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

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

Rainbow Optics, PC (NPI 1003995044)

Field	Value
Entity Type	Organization
Organization	Rainbow Optics, PC
Address	2675 Willamette St
City	Eugene
State	OR
ZIP	97405
Taxonomy	Optometrist
NPI Enumerated	November 2, 2006

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	6,390	$80	$523.7K
V2020	Frames, purchases	6,550	$20	$157.3K
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…	1,710	$90	$146.9K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1,370	$100	$141.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	6,060	$20	$115.1K
V2784	Lens, polycarbonate or equal, any index, per lens	5,490	$20	$109.8K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	6,970	$10	$83.7K
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	1,000	$60	$63K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	360	$20	$6.2K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	70	$20	$1.2K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oregon providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oregon Distribution

Rainbow Optics, PC — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	49	250	460	$80	$121.3K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	35	260	200	$100	$72.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7	210	450	$50	$68.8K
V2020	Frames, purchases	2	140	460	$20	$58K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	5	10	40	$20	$50.8K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	9	20	60	$20	$46.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	42	80	360	$20	$42.8K
V2784	Lens, polycarbonate or equal, any index, per lens	7	110	520	$10	$42.6K
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	5	10	410	$60	$38.1K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	18	250	420	$10	$23.9K

Showing 1–10 of 11

Nearby Providers

Other providers in the same ZIP code as Rainbow Optics, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oregon Psychiatric Partners LLP	OR	Specialist	$0	$4.4M
Alive Holistic Counseling	OR	Counselor	$0	$3.9M
Alive Integrative Medicine, LLC	OR	Naturopath	$0	$1M
Jason Gross	OR	Ophthalmology Physician	$207.8K	$1.8K
Patrick Bergin	OR	Cardiovascular Disease Physician	$98.4K	$0
Michael Duffy	OR	Physical Therapist	$63.9K	$0
Heather Sanders	OR	Family Nurse Practitioner	$58K	$0
Kenji Carp	OR	Physical Therapist	$42.1K	$0
Kyle Ohnemus	OR	Physical Therapist	$31.4K	$0
Devin Lee	OR	Family Medicine Physician	$21.6K	$150

Rainbow Optics, PC — Billing Profile & Reimbursement Data

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Rainbow Optics, PC — Billing Profile & Reimbursement Data

Sign up for Rainbow Optics, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References