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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Christopher Newton (NPI 1952372815)

Field	Value
Entity Type	Individual
Organization	Christopher Newton
Address	150 E Manning St
City	Providence
State	RI
ZIP	02906
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 30, 2006

Payer Source	Total Paid
Medicare	$309.1K
Medicaid	$0

Key Findings

This provider is effectively single‑payer: lifetime Medicare revenue is $309.1K while Medicaid revenue is none (none below — this provider has no Medicaid billing on file), indicating zero documented Medicaid billing and material concentration in Medicare for revenue and patient mix. The lack of Medicaid activity may limit visibility into lower‑reimbursing patient segments and creates payer concentration risk for revenue planning and contracting discussions.

Revenue is heavily concentrated in a very small set of services: the precomputed top 3 Medicare codes account for 74.3% of this provider's total Medicare revenue. Those top codes are 66984 ($159.2K, 51.7% of total Medicare revenue), 92014 ($45K, 14.6%), and 99214 ($24.8K, 8.0%), so a majority of revenue depends on cataract surgery and a small set of office evaluations.

The code mix indicates a surgical ophthalmology practice with a strong emphasis on cataract procedures and their perioperative care: 66984 (intraocular lens insertion after cataract removal) is the single largest revenue driver at $159.2K, and supporting diagnostic and evaluation services (92014 and 99214) together account for substantial secondary revenue. High utilization of procedural codes alongside E/M codes suggests the practice manages both operative cases and follow‑up/clinic visits rather than pure medical retina or glaucoma subspecialty lines.

Competitive standing for cataract surgery is strong: the provider’s 66984 activity ranks #1063 of 15965 providers nationally (93th percentile; notably above typical national volume), marking them well above typical peers for this high‑value procedure. This national-level strength on 66984 contrasts with more modest or typical volumes on general ophthalmic exams and E/M—92014 ranks #5098 of 35415 (86th percentile; typical, unremarkable volume) and 99214 ranks #117234 of 479517 (75th percentile; typical, unremarkable volume).

Several diagnostic/support codes further reinforce a surgical workflow: 92136 (biometry for IOL calculation) shows 762 claims for $14.5K and ranks #233 of 8731 providers nationally (97th percentile; notably above typical national volume), indicating routine preoperative measurements consistent with frequent cataract surgery. Visual field testing and imaging (92083, 92133, 92134) appear at typical volumes (e.g., 92083 ranks #4221 of 25484, 83th percentile; typical, unremarkable volume), supporting a practice that performs standard pre‑ and post‑operative ophthalmic diagnostics.

Procedure mix shows some asymmetric depth within cataract-related codes: while standard phacoemulsification with IOL insertion (66984) is a major revenue and volume driver, more complex cataract procedures billed as 66982 appear at low relative volume (13 claims, $7K; rank #4346 of 4580 providers nationally, 2th percentile), suggesting the provider performs routine cataract surgery much more often than complex cataract cases. This pattern implies a clinical focus on standard elective cataract cases rather than frequent use of complex or device‑intensive approaches.

With an NPI enumeration date of 2006-01-30 (~20 years ago), the provider appears established in the market; combined with the high national percentiles on key cataract and biometry codes, this tenure likely corresponds to a stable practice orientation toward surgical ophthalmology and ongoing patient follow‑up. Longevity plus concentrated surgical volume can influence referral relationships and local competitive positioning for surgical cataract cases.

From a risk and business-development perspective, dependence on a few high‑revenue Medicare codes (top 3 = 74.3% of Medicare revenue) and zero Medicaid billing suggests both opportunity and vulnerability: the practice shows surgical strength that could be leveraged for negotiations or capacity planning, but it also has limited payer diversification and would be sensitive to changes in Medicare reimbursement or surgical volume trends. Analysts should treat the provider as a Medicare‑centric cataract surgery practice with high utilization on a small set of codes rather than a broad multispecialty or dual‑payer clinic.

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
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1,920	$80	$159.2K
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…	520	$90	$45K
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…	260	$100	$24.8K
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.	180	$100	$18.5K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	760	$20	$14.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	40	$270	$10.5K
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…	150	$70	$9.8K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	170	$50	$8.1K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	10	$540	$7K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	180	$30	$4.7K

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. Rhode Island Distribution

Christopher Newton — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	6	40	370	$80	$71.1K
66982	13	10	30	$410	$25.2K
92014	18	190	120	$80	$16.3K
66821	13	30	40	$270	$14.8K
99214	321	1,950	100	$80	$11.7K
99213	502	1,950	70	$60	$7.4K
92134	35	120	50	$30	$6.6K
92136	2	30	170	$20	$5.6K
92012	63	90	40	$60	$4.7K
92004	3	120	30	$100	$4K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaurav Gupta	RI	Ophthalmology Physician	$1.8M	$5.8K
Pranjal Thakuria	RI	Ophthalmology Physician	$889.5K	$81.4K
Ophthalmology Inc	RI	Ophthalmology Physician	$0	$478.1K
Sarah Anis	RI	Ophthalmology Physician	$396.2K	$42.8K
Andrew Krouner	PA	Ophthalmology Physician	$190.2K	$68.4K
Durga Larkin	RI	Ophthalmology Physician	$230.5K	$0
John Donahue	RI	Ophthalmology Physician	$12.4K	$216.4K
Thomas Lang	RI	Ophthalmology Physician	$225.1K	$0
Nikolas Raufi	RI	Ophthalmology Physician	$215.1K	$0
Jane Cook	RI	Ophthalmology Physician	$168K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Miriam Hospital	RI	General Acute Care Hospital	$0	$138.6M
Family Service Of Rhode Island Inc.	RI	Taxi	$0	$12M
Butler Hospital	RI	Psychiatric Hospital	$0	$9.6M
Phoenix Houses Of New England, Inc.	RI	Substance Abuse Rehabilitation Facility	$0	$7.3M
Thomas Mulvey	RI	Pediatric Dentistry	$0	$6.3M
Silver Fern Practice, LLC	RI	Physical Therapist	$0	$5M
Providence Interventional Associates Ii LLC	RI	Ambulatory Surgical Clinic/Center	$1.9M	$8.3K
Robert Eden	RI	Pediatrics Physician	$0	$1.7M
Brian Ackerman	RI	Psychiatry Physician	$24.8K	$1.5M
Steven Hirsch	RI	Clinical Neuropsychologist	$0	$1.2M

Christopher Newton — Billing Profile & Reimbursement Data

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Christopher Newton — 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