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

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

Mccaulley Optometric PA (NPI 1043255243)

Field	Value
Entity Type	Organization
Organization	Mccaulley Optometric PA
Address	2601 10th St
City	Great Bend
State	KS
ZIP	67530
Taxonomy	Optometrist
NPI Enumerated	June 19, 2006

Payer Source	Total Paid
Medicaid	$682.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	6,220	$40	$223.9K
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…	2,710	$50	$141.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2,150	$50	$105.3K
V2784	Lens, polycarbonate or equal, any index, per lens	2,090	$40	$77.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,700	$20	$35.8K
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.	430	$80	$35.4K
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.	6,810	$10	$34.1K
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…	370	$40	$16.1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	1,480	$10	$13.3K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	20	$30	$610

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kansas Distribution

Mccaulley Optometric PA — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kansas

Full comparison — all codes billed, vs. Kansas median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	19	330	320	$40	$62.7K
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…	21	250	180	$60	$60.5K
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.	37	200	70	$90	$37.6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	20	160	170	$30	$34.6K
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…	53	160	120	$50	$30K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	13	150	110	$40	$30K
V2784	Lens, polycarbonate or equal, any index, per lens	7	90	120	$50	$28.2K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	23	150	160	$10	$11K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	27	40	80	$50	$10.5K
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.	20	390	350	$10	$8.6K

Nearby Providers

Other providers in the same ZIP code as Mccaulley Optometric PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rosewood Services, Inc.	KS	Home Health Agency	$0	$55.5M
Sunflower Diversified Services	KS	Developmentally Disabled Services Day Training Agency	$0	$29M
Rescare Kansas, Inc.	KS	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$15.4M
Center For Counseling And Consultation	KS	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.6M
Center For Counseling And Consultation	KS	Community/Behavioral Health Agency	$0	$6.4M
Great Bend Childrens Clinic PA	KS	Rural Health Clinic/Center	$0	$4.4M
Heart Of Kansas Family Health Care, Inc.	KS	Federally Qualified Health Center (FQHC)	$0	$3M
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.6M
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.6M
Ukhs Great Bend, LLC	KS	Rural Health Clinic/Center	$0	$2.5M

Mccaulley Optometric PA — Billing Profile & Reimbursement Data

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Mccaulley Optometric PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References