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

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

Robert Reinauer (NPI 1972839983)

Field	Value
Entity Type	Individual
Organization	Robert Reinauer
Address	1055 37th Pl
City	Vero Beach
State	FL
ZIP	32960
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 26, 2009

Payer Source	Total Paid
Medicare	$8.1M
Medicaid	$0

Key Findings

Revenue concentration is heavily weighted in a small set of intravitreal drug codes: the precomputed top-3 Medicare codes account for 75.2% of this provider's total Medicare revenue, with J0178 at $3M (37.3% of Medicare revenue), J2777 at $2.2M (27.6%), and J3490 at $832K (10.2%). These three codes alone drive the majority of the reported $8.1M in Medicare revenue, signaling a practice model where injectable therapies are the principal revenue engine.

Clinical/service-line mix indicates a retina-focused ophthalmology practice. High-volume drug codes J0178 (aflibercept) and J2777 (faricimab) and procedure codes tied to intravitreal therapy and retinal care — 67028 (4.3K claims, $407.1K revenue), 92134 (5.4K claims, $161.1K revenue), and 92202 (4.5K claims, $53.4K revenue) — point to an operation centered on frequent office-based injections, retinal imaging, and retina follow-up visits rather than primarily refractive or cataract-only work.

This provider is effectively a single-payer practice from the available data: Medicare revenue is $8.1M while there is no Medicaid billing on file. The absence of Medicaid activity suggests payer mix and contracting considerations should be focused almost entirely on Medicare reimbursement dynamics and commercial/private-pay strategies if expansion is desired.

Competitive standing for anti-VEGF and novel retina drugs is nationally prominent. J0178 ranks #44 of 3204 providers nationally (99th percentile; extreme outlier) and J2777 ranks #37 of 2039 providers nationally (98th percentile; extreme outlier), indicating this provider bills far above typical national volume for these high-value injection codes and is a dominant national-scale participant for those services.

Several non-drug codes also show unusually high throughput consistent with a high-volume injection clinic and imaging workflow. 92014 (5.6K claims, $518.9K revenue) ranks #4 of 35415 providers nationally (100th percentile; extreme outlier) and 92134 ranks #30 of 26868 providers nationally (100th percentile; extreme outlier), which together signal that comprehensive visits and OCT retinal imaging are delivered at volumes far above peers.

Surgical retina and procedure activity is present but represents a smaller share of revenue than injections. Procedure codes 67028 (4.3K claims, $407.1K revenue) and 67042 (52 claims, $48.7K revenue) are listed among the top codes, with 67028 ranking #18 of 4255 providers nationally (100th percentile; extreme outlier) and 67042 ranking #94 of 1087 providers nationally (91th percentile; typical, unremarkable volume), implying the practice performs both high-volume injections and a measurable amount of operative retinal care.

Use of unclassified and compounded drug codes suggests supplemental medication billing beyond standard anti-VEGF agents. J3490 (887 claims, $832K revenue) is listed as 98th percentile but described as typical, unremarkable volume for that code, and J7999 (265 claims, $17.5K revenue) appears at a typical percentile; these entries suggest additional drug or supply billing streams that materially complement the high-volume injectable pipeline.

Tenure and billing footprint support a well-established practice: the provider's NPI was enumerated on 2009-10-26 (~17 years ago), and the sustained $8.1M lifetime Medicare revenue combined with top-code national ranks implies long-term specialization. For payer/competitive analysis this history and the extreme outlier volumes for retina injections should flag the provider as a mature, high-capacity retinal service line for network contracting or utilization management review.

Medicare: Complete Services Breakdown

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	4,380	$690	$3M
J2777	Injection, faricimab‑svoa, 0.1 mg	77,340	$30	$2.2M
J3490	Unclassified drugs	890	$940	$832K
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…	5,580	$90	$518.9K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	3,750	$120	$450.2K
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.	4,290	$100	$407.1K
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.	5,370	$30	$161.1K
J2778	Injection, ranibizumab, 0.1 mg	540	$190	$101.4K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	380	$160	$59K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	4,450	$10	$53.4K

Showing 1–10 of 30

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 30 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Florida Distribution

Robert Reinauer — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. state median

30 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	4	250	800	$690	$817.6K
J2777	6	170	12,810	$30	$549.2K
J2778	49	110	660	$180	$234.1K
J2781	3	50	500	$120	$102K
67028	3	300	710	$90	$91.1K
J3490	6	180	70	$280	$87.5K
J7312	7	40	230	$160	$45.5K
67042	14	80	20	$1,180	$36.5K
67036	6	70	20	$1,050	$31.4K
92014	2	2,180	160	$80	$28.5K

Showing 1–10 of 30

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neil Heskel	FL	Dermatology Physician	$430.1K	$5.7K
David O'brien	FL	Ophthalmology Physician	$403.1K	$0
Sarah Khodadadeh	FL	Ophthalmology Physician	$388.5K	$0
Scott Piette	MI	Glaucoma Specialist (Ophthalmology) Physician	$341.9K	$0
Thomas Hood	OH	Certified Registered Nurse Anesthetist	$228.2K	$0
Ellen Hazel	FL	Certified Registered Nurse Anesthetist	$26.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Indian River Memorial Hospital Inc	FL	General Acute Care Hospital	$0	$9.3M
Thomas Baudo	FL	Specialist	$5.4M	$0
Advanced Eye Surgery Center, LLC	FL	Ambulatory Surgical Clinic/Center	$3.8M	$0
Raul Storey-rojas	FL	Medical Oncology Physician	$3.6M	$0
Julie Bell	FL	Anatomic Pathology & Clinical Pathology Physician	$3.3M	$0
Monika Srivastava	FL	MOHS-Micrographic Surgery Physician	$3M	$0
William Mcgarry	FL	Hematology & Oncology Physician	$2.6M	$0
Grove Place Surgery Center ,LLC	FL	Ambulatory Surgical Clinic/Center	$2.4M	$0
Seth Coren	FL	Orthopaedic Surgery Physician	$2.2M	$0
Advanced Center For Surgery - Vero Beach, LLC	FL	Ambulatory Surgical Clinic/Center	$2.1M	$0

Robert Reinauer — 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