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    OpenPayerNPI Medicare & MedicaidKendall Wannamaker
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    Kendall Wannamaker — Billing Profile & Reimbursement Data

    NPI 1962882886 · Southern Pines, NC · Ophthalmology Physician

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    Kendall Wannamaker is a ophthalmology physician provider located in Southern Pines, North Carolina. This profile covers 22 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationKendall Wannamaker
    Address2170 Midland Rd
    CitySouthern Pines
    StateNC
    ZIP28387
    TaxonomyOphthalmology Physician
    NPI EnumeratedJune 5, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$2.7M
    Medicaid$0

    Key Findings

    This provider is effectively a Medicare-only biller: lifetime Medicare revenue is $2.7M while there is no Medicaid billing on file, so payer mix is heavily concentrated on Medicare. The provider’s NPI was enumerated on 2015-06-05 (~11 years ago), indicating roughly a decade of billing history to evaluate patterns against national peers.

    Revenue is highly concentrated in intravitreal drug administrations: the precomputed top three Medicare codes account for 77.9% of this provider’s total Medicare revenue, driven by J0178 (35.3%), J2777 (28.7%), and J2778 (14.0%). This concentration signals clinical and business dependence on anti-VEGF and related retinal drug therapies for the bulk of revenue.

    The code mix and descriptions point to a retina-focused ophthalmology practice that delivers frequent intravitreal injections and diagnostic retinal imaging. High-volume drug codes (J0178, J2777, J2778) plus a very large count for retinal imaging code 92134 indicate ongoing office-based medical retina management (AMD, DME, other retinal vascular disease), with smaller contributions from surgical codes such as 67036 and 67108.

    On competitive standing for the top drug codes, this provider is a modest-to-solid participant rather than an outlier: J0178 ranks #931 of 3204 providers (71th percentile; typical, unremarkable volume for this code), J2777 ranks #357 of 2039 (82th percentile; typical, unremarkable volume for this code), and J2778 ranks #208 of 1208 (83th percentile; typical, unremarkable volume for this code). Those percentiles suggest routine, market-typical utilization of these agents rather than market leadership.

    Retinal imaging is an exception to the otherwise typical national standing: 92134 shows 2.4K claims and $71.4K revenue (2.7% of Medicare revenue) and ranks #731 of 26868 providers (97th percentile; extreme outlier, far above typical national volume for this code). This extreme relative imaging volume supports a high-throughput monitoring workflow and reinforces the interpretation of a retina-centric outpatient operation.

    Evaluation-and-management activity supports the injection/imaging mix with above-typical office follow-up volume: 99213 has 588 claims ($35.3K revenue) and ranks #20150 of 457151 providers (96th percentile; notably above typical national volume for this code), while 99214 has 324 claims ($29.2K revenue) and ranks #91663 of 479517 providers (81th percentile; typical, unremarkable volume for this code). Together these E/M volumes are consistent with frequent follow-up visits required for intravitreal therapy protocols.

    The provider also uses a range of intravitreal agents and implants beyond the top three drugs, indicating therapeutic diversity in retina care: J0179 (brolucizumab) appears with 552 claims and $135.2K revenue (5.1% of Medicare revenue) and ranks #23 of 64 providers (65th percentile; typical, unremarkable volume for this code), and J7312 (dexamethasone implant) has 483 claims and $76.3K revenue (2.9% of Medicare revenue) and ranks #53 of 492 providers (89th percentile; typical, unremarkable volume for this code). These line items suggest use of both anti-VEGF biologics and sustained-release steroid implants as part of the practice’s therapeutic mix.

    Surgical retina procedures (e.g., 67036 vitrectomy with 21 claims, $13.9K revenue; 67108 retinal detachment repair with 14 claims, $12.7K revenue) are present but account for a small share of revenue relative to injection and imaging services. This indicates the practice is primarily clinic-based medical retina care with limited operative throughput on Medicare patients.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg1,360$690$941.1K
    J2777Injection, faricimab‑svoa, 0.1 mg26,400$30$765.6K
    J2778Injection, ranibizumab, 0.1 mg2,100$180$373.4K
    67028The 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.1,550$90$137.5K
    J0179Injection, brolucizumab-dbll, 1 mg550$250$135.2K
    J7312Injection, dexamethasone, intravitreal implant, 0.1 mg480$160$76.3K
    92134The 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.2,380$30$71.4K
    99213The 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…590$60$35.3K
    99214The 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…320$90$29.2K
    99204The 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…160$110$17.2K

    Showing 1–10 of 22

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 22 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    22 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J017837100950$690$881K
    J2777177012,990$30$503.7K
    J2778750620$180$202.2K
    J0179210550$250$108.2K
    6702828120780$90$80K
    J7312420390$160$56.4K
    67042223020$990$23.8K
    6703682020$840$16.7K
    67108102010$960$15.3K
    992143,27818,060110$80$15.1K

    Showing 1–10 of 22

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    University Of Cincinnati Physicians Company, LLCOHFamily Medicine Physician$0$65.2M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    West Chester Hospital LLCOHGeneral Acute Care Hospital$0$19.5M
    Kettering Independent Medical Group IncOHOrthopaedic Surgery Physician$0$8.4M
    Arghavan AlmonyNCOphthalmology Physician$3.9M$0
    James OsherOHOphthalmology Physician$3.7M$0
    Bruce BuerkOHRetina Specialist (Ophthalmology) Physician$3.4M$0
    Juan LebronOHRetina Specialist (Ophthalmology) Physician$2.7M$0
    Zeina HaddadNCOphthalmology Physician$2.7M$0
    Hang PhamOHOphthalmology Physician$2.6M$0

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Sandhills PediatricsNCPediatrics Physician$0$32.8M
    Integrated Pain Solutions PLLCNCInterventional Pain Medicine Physician$0$12.7M
    Magnolia GardensNCAssisted Living Facility$0$8.3M
    The Eye Surgery Center Of The Carolinas LPNCAmbulatory Surgical Clinic/Center$3.1M$813.9K
    Brooks MaysNCEndocrinology, Diabetes & Metabolism Physician$569.7K$0
    John FrenchNCOphthalmology Physician$453.7K$0
    Michol StanzioneNCInternal Medicine Physician$433.8K$0
    Tarra MillenderNCOphthalmology Physician$391.9K$0
    Anna FakadejNCOphthalmology Physician$386.1K$0
    Jeffrey WhiteNCOphthalmology Physician$385.5K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. North Carolina Distribution
    Kendall Wannamaker — 3 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — North Carolina