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

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

Kirk Winward (NPI 1962487611)

Field	Value
Entity Type	Individual
Organization	Kirk Winward
Address	5169 Cottonwood St Ste 630
City	Salt Lake City
State	UT
ZIP	84107
Taxonomy	Retina Specialist (Ophthalmology) Physician
NPI Enumerated	December 14, 2005

Payer Source	Total Paid
Medicare	$2.2M
Medicaid	$0

Key Findings

KIRK WINWARD is a retina specialist (Ophthalmology) with lifetime Medicare revenue of $2.2M and no Medicaid billing on file (none), making this effectively a Medicare‑dependent practice. The provider's NPI was enumerated 2005-12-14 (~21 years ago), indicating long-standing enrollment in the Medicare program and an established clinical presence in Salt Lake City, UT.

Revenue is highly concentrated in three injectable drug codes: J2777 ($1.2M revenue, 52.6% of provider Medicare revenue), J0178 ($521.8K revenue, 23.3%), and J2781 ($169.2K revenue, 7.6%); these top 3 codes account for 83.5% of the provider's total Medicare revenue. This concentration signals that the business is driven predominantly by marketed intravitreal therapeutics rather than a broad mix of office evaluation services.

The procedure and drug code mix points to a high-volume intravitreal injection clinic model: J2777 shows 40.6K claims, J0178 has 754 claims, and 67028 (injection into the vitreous) appears with 1.1K claims and $97.4K revenue (4.4%). Complementary diagnostics are present—92134 has 1.4K claims and $42.1K revenue (1.9%)—which is consistent with a retina practice that pairs imaging with repeated in‑office injections.

Competitive standing across specific codes is mixed. J2777 ranks #165 of 2039 providers nationally (92th percentile; typical, unremarkable volume for this code) and J0178 ranks #1560 of 3204 (51th percentile; typical, unremarkable volume), indicating typical national participation for faricimab and aflibercept use. By contrast, J2781 ranks #59 of 490 providers nationally (88th percentile; typical, unremarkable volume for this code) and 92134 ranks #1643 of 26868 (94th percentile; notably above typical national volume for this code), suggesting relatively stronger standing on pegcetacoplan and retinal imaging compared with peers.

Operational profile shows limited reliance on evaluation & management and new patient visits: 92014 (established patient comprehensive) accounts for 725 claims and $62.4K (2.8%) while 92004 (new patient comprehensive) reports 106 claims and $10.1K (0.4%), and 99204 contributes only $770. This distribution supports a procedural workflow focused on repeat therapeutic visits rather than a high volume of initial consults or extended office E/M workups.

Drug billing includes a meaningful contribution from unclassified and compounded drug lines: J3490 appears with 96 claims and $148.8K revenue (6.6%) and J7999 has 93 claims and $6.6K (0.3%). The presence of J3490 at that revenue level indicates non‑standard or ancillary drug billing activity that materially contributes to total Medicare receipts alongside the named biologics.

Revenue concentration in a few high-revenue injectable codes (top 3 = 83.5%) creates sensitivity to shifts in utilization patterns, drug availability, or reimbursement policy for these therapies. Given the practice’s single‑payer (Medicare) exposure and procedural focus, payer policy or drug‑specific changes could meaningfully affect practice revenue if utilization or payment for J2777, J0178, or J2781 changes.

Medicare: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J2777	Injection, faricimab‑svoa, 0.1 mg	40,620	$30	$1.2M
J0178	Injection, aflibercept, 1 mg	750	$690	$521.8K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	1,410	$120	$169.2K
J3490	Unclassified drugs	100	$1,550	$148.8K
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.	1,060	$90	$97.4K
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…	730	$90	$62.4K
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.	1,400	$30	$42.1K
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.	110	$100	$10.1K
J7999	Compounded drug, not otherwise classified	90	$70	$6.6K
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…	10	$70	$770

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Utah Distribution

Kirk Winward — 2 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	15	40	620	$690	$683.2K
J2777	2	20	13,140	$30	$523.9K
J3490	11	30	80	$1,690	$199.5K
J2781	3	20	960	$120	$126.6K
67028	14	60	440	$90	$61.7K
J7999	14	20	120	$70	$16.9K
92014	13	330	140	$70	$16.6K
92134	14	250	70	$30	$7.6K
92004	28	250	30	$80	$4.4K
99204	1,706	1,790	30	$100	$4.1K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joel Herring	UT	Retina Specialist (Ophthalmology) Physician	$5.6M	$23.7K
Victoria Knudsen	UT	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Robert Kwun	UT	Retina Specialist (Ophthalmology) Physician	$2.3M	$0
James Howard	UT	Retina Specialist (Ophthalmology) Physician	$2M	$0
Eric Brinton	UT	Retina Specialist (Ophthalmology) Physician	$1.3M	$0
Rick Nordgren	UT	Retina Specialist (Ophthalmology) Physician	$888.1K	$0
Gregory Brinton	UT	Retina Specialist (Ophthalmology) Physician	$673.5K	$0
Retina Associates Of Utah, PLLC	UT	Retina Specialist (Ophthalmology) Physician	$0	$653.5K
Rachael Jacoby	UT	Ophthalmology Physician	$137K	$0
James Kohler	UT	Ophthalmology Physician	$6.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ihc Health Services, Inc.	UT	General Acute Care Hospital	$0	$68.7M
Ihc Health Services, Inc.	UT	Clinical Medical Laboratory	$2.7M	$17.9M
Alpine Home Medical Equipment LLC	UT	Oxygen Equipment & Supplies (DME)	$0	$18.6M
Ddi Vantage	UT	Developmentally Disabled Services Day Training Agency	$0	$18.4M
Utah Emergency Physicians	UT	Emergency Medicine Physician	$0	$14.5M
Home Caregivers Partnership, LLC	UT	Home Health Agency	$0	$10.4M
Gcs Foundation	UT	Supports Brokerage Agency	$0	$6.2M
Ihc Health Services Inc	UT	Diagnostic Radiology Physician	$0	$6.1M
Project Reality	UT	Mental Health Counselor	$0	$5.1M
Caregiver Support Network, Inc	UT	Home Health Agency	$0	$5M

Kirk Winward — 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