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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Daniel Alfaro (NPI 1982719290)

Field	Value
Entity Type	Individual
Organization	Daniel Alfaro
Address	3531 Mary Ader Ave
City	Charleston
State	SC
ZIP	29414
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 20, 2006

Payer Source	Total Paid
Medicare	$3.6M
Medicaid	$0

Key Findings

This provider’s revenue is effectively single‑payer: Total Medicare revenue is $3.6M while Total Medicaid revenue is none (no Medicaid billing on file), indicating the practice’s Medicare activity dominates its public payer mix and there is no Medicaid footprint reported. NPI enumerated (registered): 2006-08-20 (~20 years ago), so this is an established provider with a long-tenured Medicare billing history.

Revenue is highly concentrated in a small number of drug-injection codes: the precomputed top 3 Medicare codes by revenue account for 78.0% of this provider's total Medicare revenue, led by J0178 at $1.9M (52.4%), followed by Q5128 at $606.3K (16.7%) and J2778 at $321K (8.8%). That concentration signals that intravitreal biologic therapy is the primary revenue driver for this practice.

The procedural and drug mix indicates a retina-focused ophthalmology operation: large volumes of intravitreal injection drugs J0178 (aflibercept), Q5128 (ranibizumab biosimilar), and J2778 (ranibizumab) combined with frequent imaging codes suggest ongoing management of wet macular degeneration and other retinal vascular diseases. The presence of high-volume imaging (92134, 92250) alongside injection codes supports an integrated injection-plus-imaging workflow rather than a purely consultative practice.

Competitive standing for leading injection codes is strong nationally: J0178 ranks #227 of 3204 providers (93th percentile) and is described as notably above typical national volume for this code, while Q5128 ranks #39 of 373 providers (90th percentile) though characterized as typical/unremarkable for that code, and J2778 ranks #251 of 1208 (79th percentile). Taken together, these ranks indicate the provider is a major national-volume user of aflibercept and a notable user of ranibizumab products.

Several diagnostic imaging codes are statistical outliers in national volume, indicating heavy on-site diagnostic throughput: 92134 (2.5K claims, $67.8K; ranks #659 of 26868, 98th percentile; extreme outlier, far above typical national volume for this code) and 92250 (923 claims, $22.2K; ranks #319 of 25087, 99th percentile; extreme outlier, far above typical national volume for this code). High throughput in these imaging services implies significant same-day/associated diagnostic activity that supports the injection service line.

The practice shows capacity for advanced retinal procedures in addition to injections: 67108 (43 claims, $37.5K; ranks #52 of 706, 92th percentile) and vitrectomy-related codes 67042 and 67036 are present, suggesting surgical retinal services are part of the offering albeit at much smaller volume than injections. This mix implies a full-service retinal practice handling both medical and some surgical retinal care.

There are occasional high-dollar drug entries and care-management services that supplement injection revenue: J3490 (90 claims, $159K, $1767 avg paid/claim; ranks #882 of 2838, 68th percentile) contributes 4.4% of Medicare revenue, while clinical care-management code 99426 appears at modest volume (49 claims, $2.3K). These items represent supplemental revenue streams but do not materially change the heavy revenue concentration in the top three injection codes.

Medicare: Complete Services Breakdown

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

25 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,780	$690	$1.9M
Q5128	Injection, ranibizumab-eqrn (cimerli), biosimilar, 0.1 mg	2,810	$220	$606.3K
J2778	Injection, ranibizumab, 0.1 mg	1,760	$180	$321K
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.	1,960	$90	$182.6K
J3490	Unclassified drugs	90	$1,770	$159K
J2781	Injection, pegcetacoplan, intravitreal, 1 mg	720	$120	$86.4K
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.	2,510	$30	$67.8K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	530	$90	$49.6K
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	$80	$42.2K
J7312	Injection, dexamethasone, intravitreal implant, 0.1 mg	260	$150	$39.1K

Showing 1–10 of 25

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Carolina Distribution

Daniel Alfaro — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. state median

25 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	8	50	970	$690	$1.1M
J2778	12	30	1,440	$180	$337.4K
Q5128	1	10	1,150	$220	$273.3K
J2781	8	20	720	$120	$128K
67028	12	50	1,140	$90	$110.3K
J3490	21	50	70	$510	$57.7K
J7312	6	10	320	$150	$51K
67036	13	20	20	$1,110	$40.1K
67042	19	30	20	$1,150	$32.3K
J9035	35	40	200	$50	$26.1K

Showing 1–10 of 25

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Jablon	SC	Ophthalmology Physician	$8.9M	$0
Stephen Phillips	SC	Ophthalmology Physician	$5M	$0
John Kerrison	SC	Ophthalmology Physician	$5M	$0
Charleston Neurosciences Institute	SC	Ophthalmology Physician	$0	$4.2M
Michael Johnson	SC	Ophthalmology Physician	$3M	$0
Mona Camacci	SC	Ophthalmology Physician	$1.1M	$0
Scott Anfinson	SC	Ophthalmology Physician	$775.5K	$0
John Chancellor	TX	Ophthalmology Physician	$647.3K	$0
Robert Brame	SC	Ophthalmology Physician	$560.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.9M
Bon Secours St. Francis Xavier Hospital Inc.	SC	General Acute Care Hospital	$0	$35.9M
Coastal Pediatric Associates, P.A.	SC	Pediatrics Physician	$0	$25M
Charleston Ent Associates, LLC	SC	Otolaryngology Physician	$0	$7.1M
Physicians Eye Surgery Center LLC	SC	Ambulatory Surgical Clinic/Center	$3.9M	$70.1K
Bon Secours St Francis Xavier Hospital, Inc.	SC	Emergency Medicine Physician	$0	$2.3M
Charleston Endoscopy Center	SC	Ambulatory Surgical Clinic/Center	$1.6M	$434.5K
Lowrey King	SC	Ophthalmology Physician	$1.3M	$0
Palmetto Endoscopy Center LLC	SC	Ambulatory Surgical Clinic/Center	$684.7K	$105.5K
Saima Ismaili	SC	Podiatrist	$683K	$0

Daniel Alfaro — 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