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

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

Joshua Priluck (NPI 1932360914)

Field	Value
Entity Type	Individual
Organization	Joshua Priluck
Address	10707 Pacific St
City	Omaha
State	NE
ZIP	68114
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 22, 2008

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

This provider’s Medicare billing footprint is substantial but narrowly focused: lifetime Medicare revenue is $2.2M and there is no Medicaid billing on file, so the practice is effectively single-payer (Medicare) in scale and exposed to Medicare policy and reimbursement shifts. The absence of any Medicaid activity means payer diversification is limited and Medicaid-facing networks or state-plan referrals do not appear to be part of current business flows.

Revenue is highly concentrated in a small set of intravitreal biologic codes: the top three Medicare codes (J0178, J2777, J2778) account for 79.3% of the provider’s total Medicare revenue. Specifically, J0178 generated $1.1M (48.0% of Medicare revenue), J2777 produced $563.8K (25.4%), and J2778 contributed $131.8K (5.9%), indicating that a few drug-administering codes drive the vast majority of payments.

The code mix and top-line codes indicate a retina-focused, injection-centric ophthalmology practice: high revenue from J0178, J2777, and J2778 together with 1.6K claims for 67028 ($130.6K revenue, 5.9% of Medicare revenue) point to routine intravitreal injections and pharmaceutical management of retinal disease (e.g., AMD, DME). This pattern—dominant biologic injection revenue plus a separate intravitreal injection procedure code—aligns with an operation organized around frequent in-office injection visits.

Diagnostic and office-service throughput is unusually high relative to national peers. The provider reports 2.5K claims for 92134 with $65.2K revenue and is labeled an "extreme outlier, far above typical national volume" (98th percentile), while 92014 produced $87K (3.9% of Medicare revenue) and is described as "notably above typical national volume" (96th percentile); together these suggest significant imaging capacity and high follow-up/management volume supporting the injection program.

Despite injections driving revenue, the provider’s national competitive standing for those drug codes is modest rather than dominant: J0178 ranks #789 of 3204 providers nationally (75th percentile; typical, unremarkable volume), J2777 ranks #551 of 2039 (73th percentile; typical, unremarkable volume), and J2778 ranks #554 of 1208 (54th percentile; typical, unremarkable volume). In other words, this clinician bills anti-VEGF and related biologic injections at a consistent, above-median level but is not among the highest-volume national leaders for those products.

By contrast, the provider is comparatively prominent on diagnostic and evaluation measures: 92134 is an "extreme outlier, far above typical national volume" and 92004 also appears in the 98th percentile (notably above typical national volume), indicating that the practice performs retinal imaging and comprehensive evaluations at a much higher rate than most peers. This mix—exceptional imaging/exam volume paired with routine injection therapy—points to strong diagnostic throughput and follow-up capacity that likely supports a high-frequency treatment model.

Surgical retina activity exists but is a small portion of revenue and claims: procedures such as 67041 ($15.8K revenue) and 67108 ($14.7K revenue) appear in the top 25 but together represent low single-digit shares of total Medicare revenue. That profile suggests the provider occasionally performs or bills for surgical retinal procedures but relies primarily on office-based diagnostics and intravitreal pharmacotherapies for revenue.

The provider has an established tenure, with NPI enumeration on 2008-06-22 (~18 years ago), which supports the interpretation that high diagnostic and injection volumes may be driven by longstanding referral relationships and an entrenched clinical workflow. This longevity, combined with concentrated Medicare exposure and no Medicaid billing on file, frames key operational considerations for network contracting and risk assessment by payers and system partners.

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	1,540	$690	$1.1M
J2777	Injection, faricimab‑svoa, 0.1 mg	19,440	$30	$563.8K
J2778	Injection, ranibizumab, 0.1 mg	730	$180	$131.8K
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.	1,590	$80	$130.6K
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…	1,090	$80	$87K
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.	2,510	$30	$65.2K
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…	730	$60	$43.2K
J3590	Unclassified biologics	530	$70	$36.4K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	260	$100	$25.5K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	20	$790	$15.8K

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. Nebraska Distribution

Joshua Priluck — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J2777	10	10	25,950	$30	$1.5M
J0178	5	20	880	$690	$722.7K
J2778	6	10	670	$180	$137.8K
67028	9	20	1,070	$80	$106.4K
J3590	5	10	430	$70	$29.7K
67108	7	10	20	$1,040	$20.8K
92014	8	270	170	$70	$20K
67041	2	10	20	$990	$18.8K
67113	2	10	20	$1,210	$18.2K
92235	3	10	30	$100	$11.2K

Showing 1–10 of 18

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Mcgill	NE	Ophthalmology Physician	$1.7M	$0
Retina Consultants Of The Midlands PC	NE	Ophthalmology Physician	$0	$229.7K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Hospital & Medical Center	NE	Children's Hospital	$0	$89.8M
Children's Physicians	NE	Pediatrics Physician	$0	$39.4M
Nebraska Pediatric Practice, Inc	NE	Pediatrics Physician	$0	$29M
Physicians Clinic Inc	NE	Family Medicine Physician	$0	$20.5M
Nebraska Methodist Hospital	NE	General Acute Care Hospital	$0	$14.5M
Smiles 4 Kids PC	NE	General Practice Dentistry	$0	$11.5M
Children's Hospital	NE	Pediatric Emergency Medicine (Pediatrics) Physician	$0	$8.4M
Nebraska Methodist Hospital	NE	Emergency Medicine Physician	$0	$5.3M
Unmc College Of Dentistry	NE	Dentist	$0	$4.8M
Stones Worth Stepping, P.C.	NE	Occupational Therapist	$0	$4.7M

Joshua Priluck — Billing Profile & Reimbursement Data

Sign up for Joshua Priluck — Billing Profile & Reimbursement Data policy alerts

Joshua Priluck — Billing Profile & Reimbursement Data

Sign up for Joshua Priluck — 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