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

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

Eye Consultants Of Atlanta Piedmont (NPI 1003993965)

Field	Value
Entity Type	Organization
Organization	Eye Consultants Of Atlanta Piedmont
Address	3193 Howell Mill Rd Nw
City	Atlanta
State	GA
ZIP	30327
Taxonomy	Ophthalmologic Surgery Clinic/Center
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicare	$2.3M
Medicaid	$0

Key Findings

This practice is effectively single‑payer: reported Total Medicare revenue is $2.3M and there is no Medicaid billing on file, so Medicare drives virtually all third‑party revenue. The provider’s NPI was enumerated on 2006-10-31 (~20 years ago), indicating long-tenured participation in the Medicare program.

Revenue is highly concentrated in a very small set of procedures: the precomputed top‑3 Medicare codes (66984, J1097, V2785) account for 73.5% of this provider's total Medicare revenue. In particular, 66984 alone accounts for 42.5% of Medicare revenue, while J1097 and V2785 account for 15.6% and 15.4% respectively, signaling dependence on a few high‑value surgical and tissue‑related services.

The code mix indicates an ophthalmologic surgery center with a strong emphasis on cataract surgery and corneal services: 66984 (phacoemulsification with IOL insertion) is the single largest revenue driver, while V2785 (processing, preserving and transporting corneal tissue) and 65756 (full corneal transplant) together show substantial corneal transplant activity and billing for tissue processing. This combination is consistent with a practice that performs high volumes of cataract cases and also manages or closely coordinates corneal transplant procedures.

Competitive standing for routine cataract work is solid but not dominant: 66984 ranks #1777 of 15965 providers nationally (89th percentile) and is described as typical, unremarkable volume for the code. That ranking places the practice above average nationally for cataract surgery volume, but not among the national leaders.

The practice is a clear outlier for corneal services: V2785 ranks #7 of 231 providers nationally (97th percentile; notably above typical national volume) and 65756 ranks #8 of 567 providers nationally (99th percentile; extreme outlier, far above typical national volume). Those ranks indicate this provider is a major national participant in corneal tissue processing and corneal transplant activity relative to peers.

Several specialty procedures also show unusually high volume versus peers: 67311 (strabismus surgery) reports 69 claims and $32.8K revenue and ranks #3 of 115 providers nationally (98th percentile; extreme outlier). 67314 likewise ranks high (97th percentile) for its reported volume, suggesting the practice has a notable niche in strabismus procedures in addition to cataract and corneal work.

There is a substantial disconnect between claim count and revenue for some supply items: J2403 shows 30.4K claims at $1 avg paid/claim for $30.4K revenue and ranks #62 of 76 providers nationally (19th percentile). This pattern suggests very high utilization of a low‑reimbursement ophthalmic gel or related supply in many encounters, contributing many claims but little revenue.

Operationally, the provider’s heavy reliance on a few codes (top‑3 = 73.5% of Medicare revenue) and absence of Medicaid revenue create both risk and strategic focus. Payment policy or utilization shifts affecting 66984, J1097, or V2785 would disproportionately impact revenue, while the strong, high‑percentile corneal and strabismus volumes represent a competitive differentiator and potential leverage point for referral relationships or specialty program expansion.

Medicare: Complete Services Breakdown

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

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	1,200	$830	$989.5K
J1097	phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml	4,780	$80	$363K
V2785	Processing, preserving and transporting corneal tissue	100	$3,490	$359.5K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	100	$1,480	$140.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	410	$210	$83.8K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	90	$800	$70.4K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	20	$2,500	$57.5K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	20	$1,910	$36.3K
67311	The provider realigns an imbalance in the eye muscles by either recession, which weakens the eye muscle or resection, which strengthens the muscles so as to restore normal vision. This procedure is…	70	$480	$32.8K
J2403	Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	30,400	$1	$30.4K

Showing 1–10 of 23

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 23 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Eye Consultants Of Atlanta Piedmont — 5 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

23 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1097	2	20	760	$80	$120.4K
V2785	1	10	20	$3,460	$110.7K
66984	75	410	190	$160	$103.1K
66991	27	40	30	$1,620	$60.1K
65820	36	40	30	$1,000	$39K
67904	23	30	30	$560	$33.7K
65756	1	20	20	$1,180	$31.9K
67108	6	10	10	$1,260	$25.2K
15823	48	60	40	$520	$23.5K
66180	4	10	20	$1,410	$22.5K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eye Consultants Of Atlanta Piedmont, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Whitted	GA	Ophthalmology Physician	$2.5M	$0
James Frank	GA	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Margaret Wong Gribble	GA	Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician	$2M	$0
Matthew Camp	GA	Ophthalmology Physician	$1.2M	$0
Nikhil Anand	GA	Ophthalmology Physician	$404.1K	$0
John Roach	GA	Ophthalmology Physician	$340.7K	$0
Elliot Levine	GA	Ophthalmology Physician	$336.3K	$0
Brian Long	GA	Ophthalmology Physician	$306.9K	$0
Scott Gardner	GA	Ophthalmology Physician	$289.2K	$0
Charles Tucker	GA	Ophthalmology Physician	$276.5K	$0

Nearby Providers

Other providers in the same ZIP code as Eye Consultants Of Atlanta Piedmont, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Novamed Management Services LLC	GA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Digestive Healthcare Of Georgia Endoscopy Center Mountainside	GA	Ambulatory Surgical Clinic/Center	$788.2K	$0
Anna Pare'	GA	Dermatology Physician	$681.5K	$0
Digestive Healthcare Of Georgia Endoscopy Center Mountainside	GA	Ambulatory Surgical Clinic/Center	$618.5K	$0
Valerie Truong	GA	MOHS-Micrographic Surgery Physician	$617K	$0
Craig Peters	GA	Internal Medicine Physician	$488.6K	$0
Welborn Mcclatchey	GA	Internal Medicine Physician	$360.5K	$0
Dirk Robertson	GA	Plastic and Reconstructive Surgery Physician	$307.9K	$0
Allen Hord	GA	Interventional Pain Medicine Physician	$232.6K	$0
Joash Lazarus	GA	Neurology Physician	$201.7K	$0

Eye Consultants Of Atlanta Piedmont — Billing Profile & Reimbursement Data

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Eye Consultants Of Atlanta Piedmont — 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