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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Donna Martin (NPI 1023205283)

Field	Value
Entity Type	Individual
Organization	Donna Martin
Address	14 Bowen St
City	Claremont
State	NH
ZIP	03743
Taxonomy	Vision Therapy Optometrist
NPI Enumerated	October 1, 2007

Payer Source	Total Paid
Medicaid	$137.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	870	$100	$85.8K
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.	1,930	$20	$34.7K
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…	220	$80	$17.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Donna Martin — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

3 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…	58	100	480	$50	$53.8K
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.	16	90	210	$70	$35K
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.	34	130	700	$20	$28.6K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Giveen	NH	Optometrist	$120.2K	$544.2K
Samuel Giveen LLC	NH	Optometrist	$0	$423.8K
Merrimack Vision Care, LLC	NH	Optometrist	$0	$97.2K
Rebecca Barcelow	VT	Optometrist	$46.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Developmental Services Of Sullivan County, Inc.	NH	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$139.4M
Valley Regional Hospital Inc.	NH	Critical Access Hospital	$0	$10M
Colin B Boswell Dds PC	NH	Pediatric Dentistry	$0	$5.2M
Golden Cross Ambulance Inc	NH	Ambulance	$1.2M	$3.5M
Claremont School District	NH	Local Education Agency (LEA)	$0	$3M
Daniel Peraza	NH	Dermatology Physician	$1.1M	$0
Sullivan County Oral Health Collaborative	NH	Dental Clinic/Center	$0	$892.1K
Valley Regional Hospital, Inc.	NH	Urgent Care Clinic/Center	$0	$875.8K
Jose E Peraza Md PLLC	NH	Dermatology Physician	$0	$870.9K
Valley Regional Hospital, Inc	NH	Family Medicine Physician	$0	$782K

Donna Martin — Billing Profile & Reimbursement Data

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Donna Martin — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References