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

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

Robert King (NPI 1952340408)

Field	Value
Entity Type	Individual
Organization	Robert King
Address	4720 Waters Ave
City	Savannah
State	GA
ZIP	31404
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicare	$3.4M
Medicaid	$0

Key Findings

This provider is a Medicare-focused ophthalmology clinician with $3.4M in lifetime Medicare revenue and no Medicaid billing on file; in practical terms the practice is effectively single-payer (Medicare) for the public programs represented in these data. The absence of Medicaid activity means any payer-mix analysis should treat Medicaid as non-contributory to this provider's publicly reported volume and revenue.

Revenue concentration is extremely high: the precomputed top three Medicare codes account for 92.2% of the provider's Medicare revenue, indicating that a very small set of services drives nearly all publicly reported reimbursements. That concentration suggests the practice’s Medicare economics are tightly tied to a few procedure lines rather than a broadly diversified outpatient panel.

The dominant revenue driver is J0178 (aflibercept): 3.8K claims generating $2.6M and representing 77.8% of total Medicare revenue. This single drug injection code both defines the clinical throughput (high-volume intravitreal anti-VEGF therapy) and positions the provider as a major deliverer of aflibercept injections within the national cohort, where the provider ranks #85 of 3204 (97th percentile) — a clear high-volume national outlier for that therapy.

Secondary Medicare contributions come from J2777 (faricimab) and 67028 (intravitreal injection as a separate procedure), which together with J0178 form the top three that comprise 92.2% of revenue. J2777 accounts for $308K (9.2% of Medicare revenue) with a middling national rank (974 of 2039, ~52nd percentile), while 67028 contributes $174K (5.2% of revenue) and ranks #353 of 4255 (92nd percentile), signaling that the practice not only delivers many drug administrations but also bills the associated separate intravitreal injection procedure at notably above-typical volumes.

Procedure mix and code descriptions indicate a service-line focused on medical retina care: high volumes of intravitreal injections and retinal imaging codes (for example 92134 with 3.1K claims and $83.5K revenue) reflect recurrent, procedure-driven management of retinal disease rather than a general comprehensive ophthalmology panel. The presence of surgical retina codes (67108, 67042, 67036) at low absolute counts suggests some surgical capability exists but is not the primary revenue engine compared with injection therapies.

Competitive standing varies by code: for aflibercept (J0178) the provider is a national high-volume performer (97th percentile), for intravitreal injection procedure 67028 they are also notably above typical national volume (92nd percentile), and for retinal imaging 92134 they are labeled an extreme outlier (99th percentile). Conversely, many evaluation & management and other ancillary codes (99214, 99213, 92250, etc.) fall at typical or modest national percentiles, indicating that the provider’s extraordinary standing is concentrated in specific retinal procedure lines rather than across general ophthalmology services.

Tenure in the Medicare program is long: the NPI was enumerated on 2006-06-06 (~20 years ago), indicating two decades of enrollment that support the accumulation of the reported lifetime Medicare revenue and may explain developed referral patterns and established injection volumes. This longevity, combined with the highly concentrated revenue profile, suggests a stable, procedure-focused practice built up over many years.

From a payer and network management perspective, the high concentration in a few high-cost injectable therapies (notably J0178) makes this provider strategically important for Medicare cost and utilization in their service lines; they are a significant outlier for therapies that materially affect spend. Because Medicaid activity is absent, contracting or utilization efforts tied to Medicaid programs would not materially impact this provider’s public-payor footprint as reflected in these data.

Medicare: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,810	$690	$2.6M
J2777	Injection, faricimab‑svoa, 0.1 mg	10,620	$30	$308K
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	$80	$174K
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.	3,090	$30	$83.5K
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…	540	$80	$45.1K
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…	720	$60	$40.2K
J9035	Injection, bevacizumab, 10 mg	340	$50	$18.4K
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…	120	$110	$12.2K
67108	The provider repairs a detached retina using heat produced by a laser beam or by freezing the tissues. He may attach a scleral buckle to simplify the passage of fluid through and behind the retina or…	10	$850	$10.2K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	10	$840	$10K

Showing 1–10 of 24

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 24 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Robert King — 4 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

24 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	2	70	970	$680	$700.6K
J2777	28	40	14,100	$30	$524.3K
67028	4	80	720	$90	$71.9K
67042	15	20	20	$1,200	$31.1K
67108	9	10	10	$1,260	$25.2K
67036	6	10	20	$1,120	$23.6K
92014	517	850	130	$80	$19.7K
99214	1,350	13,640	120	$80	$17.8K
67210	4	10	20	$370	$12.5K
92012	353	380	90	$60	$10.5K

Showing 1–10 of 24

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Robin Ray	GA	Ophthalmology Physician	$3.5M	$0
William Pearce	TX	Ophthalmology Physician	$904.3K	$0
David Kim	GA	Glaucoma Specialist (Ophthalmology) Physician	$468.2K	$0
Markesh Manocha	GA	Ophthalmology Physician	$392.2K	$0
Matthew Deich	GA	Ophthalmology Physician	$309.6K	$0
William Degenhart	GA	Ophthalmology Physician	$246K	$0
Thomas Kandl	GA	Ophthalmology Physician	$191.4K	$0
Susan Disario	SC	Optometrist	$124.3K	$0
Heidi Wise	NE	Optometrist	$40.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Georgia Emergency Physician Specialists	GA	Emergency Medicine Physician	$0	$12.7M
Savannah Children's Heart Center, PC	GA	Pediatric Cardiology Physician	$0	$10.2M
Pediatric Associates Of Savannah, P.C.	GA	Pediatrics Physician	$0	$8.8M
Mppg, Inc.	GA	Family Medicine Physician	$0	$2.8M
Anchor Medical LLC	GA	Durable Medical Equipment & Medical Supplies	$0	$2.8M
Dean Stephens	GA	Rheumatology Physician	$2.7M	$0
Charles Degenhardt	GA	Rheumatology Physician	$2.4M	$0
Atlantic Radiology Associates, LLC	GA	Diagnostic Radiology Physician	$0	$2.3M
Georgia Eye Surgicenter, LLC	GA	Ambulatory Surgical Clinic/Center	$1.9M	$0
Jennifer Yannucci	GA	Hematology & Oncology Physician	$1.7M	$0

Robert King — 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