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

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

Brian Joondeph (NPI 1932151230)

Field	Value
Entity Type	Individual
Organization	Brian Joondeph
Address	8101 E Lowry Blvd Ste 210
City	Denver
State	CO
ZIP	80230
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	May 16, 2006

Payer Source	Total Paid
Medicare	$1.4M
Medicaid	$0

Key Findings

Provider is effectively a Medicare-focused retina specialist: lifetime Medicare revenue is $1.4M while Medicaid revenue is none, indicating no Medicaid billing on file and a payer mix that is single-payer dominated. The NPI was enumerated on 2006-05-16 (~20 years ago), so this profile reflects a provider with long tenure and an established Medicare billing history.

Revenue is highly concentrated in a small set of intravitreal drug codes: the precomputed top 3 Medicare codes account for 77.7% of this provider's total Medicare revenue, with J0178 alone contributing $840.1K (62.1% of Medicare revenue). This concentration signals that anti-VEGF/intravitreal drug administration is the principal revenue driver for the practice.

The CPT/HCPCS mix supports a treatment-focused retina practice rather than a general ophthalmology clinic: high-volume therapeutic drug codes such as J0178 (1.2K claims) and J2778 (650 claims) dominate, and procedural codes for intravitreal injection (67028, 823 claims) and retinal imaging (92134, 1.2K claims) appear regularly in the top codes. Imaging and injection procedure codes generate meaningful supporting revenue ($82.3K for 67028 and $38.6K for 92134), consistent with ongoing medical retina management workflows.

Competitive standing on the largest revenue driver is modest nationally: J0178 ($840.1K) ranks #1080 of 3204 providers nationally (66th percentile) and is described as "typical, unremarkable volume" among peers, while the other two top codes J2778 ($117.7K) and Q5128 ($93.1K) rank #600 of 1208 (50th percentile) and #241 of 373 (35th percentile) respectively, both also labeled "typical, unremarkable volume." These ranks indicate the provider is not a dominant national outlier for its top drug codes but is a routine participant in anti-VEGF treatment.

There is a contrast between high-volume drug billing and lower revenues from evaluation/management: 92014 generated $47.2K (513 claims, 3.5% of Medicare revenue) and common new-patient E/M codes like 99204 and 92004 each account for roughly $6K, showing clinical visits and E/M services are a smaller portion of total Medicare revenue compared with drug administrations. This suggests the practice’s financial model is weighted toward procedure- and drug-based reimbursement rather than office visits.

Certain codes show atypical combinations of claim counts and revenue share that merit attention: J2777 appears with 2.3K claims but only $63.8K revenue (4.7% of Medicare revenue) and ranks #1934 of 2039 providers (5th percentile; typical, unremarkable volume), while J3590 has 18 claims but $40.7K revenue and ranks #593 of 631 (4th percentile; typical, unremarkable volume). These patterns reflect variation in unit payment levels across biologic and drug-related HCPCS codes rather than unusual volume dominance.

Absence of Medicaid billing has network and access implications: with no Medicaid activity on file and $1.4M in Medicare revenue, the provider represents a Medicare-centric revenue profile that may limit access for Medicaid populations and reduce interest from payers or networks seeking broad Medicaid coverage. For payer/competitive analysis, this single-payer footprint should be treated as a material characteristic when assessing network adequacy or contracting strategy.

Medicare: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,210	$690	$840.1K
J2778	Injection, ranibizumab, 0.1 mg	650	$180	$117.7K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	430	$220	$93.1K
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.	820	$100	$82.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	2,280	$30	$63.8K
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…	510	$90	$47.2K
J3590	Unclassified biologics	20	$2,260	$40.7K
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.	1,250	$30	$38.6K
J7999	Compounded drug, not otherwise classified	90	$80	$7.5K
99204	The 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…	50	$130	$6K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Colorado Distribution

Brian Joondeph — 0 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	19	60	740	$690	$618.3K
J2777	37	40	8,910	$30	$456.1K
J2778	9	20	600	$180	$199.7K
J3590	5	10	20	$2,200	$94.6K
Q5128	4	10	220	$220	$76.1K
67028	36	80	670	$100	$73.3K
J7999	35	50	230	$70	$21.5K
92014	65	670	100	$80	$15.2K
92235	38	50	50	$110	$12.2K
92134	34	440	60	$30	$7.8K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robert Courtney	CO	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Salil Shukla	CO	Retina Specialist (Ophthalmology) Physician	$2.7M	$0
Murtaza Adam	CO	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
Mimi Liu	CO	Retina Specialist (Ophthalmology) Physician	$2.2M	$0
Miriah Teeter	CO	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Nancy Christmas	CO	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Peter Hovland	CO	Ophthalmology Physician	$1.8M	$0
Curtis Hagedorn	CO	Ophthalmology Physician	$1.5M	$0
David Johnson	CO	Specialist	$1.5M	$0
Ashleigh Levison	CO	Retina Specialist (Ophthalmology) Physician	$1.4M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$25.5M
Total Longterm Care, Inc.	CO	Exclusive Provider Organization	$0	$13M
Denver Health And Hospital Authority	CO	Federally Qualified Health Center (FQHC)	$0	$8.3M
Lowry Pediatrics, PC	CO	Pediatrics Physician	$0	$4.4M
Stephen Murphy	CO	Rheumatology Physician	$1.4M	$0
Gregory Barron	CO	Rheumatology Physician	$1.4M	$0
Rennie Mccabe	CO	Rheumatology Physician	$1.3M	$0
Vance Bray	CO	Rheumatology Physician	$1.3M	$0
Annemarie Whiddon	CO	Rheumatology Physician	$1.3M	$0
Kim Tyler	CO	Rheumatology Physician	$1.3M	$0

Brian Joondeph — Billing Profile & Reimbursement Data

Sign up for Brian Joondeph — Billing Profile & Reimbursement Data policy alerts

Brian Joondeph — Billing Profile & Reimbursement Data

Sign up for Brian Joondeph — Billing Profile & Reimbursement Data policy alerts

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