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

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

Kimberly Mcdowell (NPI 1043385594)

Field	Value
Entity Type	Individual
Organization	Kimberly Mcdowell
Address	106 S Absaroka St
City	Powell
State	WY
ZIP	82435
Taxonomy	Optometrist
NPI Enumerated	November 21, 2006

Payer Source	Total Paid
Medicaid	$26.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2784	Lens, polycarbonate or equal, any index, per lens	80	$90	$6.6K
V2020	Frames, purchases	80	$70	$5.4K
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,…	60	$60	$3.9K
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.	30	$130	$3.6K
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…	30	$100	$2.5K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	40	$60	$2.3K
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.	110	$20	$2.2K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Kimberly Mcdowell — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 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…	71	80	180	$80	$36.2K
V2020	Frames, purchases	47	70	190	$70	$25.3K
V2784	Lens, polycarbonate or equal, any index, per lens	46	60	200	$60	$24.3K
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,…	9	10	300	$50	$20.4K
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.	36	50	80	$110	$14.9K
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.	50	60	430	$20	$13.8K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	2	10	40	$50	$4.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brittney Hyland	WY	Home Health Registered Nurse	$0	$1.8M
Angel Foster	WY	Developmentally Disabled Services Day Training Agency	$0	$684.9K
Bighorn Valley Health Center Incorporated	WY	Federally Qualified Health Center (FQHC)	$0	$570.6K
Benjamen Bennett	WY	Case Manager/Care Coordinator	$0	$526.1K
Jessica Campbell	WY	Case Management Agency	$0	$487.5K
Positive Progressions, LLC	WY	Clinical Social Worker	$0	$475.4K
Chrysalis Treatment Center, Inc.	WY	Substance Use Disorder Rehabilitation Clinic/Center	$0	$440.6K
Powell Valley Healthcare Inc	WY	Family Medicine Physician	$0	$336.3K
Brian O'neill	WY	Psychiatric/Mental Health Nurse Practitioner	$15.4K	$320K
Lael Beachler	WY	Foot & Ankle Surgery Podiatrist	$308.9K	$0

Kimberly Mcdowell — Billing Profile & Reimbursement Data

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Kimberly Mcdowell — 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