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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Melanie Buttross (NPI 1023086592)

Field	Value
Entity Type	Individual
Organization	Melanie Buttross
Address	4910 Massachusetts Ave Nw
City	Washington
State	DC
ZIP	20016
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 10, 2006

Payer Source	Total Paid
Medicare	$461.4K
Medicaid	$0

Key Findings

Business profile: The provider’s top revenue-driving procedure is 66984 (cataract extraction with intraocular lens insertion), which generated $153K and represents 33.1% of her Medicare revenue, and the presence of related codes such as 66821 ($24.8K) and 92136 ($14.7K) points to a practice built around cataract surgery plus associated diagnostics and post‑op care. At the same time, very high-volume office work is evident—99214 (established E&M) and 92250 (fundus photography) are large contributors, indicating a mixed surgical and high-throughput clinic model rather than a pure surgical-only operation.

Revenue concentration: The provider’s top three Medicare codes (66984, 99214, 92250) together account for 69.4% of total Medicare revenue, concentrating the bulk of income in a small set of services. Individually these codes account for $153K (33.1%), $116K (25.1%), and $51.6K (11.2%) of the $461.4K lifetime Medicare revenue, showing heavy dependence on cataract surgery, office E&M, and retinal imaging.

Payer mix and exposure: This provider reports $461.4K in lifetime Medicare revenue and has no Medicaid billing on file, making the practice effectively single‑payer (Medicare) from the public program perspective. That lack of Medicaid activity implies minimal Medicaid patient exposure and limited state‑program reimbursement diversification when evaluating contracting or network strategies.

Competitive standing by code: For outpatient E&M, 99214 ranks #7030 of 479517 providers nationally and is labeled an "extreme outlier, far above typical national volume" (99th percentile), and for fundus photography 92250 ranks #63 of 25087 and is a 100th‑percentile "extreme outlier, far above typical national volume," indicating unusually high office visit and imaging throughput versus peers. By contrast, 66984 ranks at the 75th percentile (#3937 of 15965) and is described as "typical, unremarkable volume," so surgical cataract work is important to revenue but not exceptional in national volume terms.

Tenure and likely patient panel dynamics: The NPI was enumerated on 2006-03-10 (~20 years ago), indicating a long-established practice. The combination of long tenure with very high volumes of established visit codes (1.2K claims for 99214) and diagnostic imaging (1.7K claims for 92250) suggests a mature patient panel with frequent follow-up and imaging needs.

Other notable volume outliers: Several additional codes show elevated national standing—99204 (new patient office visit) is a 99th‑percentile "extreme outlier" with 270 claims and $31.9K revenue, and 76514 (corneal pachymetry) is at the 96th percentile (148 claims, $1.3K revenue) and described as "notably above typical". These patterns indicate both high new-patient intake at times and above‑typical use of certain diagnostic procedures that support the core ophthalmology service line.

Operational implications: The revenue mix—heavy E&M and diagnostic imaging combined with cataract surgery—suggests the practice’s financial performance is sensitive to clinic visit volume, imaging throughput, and surgical case flow. Given the single‑payer public footprint (Medicare only) and concentration in a few codes, payer negotiations or operational changes that affect either office visit volumes or imaging reimbursement could materially change revenue.

Scale and activity intensity: Although lifetime Medicare revenue is $461.4K (a modest absolute figure for a ~20‑year tenure), encounter volumes are substantial: 66984 has 311 claims, 99214 has 1.2K claims, and 92250 has 1.7K claims, reflecting high patient encounter intensity even if overall Medicare revenue remains in the low six figures. This combination of high encounter counts and concentrated revenue streams is important to consider for capacity planning and competitive benchmarking.

Medicare: Complete Services Breakdown

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

11 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…	310	$490	$153K
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…	1,210	$100	$116K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	1,670	$30	$51.6K
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…	270	$120	$31.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	400	$80	$31.1K
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…	240	$110	$27.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	90	$290	$24.8K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	350	$40	$14.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	110	$70	$7.8K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	50	$60	$2.7K

Showing 1–10 of 11

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 11 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. District of Columbia Distribution

Melanie Buttross — 5 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. state median

11 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	3	30	70	$460	$45.8K
92014	13	50	100	$90	$26.2K
99214	5	1,400	90	$100	$15.3K
66821	1	20	30	$290	$9.6K
92250	1	40	130	$30	$9.3K
99213	82	1,200	50	$70	$8.5K
92083	40	60	90	$50	$7.8K
92012	8	30	50	$70	$6.9K
99204	5	670	30	$130	$6.4K
92136	2	30	70	$30	$3.7K

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Johnson	VA	Retina Specialist (Ophthalmology) Physician	$3.6M	$0
Travis Peck	MD	Ophthalmology Physician	$2.5M	$0
Joshua Levinson	MD	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
William Phillips	MD	Retina Specialist (Ophthalmology) Physician	$2.4M	$0
Sneha Padidam	MD	Retina Specialist (Ophthalmology) Physician	$1.6M	$0
Brian Do	MD	Retina Specialist (Ophthalmology) Physician	$1.2M	$0
Mariam Mathai	MD	Retina Specialist (Ophthalmology) Physician	$1.1M	$4.2K
Musa Abdelaziz	TX	Retina Specialist (Ophthalmology) Physician	$693.1K	$0
Michael Summerfield	MD	Ophthalmology Physician	$648.3K	$0
Pedro Rivera-velazquez	MD	Legal Medicine	$570.5K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lucy Webb Hayes National Training School For Deaconesses & Missionarie	DC	General Acute Care Hospital	$0	$19.1M
Jeffrey Steinberg	DC	Foot & Ankle Surgery Podiatrist	$13.3M	$0
Friendship Place	DC	Case Management Agency	$0	$5.6M
Wisconsin Ave Psychiatric Center Inc	DC	Psychiatric Hospital	$0	$3.1M
Iona Senior Services	DC	Adult Health Nurse Practitioner	$0	$1.1M
Mary Ella Carter	DC	Plastic Surgery Physician	$942.2K	$0
Jaydot LLC	DC	Case Management Agency	$0	$820.6K
Edward Tanner	DC	Gynecologic Oncology Physician	$786.3K	$2.1K
Brandi Page	DC	Radiation Oncology Physician	$761K	$0
Joshua Yamamoto	DC	Cardiovascular Disease Physician	$688.3K	$0

Melanie Buttross — 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