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

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

Bryan Hammer (NPI 1992766026)

Field	Value
Entity Type	Individual
Organization	Bryan Hammer
Address	6601 S Minnesota Ave
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 29, 2006

Payer Source	Total Paid
Medicare	$294.6K
Medicaid	$0

Key Findings

Practice profile and service mix: BRYAN HAMMER (Ophthalmology Physician) in SIOUX FALLS, SD demonstrates a surgical and procedural ophthalmology practice focused on lid and cataract procedures alongside routine ophthalmic office visits and diagnostics. The top revenue codes—15823 (upper eyelid blepharoplasty), 66984 (intraocular lens insertion after cataract extraction), and 67904 (levator advancement for ptosis)—reflect a mix of oculoplastic and cataract surgery services supported by E/M codes and diagnostic testing. Secondary procedures and office-based lasers (66821) plus visual field testing (92081, 92083) and imaging (92134) indicate a full-service ophthalmology practice that performs both surgical and outpatient diagnostic care.

Revenue concentration: Total Medicare revenue is $294.6K and the precomputed top-3 Medicare codes by revenue account for 53.0% of this provider's total Medicare revenue, indicating a high concentration of Medicare dollars in a small set of surgical procedures. The largest single code, 15823, contributes $71.2K (24.1% of total Medicare revenue), followed by 66984 at $61.8K (20.9%) and 67904 at $23.4K (7.9%), so over half of Medicare receipts are generated by eyelid and cataract surgery services.

Payer mix and single-payer footprint: This provider is effectively single-payer with respect to publicly reported data—Medicare revenue totals $294.6K while there is no Medicaid billing on file. The absence of Medicaid activity suggests the provider’s publicly visible revenue and utilization are driven by the Medicare population rather than a mixed Medicaid/Medicare practice footprint.

Competitive standing on key surgical codes: On national ranking for surgical procedures, BRYAN HAMMER shows modest to typical market presence. For 15823 he ranks #157 of 1718 providers nationally (91st percentile), which places him well above most peers for upper eyelid blepharoplasty volume. For 66984 he ranks #4932 of 15965 providers (69th percentile), and for 67904 he ranks #428 of 991 providers (56th percentile); these percentiles indicate relatively notable volume in some oculoplastic surgery areas but broadly typical national participation for core cataract surgery work.

Utilization patterns for office E/M and diagnostics: The provider reports substantial E/M activity with 99204 (190 claims, $19.8K) and 99214 (214 claims, $18.2K); 99204 ranks in the 98th percentile nationally (notably above typical national volume) while 99214 is at the 70th percentile. This pattern suggests a steady mix of new and established patient visits skewing toward higher-complexity new patient encounters relative to peers, supporting the surgical and consultative aspects of the practice.

High-volume low-unit supply billing: J0585 (onabotulinumtoxina) shows 2.5K claims generating $12.6K (4.3% of Medicare revenue) and ranks #3156 of 3636 providers nationally (13th percentile). The large claim count relative to revenue and low average paid/claim implies many small-unit injections billed under this HCPCS, which may reflect routine cosmetic or therapeutic botulinum toxin use in-office rather than high-revenue procedural work.

Service-line nuance and ancillary procedures: In addition to primary eyelid/cataract codes, multiple ancillary procedural codes appear in the top list—66821 (laser capsulotomy), 14060 (local flap reconstruction), 67917 (ectropion repair), and lacrimal procedures (68840, 68440). These codes collectively indicate the practice performs a range of periocular reconstructive, functional, and minor lacrimal procedures, reinforcing an oculoplastics-focused surgical practice rather than a purely refractive or retina specialty.

Tenure and continuity: The provider’s NPI was enumerated around 2006-03-29 (about 20 years ago), indicating long-standing enrollment in the Medicare program and suggesting sustained practice presence in the market. This tenure, combined with concentrated surgical revenue, supports a stable surgical ophthalmology practice with established referral and case streams.

Medicare: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	120	$590	$71.2K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	230	$270	$61.8K
67904	The provider repairs a drooping eyelid by tightening the levator muscle that controls eyelid movement to improve cosmetic appearance or remove the obstruction to a patient’s vision. He accesses the…	40	$620	$23.4K
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…	190	$100	$19.8K
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…	210	$90	$18.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$290	$17.7K
14060	The provider replaces the lesions in the eyelids, nose, ears, or lips, with the healthy tissues from an adjacent site. This code represents a defect of 10 cm2 or less.	40	$420	$15.7K
67917	During this procedure, the provider performs an extensive repair of an ectropion, which is an outward turning of the lower eyelid and eyelashes, which can lead to excessive tearing and irritation of…	30	$440	$14.1K
J0585	Injection, onabotulinumtoxina, 1 unit	2,520	$10	$12.6K
67900	The provider repairs a drooping eyebrow due to muscle weakness or paralysis, to improve cosmetic appearance or remove the obstruction to a patient’s vision. He makes an incision immediately above the…	20	$280	$5.9K

Showing 1–10 of 26

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 26 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Bryan Hammer — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

26 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0585	12	10	7,900	$1	$86.8K
66984	22	130	40	$410	$67.7K
15823	5	10	50	$510	$50.6K
66821	23	30	100	$230	$35.6K
67904	4	10	40	$560	$28.2K
14060	8	10	40	$510	$25.7K
92014	170	200	170	$80	$17.1K
67917	2	10	30	$470	$14K
67900	3	10	30	$480	$13.8K
99214	417	1,660	90	$70	$11.4K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Ashar Luqman	IA	Nephrology Physician	$1.4M	$0
Taylor Slingsby	SD	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M
Encompass Mental Health, LLC	SD	Mental Health Counselor	$0	$908.7K
Avera Mckennan	SD	Infectious Disease Physician	$0	$852.9K

Bryan Hammer — 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