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

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

Warren Thompson (NPI 1962484790)

Field	Value
Entity Type	Individual
Organization	Warren Thompson
Address	160 Healthwest Dr
City	Dothan
State	AL
ZIP	36303
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 17, 2005

Payer Source	Total Paid
Medicare	$2.7M
Medicaid	$0

Key Findings

This provider’s Medicare activity is the dominant payer footprint: lifetime Medicare revenue is $2.7M and there is no Medicaid billing on file, so the practice operates effectively as a single–payer (Medicare) revenue stream. The top three Medicare codes account for 69.2% of total Medicare revenue, indicating concentrated dependence on a small set of procedure/drug codes for the bulk of revenue.

Revenue concentration is highly focused on intravitreal drug administration: J2777 contributes $857.8K (31.2% of Medicare revenue), Q5128 contributes $588.8K (21.4%), and J0178 contributes $456.9K (16.6%); together these three codes make up 69.2% of the provider’s Medicare revenue. This concentration signals that anti–VEGF and related retinal biologic therapies are the primary revenue drivers.

The procedural mix and code set indicate a retina–focused ophthalmology practice that delivers high volumes of intravitreal injections and retinal imaging. High–revenue drugs J2777, Q5128, and J0178 are intravitreal therapies; the presence of J7312 (dexamethasone intravitreal implant), surgical vitrectomy codes (67042, 67036), and diagnostic imaging 92134 supports a practice workflow centered on medical retina care and in‑office procedural treatment.

Several individual codes place the provider well above national norms in volume: J7312 is rank #2 of 492 providers (100th percentile; extreme outlier, far above typical national volume), 92134 is rank #459 of 26868 providers (98th percentile; extreme outlier), and 99213 is rank #736 of 457151 providers (100th percentile; extreme outlier). These extreme outlier positions indicate unusually high utilization of dexamethasone implants, retinal OCT imaging, and routine E&M visits compared with national peers.

For anti–VEGF agents the competitive standing is mixed: J2777 is rank #305 of 2039 (85th percentile; typical, unremarkable volume), Q5128 is rank #44 of 373 (88th percentile; typical, unremarkable volume), while J0178 is rank #1671 of 3204 (48th percentile; typical, unremarkable volume). In plain terms, the provider posts above‑typical national volume for faricimab and the ranibizumab biosimilar but is more middle‑of‑the‑pack for aflibercept, suggesting selective drug mix or formulary-driven utilization.

High visit and imaging throughput further reinforces a clinic model oriented toward frequent follow‑up and in‑office procedures: 92134 delivered 2.9K claims for $77.5K and 99213 delivered 2.1K claims for $123.1K, both flagged as extreme outliers in national volume. The combination of high E&M and OCT volume is consistent with a practice managing chronic retinal disease with regular monitoring and recurrent injections.

The absence of any Medicaid billing ("none below") means this provider has effectively no Medicaid footprint to inform in‑state payer comparisons, which has implications for network contracting and patient population—Medicare beneficiaries are the primary source of fee‑for‑service revenue and Medicaid risk or supplemental payments are not represented in the billing record. Analysts should treat the provider as Medicare‑centric when assessing payer negotiations or capacity needs.

The provider’s NPI has been enumerated since 2005-11-17 (~21 years ago), indicating an established practice tenure. Long tenure combined with concentrated, high‑volume retinal services suggests an experienced retinal/ophthalmology operation with stable procedural workflows and referral relationships supporting sustained Medicare volume.

Medicare: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	29,580	$30	$857.8K
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	2,730	$220	$588.8K
J0178	Injection, aflibercept, 1 mg	670	$680	$456.9K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	1,300	$160	$204.6K
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.	2,020	$90	$178K
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…	2,090	$60	$123.1K
J2778	Injection, ranibizumab, 0.1 mg	500	$190	$94.7K
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.	2,870	$30	$77.5K
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…	710	$90	$61.2K
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…	40	$800	$32.9K

Showing 1–10 of 21

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Warren Thompson — 5 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

21 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	24	40	920	$690	$706.2K
Q5128	2	10	2,990	$220	$644.6K
J2777	1	20	7,140	$30	$267.9K
67028	1	40	990	$90	$82.5K
J2778	3	10	290	$180	$69.9K
J7312	1	10	280	$150	$63.3K
67042	4	20	20	$940	$24.6K
J9035	13	40	410	$50	$24.5K
66821	133	150	50	$110	$17.2K
99214	419	7,330	120	$80	$16.8K

Showing 1–10 of 21

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jorge Arango	AL	Ophthalmology Physician	$1.9M	$0
James Tillman	AL	Optometrist	$83.1K	$614.7K
Aaron Mckinley	AL	Ophthalmology Physician	$364.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dothan Pediatric Clinic, P. A.	AL	Pediatrics Physician	$0	$56.6M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$7M
180 Medical, Inc.	AL	Durable Medical Equipment & Medical Supplies	$0	$6.8M
Aba Associates LLC	AL	Behavior Analyst	$0	$6.7M
Dothan Behavioral Medicine Clinic PC	AL	Child & Adolescent Psychiatry Physician	$0	$6.5M
Physician Management Services Of Alabama LLC	AL	Family Medicine Physician	$0	$4.2M
Foundations Pediatric Therapy	AL	Rehabilitation Clinic/Center	$0	$3.1M
Milestones Psychology And Therapy Inc	AL	Professional Counselor	$0	$2.6M
Jawaunna Blackmon	AL	Hematology & Oncology Physician	$2.1M	$0
Wiregrass Therapy Associates, LLC	AL	Hearing and Speech Clinic/Center	$0	$1.9M

Warren Thompson — Billing Profile & Reimbursement Data

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Warren Thompson — 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