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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Nancy Efferson-bonachea (NPI 1932173234)

Field	Value
Entity Type	Individual
Organization	Nancy Efferson-bonachea
Address	764 2nd St
City	Manchester
State	NH
ZIP	03102
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 14, 2006

Payer Source	Total Paid
Medicare	$790.7K
Medicaid	$0

Key Findings

This provider’s billed activity is concentrated in Medicare with Total Medicare revenue of $790.7K and no Medicaid billing on file, making the practice effectively single‑payer (Medicare) in the available public claims data. The absence of Medicaid revenue suggests limited Medicaid-facing volume or enrollment rather than a balanced public payer mix.

Revenue is highly concentrated in a small set of services: the precomputed top 3 Medicare codes by revenue account for 80.1% of this provider's total Medicare revenue. Those top contributors are J0178 ($339.6K, 43.0%), J2777 ($234.9K, 29.7%), and 92014 ($57.8K, 7.3%), indicating most Medicare dollars flow from a narrow set of procedures.

Service-line patterns point to an ophthalmology practice focused on intravitreal pharmacologic therapy and retina-focused imaging. The two largest revenue drivers are injections (J0178 and J2777) — J0178 has 490 claims at $693 avg paid/claim and J2777 shows 8.1K claims at $29 avg paid/claim — and retinal OCT 92134 (1.4K claims, $30 avg paid/claim, $43.1K revenue) supports active retina disease management and treatment monitoring.

Despite large absolute dollars from injections, the provider’s national competitive standing for those injection codes is modest: J0178 ranks #1943 of 3204 providers nationally (39th percentile; typical, unremarkable volume for this code) and J2777 ranks #1163 of 2039 providers nationally (43th percentile; typical, unremarkable volume for this code). These ranks indicate the provider is not a dominant national player for anti‑VEGF or related intravitreal therapies but participates at a typical volume.

Retinal imaging intensity is a relative strength: 92134 ranks #1589 of 26868 providers nationally (94th percentile; notably above typical national volume), which suggests this clinician performs OCT imaging at materially higher rates than most peers and likely manages a concentrated panel of retina patients who require frequent imaging. This elevated imaging rank contrasts with the more typical national ranks for the injection codes.

Routine ophthalmic exam volume and E/M activity show steady outpatient continuity care: 92014 has 621 claims ($93 avg paid/claim, $57.8K revenue) and ranks #4025 of 35415 providers nationally (89th percentile; typical, unremarkable volume for this code), while 92012 contributes 427 claims ($66 avg paid/claim, $28.2K revenue) and ranks in the upper national percentiles as well. These exam volumes are consistent with an established patient panel receiving follow‑up visits alongside procedure-driven revenue.

The provider’s NPI was enumerated on 2006-02-14 (~20 years ago), indicating long tenure in the Medicare program and a sustained presence in the local market. Long standing enrollment combined with the procedural mix supports a picture of an established ophthalmology practice with an ongoing retina service line.

Operational and payer‑risk implications: relying on a small set of codes for 80.1% of Medicare revenue creates sensitivity to clinical guideline, utilization, or reimbursement shifts for intravitreal injections and associated imaging. Coupled with no Medicaid billing on file, this provider lacks diversification across public payers in the available claims data, which could concentrate revenue risk if treatment patterns or coverage change.

Medicare: Complete Services Breakdown

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	490	$690	$339.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,100	$30	$234.9K
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…	620	$90	$57.8K
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.	1,440	$30	$43.1K
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.	480	$90	$42.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	430	$70	$28.2K
99214	The 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…	240	$90	$20.7K
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…	130	$60	$7.9K
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	$120	$6K
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	190	$20	$3.4K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Hampshire Distribution

Nancy Efferson-bonachea — 2 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. state median

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	7	10	13,440	$30	$563.5K
J0178	7	10	590	$680	$549.1K
67028	9	20	600	$90	$67K
92014	22	210	170	$80	$21.2K
99214	737	3,150	110	$80	$13.2K
92012	4	70	60	$60	$8.2K
99213	876	2,900	70	$50	$6.9K
92134	7	170	60	$30	$5.2K
99204	389	1,340	30	$100	$4.6K
92083	139	170	60	$40	$4.3K

Showing 1–10 of 15

Related Providers

Other providers that share a Tax Identification Number (TIN) with Nancy Efferson-bonachea, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Nh Eye Associates PLLC	NH	Ophthalmology Physician	$0	$739K
Yu Cheng Zhao	MI	Ophthalmology Physician	$618.5K	$0
Kimberly Licciardi	NH	Ophthalmology Physician	$331.8K	$0
Vasilios Lazos	NH	Ophthalmology Physician	$251.5K	$0
Alison Loranger	NH	Optometrist	$197.8K	$0
Christiana Munroe	NH	Ophthalmology Physician	$131.9K	$0
Lia Sprague	NH	Optometrist	$80.2K	$0
Asja Pinkham	NH	Optometrist	$72.6K	$0

Nearby Providers

Other providers in the same ZIP code as Nancy Efferson-bonachea, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moore Center Services, Inc.	NH	Early Intervention Provider Agency	$0	$373.9M
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Manchester School District	NH	Local Education Agency (LEA)	$0	$4M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Metro Treatment Of New Hampshire LP	NH	Methadone Clinic	$148.8K	$1.6M
Home For Butterflies, LLC	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.4M
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$480.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cpte - Manchester, Inc.	NH	Physical Therapist	$0	$426.1K

Nancy Efferson-bonachea — Billing Profile & Reimbursement Data

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Nancy Efferson-bonachea — 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