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

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

Deborah Reid (NPI 1942243332)

Field	Value
Entity Type	Individual
Organization	Deborah Reid
Address	2002 Medical Pkwy
City	Annapolis
State	MD
ZIP	21401
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	June 14, 2006

Payer Source	Total Paid
Medicare	$3.7M
Medicaid	$0

Key Findings

Provider profile and service mix are consistent with an active retina specialty practice: the top-billing items are intravitreal anti-VEGF drugs and retina imaging/examination codes such as J0178 ($2.1M, 56.2%), J2777 ($300.7K, 8.2%), J2778 ($270.8K, 7.4%), 67028 ($197.2K, 5.4%), and 92134 ($150.3K, 4.1%). High volumes for injection codes (J0178: 3K claims; J2777: 10.7K claims) together with substantial imaging and comprehensive exam activity (92014: 4.8K claims; 92134: 4.7K claims) indicate a workflow built around frequent follow-up visits and repeated intravitreal procedures typical of retina care.

Revenue concentration is pronounced: total Medicare revenue is $3.7M and the precomputed top 3 Medicare codes account for 76.9% of this Medicare revenue, showing the business is heavily dependent on a small set of drug and exam codes for the bulk of payments. This level of concentration underscores that changes in reimbursement or utilization for those specific codes would meaningfully affect overall revenue.

Payer mix is effectively single-payer in practice: the record shows $3.7M in Medicare revenue and none for Medicaid (no Medicaid billing on file), so the provider operates with a Medicare-dominant revenue base and lacks Medicaid-derived diversification. That asymmetry may influence contracting leverage, patient panel composition, and exposure to Medicare policy changes.

Competitive standing against national Medicare peers shows multiple extreme/high outlier positions: 92014 ranks #9 of 35415 (100th percentile; extreme outlier) and 92134 ranks #66 of 26868 (100th percentile; extreme outlier), while 92202 ranks #4 of 2327 (100th percentile; extreme outlier), indicating this provider bills far above typical national volume for comprehensive exams and specific retinal imaging/ophthalmoscopy services. J0178 is also notably above typical national volume (rank #183 of 3204, 94th percentile), reflecting a strong national presence in aflibercept administration.

Several high-volume procedural codes confirm an injection-centered practice flow: J0178 (3K claims, $686 avg paid/claim) and 67028 (2.1K claims, $94 avg paid/claim) capture frequent, separately billed intravitreal injections, while 92014 (4.8K claims) represents repeated comprehensive established-patient visits. The coexistence of large counts for both procedure and evaluation codes suggests a clinic throughput model that combines frequent drug administration with ongoing ophthalmologic management.

Statistical outlier and typical-volume distinctions are meaningful for peer benchmarking and utilization review: multiple codes are labelled "extreme outlier" or "notably above typical" (92014, 92134, 92202, J0178, 67028), while other injectable drug codes such as J2777 (rank #968 of 2039, 52th percentile) and J2778 (rank #300 of 1208, 75th percentile) are described as typical or unremarkable relative to peers. Conversely, some drug entries show low national percentile positions (J3490 rank #2724 of 2838, 3th percentile; Q5128 rank #351 of 373, 6th percentile), indicating limited use of those specific items.

Reliance on physician-administered therapies is a dominant business driver: J0178 alone generates $2.1M (56.2% of Medicare revenue) and when combined with other injectable drug codes and related procedure codes accounts for the majority of clinical throughput. The data also shows modest use of biosimilar or alternative agents (Q5128: 120 claims, $25.7K), which could represent either clinical preference or formulary constraints.

Provider tenure is long-standing: the NPI was enumerated on 2006-06-14 (~20 years ago), indicating an established Medicare billing history. Coupled with sustained, high-volume billing for both exams and retinal procedures, this suggests a mature practice with an entrenched patient base and operational model focused on retina services.

Medicare: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,000	$690	$2.1M
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…	4,780	$100	$454.3K
J2777	Injection, faricimab‑svoa, 0.1 mg	10,740	$30	$300.7K
J2778	Injection, ranibizumab, 0.1 mg	1,460	$190	$270.8K
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.	2,100	$90	$197.2K
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.	4,700	$30	$150.3K
92202	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…	3,680	$10	$44.1K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	290	$110	$32.8K
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…	230	$130	$30.4K
J3490	Unclassified drugs	20	$1,770	$28.3K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maryland Distribution

Deborah Reid — 5 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	12	100	950	$690	$887.3K
J2777	28	70	8,520	$30	$487.3K
J2778	15	50	650	$180	$207.8K
67028	22	120	700	$100	$101.5K
Q5128	17	20	200	$210	$78K
92242	9	10	210	$210	$63.4K
J3490	102	100	70	$450	$62.1K
92014	1	620	210	$90	$44K
92235	15	90	70	$110	$19.5K
92134	3	490	110	$30	$17.3K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Retina Group Of Washington, PLLC	MD	Ophthalmology Physician	$0	$19.5M
Virginia Oncology Associates	VA	Hematology & Oncology Physician	$0	$6.2M
Rohit Lakhanpal	MD	Retina Specialist (Ophthalmology) Physician	$6.1M	$0
Gordon Byrnes	VA	Retina Specialist (Ophthalmology) Physician	$4.9M	$0
Daniel Berinstein	MD	Retina Specialist (Ophthalmology) Physician	$4.3M	$0
Alexander Melamud	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Michael Lai	MD	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Jordana Fein	VA	Retina Specialist (Ophthalmology) Physician	$4.2M	$0
Eric Weichel	MD	Ophthalmology Physician	$4.1M	$0
Gayatri Reilly	MD	Retina Specialist (Ophthalmology) Physician	$4.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Anne Arundel County Public Schools	MD	Local Education Agency (LEA)	$0	$47.7M
Advanced Pain Management Specialists, LLC	MD	Interventional Pain Medicine Physician	$0	$33.8M
Luminis Health Pathways, Inc.	MD	Adult Mental Health Clinic/Center	$0	$14.4M
Bay Clinical Laboratories	MD	Clinical Medical Laboratory	$104.9K	$9.7M
Wellspring Therapy Services, LLC	MD	Early Intervention Provider Agency	$0	$9.3M
Doctors Emergency Service, PA	MD	Emergency Medicine Physician	$0	$9.2M
New Journey, Inc.	MD	Methadone Clinic	$188.3K	$8.6M
Committed To Change,p.c.	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.9M
Psychotherapeutic Treatment Services	MD	Mental Illness Community Based Residential Treatment Facility	$0	$7.6M
Advocate Support Services, Inc.	MD	Community/Behavioral Health Agency	$0	$7.4M

Deborah Reid — 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