211 Ne 54th St
City	Kansas City
State	MO
ZIP	64118
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 26, 2006

Payer Source	Total Paid
Medicare	$4.4M
Medicaid	$0

Key Findings

This provider’s Medicare activity is dominated by intravitreal drug therapy and retina-focused diagnostics. J2778 (ranibizumab) accounts for $1.6M and 8.7K claims (35.9% of Medicare revenue), J2777 (faricimab) accounts for $1.4M and 49.3K claims (32.5%), and 67028 (isolated intravitreal injection) accounts for $249.1K and 3K claims (5.7%). High volumes of imaging and angiography codes (for example 92242, 92235, 92250 and OCT codes such as 92134/92133) further reinforce a retina/subspecialty procedural clinic rather than a general ophthalmology office.

Revenue is highly concentrated: the top three Medicare codes together drive 74.0% of this provider’s Medicare revenue. With total Medicare revenue reported as $4.4M and the two intravitreal drug codes alone representing the largest single code shares, the clinic’s financial performance is tightly linked to intravitreal biologic administration and associated visit flows.

This provider is effectively single‑payer at scale: Medicare billing totals $4.4M while there is no Medicaid billing on file. The absence of Medicaid revenue indicates reliance on Medicare beneficiaries and related reimbursement dynamics for almost all observed clinical volume and revenue.

Several codes show nationally elevated volume, indicating a major role in drug delivery and retinal diagnostics. J2778 is an extreme outlier nationally (ranks #13 of 1208 providers, 99th percentile), J2777 is notably above typical national volume (ranks #108 of 2039, 95th percentile), and 92014 is also an extreme outlier (ranks #239 of 35415, 99th percentile), signaling that this provider treats a substantially higher-than-typical Medicare patient load for these services.

Beyond injections, the code mix shows capacity for ancillary surgical and laser procedures but at lower intensity. Cataract‑related codes (66984 with $86.5K, 66991 and 66982 at smaller volumes) and laser capsulotomy 66821 ($45.5K) appear consistently but represent smaller revenue slices compared with intravitreal therapy, suggesting surgical services are offered but are not the primary revenue driver.

Operational model implications: the combination of very high-volume intravitreal drug codes and elevated imaging/diagnostic codes (for example 92134 with 2.4K claims and 92250 with 1.4K claims) is consistent with a high-throughput injection clinic supported by on-site retinal imaging and angiography. This mix would typically require dedicated injection clinics, imaging technicians, and inventory/handling for biologics to support the throughput seen here.

Provider tenure is long-established, with NPI enumeration on 2006-06-26 (~20 years ago), which is consistent with the scale and national standing observed for several codes. Long tenure may support the referral patterns and patient panel stability that underlie the high Medicare volumes reported.

Medicare: Complete Services Breakdown

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

39 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2778	Injection, ranibizumab, 0.1 mg	8,740	$180	$1.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	49,330	$30	$1.4M
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.	3,000	$80	$249.1K
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…	2,010	$80	$164.6K
J2403	Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	140,800	$1	$140.8K
92242	The provider injects two different special dyes into one or both eyes that cause the blood vessels to stand out in photographic images timed so that multiple frames are taken in rapid succession. He…	610	$180	$112.2K
J3490	Unclassified drugs	50	$1,800	$93.5K
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…	220	$400	$86.5K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	650	$120	$77.5K
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.	2,440	$30	$65.8K

Showing 1–10 of 39

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 39 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Missouri Distribution

Stephen Wiles — 14 of 25 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

39 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	1	50	11,730	$30	$388.9K
J2778	1	20	540	$180	$203.8K
66984	91	420	50	$390	$74K
67028	2	80	600	$90	$69.7K
J2781	3	10	650	$120	$65.4K
66991	12	30	30	$1,230	$55.5K
J2403	3	10	82,800	$1	$55K
15823	24	40	40	$530	$28.6K
92242	1	10	70	$190	$27.9K
0671T	1	10	30	$920	$24K

Showing 1–10 of 39

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Shaker Dakhil	KS	Hematology & Oncology Physician	$4.4M	$0
Justin Gooden	KS	Undersea and Hyperbaric Medicine (Preventive Medicine) Physician	$4.3M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Briva Home Healthcare LLC	MO	In Home Supportive Care Agency	$0	$5.8M
City Of Gladstone	MO	Land Ambulance	$302.6K	$745.5K
Total Joint Center Of The Northland, LLC	MO	Ambulatory Surgical Clinic/Center	$969.8K	$0
Regina Henry	MO	Infectious Disease Physician	$815K	$0
Beta Biosciences, LLC	MO	Clinical Medical Laboratory	$607K	$55.4K
Creekwood Surgery Center, LP	MO	Ambulatory Surgical Clinic/Center	$414.7K	$0
Bala Somayaji	MO	Infectious Disease Physician	$363.3K	$0
Joseph Schneider	MO	Dermatology Physician	$357.3K	$0
Independence Asc LLC	MO	Ambulatory Surgical Clinic/Center	$297.5K	$0
Troy Voeltz	MO	Diagnostic Radiology Physician	$219K	$0

Stephen Wiles — 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