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

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

Carl Park (NPI 1942274535)

Field	Value
Entity Type	Individual
Organization	Carl Park
Address	4060 Butler Pike
City	Plymouth Meeting
State	PA
ZIP	19462
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicare	$5.5M
Medicaid	$0

Key Findings

This provider is effectively single-payer: lifetime Medicare revenue totals $5.5M while there is no Medicaid billing on file, so operations and reimbursement mix are driven almost entirely by Medicare patients. The NPI was enumerated 2006-02-13 (~20 years ago), indicating a long-tenured practice likely able to sustain a steady referral and treatment volume over time.

Revenue is extremely concentrated in intravitreal drug administration: J0178 ($2.9M, 52.4%), J2778 ($826.9K, 14.9%), and Q5128 ($760.2K, 13.7%) together account for 81.0% of this provider's total Medicare revenue. That concentration shows the practice’s economics are dominated by high-volume injectable therapeutics rather than by routine office evaluation-and-management billing.

The code mix points to a retina-focused service line: very high claim counts for injections (J0178 4.2K claims, J2778 4.4K claims, Q5128 3.5K claims) alongside high volumes of imaging and retina procedures (92134 4.9K claims, 67028 3.1K claims) indicate an operational model built around frequent intravitreal treatments and retinal diagnostics. Follow-up and intermediate exam volume (92012 2.6K claims) further supports a chronic-care, procedure-heavy outpatient retina clinic workflow.

This provider is a national high-volume deliverer of aflibercept and certain biosimilars: J0178 ranks #54 of 3204 providers nationally (98th percentile) and is noted as "notably above typical national volume," while Q5128 ranks #26 of 373 (93rd percentile) and is also described as "notably above typical national volume." By contrast, J2778 is ranked #59 of 1208 (95th percentile) but labeled in the source as a "typical, unremarkable volume," suggesting relatively broad use of multiple anti-VEGF agents with particular strength in aflibercept and its biosimilar.

Several procedure and exam codes are flagged as statistical outliers versus national peers: 92012 is an "extreme outlier, far above typical national volume" (100th percentile), 92134 is also an "extreme outlier, far above typical national volume" (100th percentile), and 99204 is a 99th-percentile "extreme outlier." These labels, combined with the high claim counts for retina imaging and injection codes, indicate throughput per clinician that is unusually high compared with national ophthalmology peers.

The practice’s revenue profile is drug‑reimbursement driven rather than E/M-driven: J0178 alone accounts for $2.9M in Medicare revenue while the top E/M and exam codes produce far smaller amounts (92012 $170.2K, 99204 $35.6K). This skew suggests the provider’s margins and payer negotiations will be most sensitive to drug reimbursement rates and injectable utilization rather than to office-visit fee schedules.

Operational implications include heavy procedural throughput and staffing demands: delivering thousands of intravitreal injections (for example, 4.2K J0178 claims and 3.1K 67028 claims) and performing high volumes of retinal imaging (4.9K claims for 92134) implies dedicated injection suites, ophthalmic imaging capacity, and retinal-trained clinical staff to maintain safety and scheduling efficiency. Contracting teams should expect utilization-driven conversations focused on drug access, infusion/injection center capacity, and prior authorization patterns for retina therapeutics.

Payer and competitive risk: with $5.5M concentrated in Medicare and no Medicaid activity, the provider has little diversification into state-covered populations and therefore faces concentrated exposure to Medicare policy changes affecting anti-VEGF and intravitreal drug reimbursement. Given the provider’s high national ranks (multiple codes in the 90th–100th percentiles), payers should view this entity as a major, high-volume retina operator within the Medicare population rather than a modest or infrequent user.

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	4,200	$690	$2.9M
J2778	Injection, ranibizumab, 0.1 mg	4,380	$190	$826.9K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	3,500	$220	$760.2K
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.	3,130	$100	$310.3K
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…	2,580	$70	$170.2K
J2777	Injection, faricimab‑svoa, 0.1 mg	6,000	$30	$168K
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.	4,950	$30	$148.4K
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…	930	$90	$80.8K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	600	$120	$72K
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…	300	$120	$35.6K

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. Pennsylvania Distribution

Carl Park — 5 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	6	140	830	$690	$865.1K
Q5128	13	20	3,830	$220	$838.7K
J2778	16	70	1,030	$190	$417.1K
J2777	61	100	7,950	$30	$360.2K
J2781	11	20	690	$120	$109.1K
67028	15	180	600	$90	$87.5K
J7999	42	110	100	$120	$33.3K
J3490	102	110	60	$70	$27.9K
92014	84	1,570	130	$80	$21K
99214	15,877	23,230	100	$80	$14.5K

Showing 1–10 of 20

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Nemours Foundation	DE	Multi-Specialty Clinic/Center	$0	$172M
The Nemours Foundation	FL	Children's Hospital	$0	$104.9M
The Nemours Foundation	DE	Children's Hospital	$0	$104M
The Nemours Foundation	FL	Multi-Specialty Clinic/Center	$0	$46.2M
Nemours Children's Health, Downtown Orlando, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$44.4M
Nemours Children's Health, Jacksonville, Specialty Care	FL	Multi-Specialty Clinic/Center	$0	$23.6M
Sedigheh Ebadi	FL	Pediatrics Physician	$0	$10.1M
Children's Health Alliance, LLC	FL	Pediatrics Physician	$0	$9.6M
Alok Bansal	CA	Ophthalmology Physician	$3M	$4.7M
David Reed	MA	Retina Specialist (Ophthalmology) Physician	$7.7M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gemma Services	PA	Psychiatric Residential Treatment Facility	$0	$23.8M
Access Services Inc	PA	Community/Behavioral Health Agency	$0	$8.3M
Omesh Gupta	PA	Ophthalmology Physician	$7.1M	$80
Mitchell Fineman	PA	Ophthalmology Physician	$7M	$0
Michael Klufas	PA	Ophthalmology Physician	$7M	$0
Richard Kaiser	PA	Ophthalmology Physician	$6.6M	$0
Allen Chiang	PA	Ophthalmology Physician	$6.6M	$0
Carl Regillo	PA	Ophthalmology Physician	$6.5M	$0
Allen Ho	PA	Ophthalmology Physician	$6.4M	$0
Yoshihiro Yonekawa	PA	Ophthalmology Physician	$6.4M	$0

Carl Park — 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