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

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

Thomas Ward (NPI 1952340606)

Field	Value
Entity Type	Individual
Organization	Thomas Ward
Address	499 Farmington Ave Ste 100
City	Farmington
State	CT
ZIP	06032
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 6, 2006

Payer Source	Total Paid
Medicare	$1.3M
Medicaid	$0

Key Findings

This provider is an ophthalmology physician in Farmington, CT with Medicare lifetime revenue of $1.3M and no Medicaid billing on file, making the available claims data effectively single‑payer (Medicare) for analysis. The NPI was enumerated on 2006-06-06 (~20 years ago), indicating a long-tenured practice that has produced the reported Medicare revenue over an extended period.

Revenue is highly concentrated in a very small set of retinal treatment codes: the precomputed top 3 Medicare codes account for 86.8% of this provider's total Medicare revenue. The single largest line item is J0178 (1.2K claims, $688 avg paid/claim, $847.6K revenue), which alone represents 63.5% of Medicare revenue, followed by J2777 (8.2K claims, $29 avg paid/claim, $236.6K revenue, 17.7%) and 67028 (785 claims, $95 avg paid/claim, $74.6K revenue, 5.6%).

The code mix and billing pattern are consistent with a retina-focused procedural practice: large volumes and revenue from intravitreal injection products (J0178, J2777) paired with the intravitreal injection procedure code 67028 indicate routine in-office injections of anti-VEGF/related agents. High utilization of retinal imaging supports this operational model—92134 (1.9K claims, $33 avg paid/claim, $61.4K revenue) appears as the dominant diagnostic imaging code.

Competitive standing on the top drug codes is modest rather than dominant: J0178 ranks #1062 of 3204 providers nationally (67th percentile; typical, unremarkable volume for this code) and J2777 ranks #1155 of 2039 providers nationally (43th percentile; typical, unremarkable volume). These ranks indicate the provider bills these high-revenue drugs at levels similar to many peers rather than at extreme volumes.

There are specific service areas where activity is notably above typical national volume: 92134 (computerized retinal imaging) is at the 96th percentile (notably above typical national volume) with $61.4K in revenue, and the office-level E/M code 99213 is also at the 96th percentile (notably above typical national volume) with $43.2K in revenue. This combination suggests above-average use of imaging diagnostics and frequent low- to mid-complexity office encounters to manage retina patients.

Beyond the dominant retina drugs and imaging, the provider shows limited diversification of Medicare revenue into other ophthalmic diagnostics and procedures: several ancillary codes appear at low claim and revenue levels (for example, 92250: 107 claims, $31 avg paid/claim, $3.3K revenue; J9035: 52 claims, $53 avg paid/claim, $2.8K revenue). This concentration implies clinical and financial reliance on intravitreal therapy and related monitoring services rather than a broad mix of surgical or non‑retinal ophthalmology services.

The absence of any Medicaid billing on file (none below) means there is no in-state Medicaid activity to evaluate for payer diversification, network participation, or Medicaid-specific competitive standing; analyses of payer mix and access should treat this provider as effectively single-payer (Medicare) in the available claims set.

Operationally, the pairing of a high-revenue injectables line (J0178, J2777) with routine intravitreal procedure coding (67028) and high-volume imaging (92134) suggests a workflow optimized for recurring injection visits and associated monitoring—an important consideration for payer contracting, utilization management, and capacity planning for retina care in the region.

Medicare: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	1,230	$690	$847.6K
J2777	Injection, faricimab‑svoa, 0.1 mg	8,160	$30	$236.6K
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.	790	$100	$74.6K
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.	1,860	$30	$61.4K
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…	580	$100	$55.7K
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…	610	$70	$43.2K
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…	70	$70	$4.8K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	110	$30	$3.3K
J9035	Injection, bevacizumab, 10 mg	50	$50	$2.8K
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…	20	$120	$2K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Connecticut Distribution

Thomas Ward — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	40	830	$690	$713.1K
J2777	16	30	8,190	$30	$340.4K
67028	20	50	540	$100	$66.4K
92014	47	580	100	$90	$18.6K
92012	203	300	120	$70	$15.2K
92235	29	30	40	$110	$14.8K
J9035	27	30	130	$50	$10.4K
99213	144	6,440	70	$60	$8.1K
92134	11	320	60	$30	$7.7K
92083	277	340	40	$50	$3.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
State Of Connecticut	CT	General Acute Care Hospital	$0	$205.8M
University Of Connecticut Health Center	CT	General Practice Physician	$0	$34.8M
State Of Connecticut	CT	Psychiatric Hospital	$0	$3.6M
Michael Ruddat	CT	Ophthalmology Physician	$2.7M	$0
Asad Nasir	FL	Nuclear Medicine Physician	$2.2M	$0
Jonathan Moseley	CT	Internal Medicine Physician	$740	$1.2M
Consulting Ophthalmologists, PC	CT	Ophthalmology Physician	$0	$1.2M
Hanspaul Makkar	CT	MOHS-Micrographic Surgery Physician	$1M	$0
University Of Connecticut Health Center	CT	Clinical Medical Laboratory	$396.3K	$580.4K
Yale University	CT	Clinical Medical Laboratory	$946.4K	$390

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prohealth Physicians PC	CT	Family Medicine Physician	$0	$80.5M
Interim Healthcare Of Hartford, Inc.	CT	Home Health Agency	$0	$7.9M
New Britain Medical Supplies Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$3.2M
Pediatric Associates Of Farmington LLC	CT	Pediatrics Physician	$0	$2.3M
Wound Surgeons LLC	CT	General Practice Physician	$0	$2M
Connecticut Mental Health Specialists Inc	CT	Psychiatry Physician	$0	$1.1M
Dialysis Clinic Inc.	CT	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Nauman Piracha	CT	Hospitalist Physician	$489.5K	$104.3K
Connecticut Surgery Center Limited Partnership	CT	Ambulatory Surgical Clinic/Center	$532.7K	$37.3K
Inna Stroh	CT	Ophthalmology Physician	$550.2K	$0

Thomas Ward — 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