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

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

Hoya Optical Labs Of America, Inc (NPI 1043527690)

Field	Value
Entity Type	Organization
Organization	Hoya Optical Labs Of America, Inc
Address	1529 Western Ave
City	Knoxville
State	TN
ZIP	37921
Taxonomy	Eyewear Supplier
NPI Enumerated	September 2, 2010

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

37 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	235,950	$10	$1.2M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	241,000	$1	$964K
V2784	Lens, polycarbonate or equal, any index, per lens	385,610	$1	$771.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	107,770	$1	$431.1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	37,410	$10	$187.1K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	30,880	$10	$185.3K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	24,250	$10	$121.2K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	10,010	$10	$60K
V2744	Tint, photochromatic, per lens	6,000	$10	$60K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	6,580	$10	$32.9K

Showing 1–10 of 37

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Hoya Optical Labs Of America, Inc — 15 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

37 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	1	10	6,580	$1	$32.7K
V2111	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens	1	10	3,450	$10	$27.4K
V2102	Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens	2	10	1,290	$20	$21.6K
V2784	Lens, polycarbonate or equal, any index, per lens	1	510	340	$10	$21.5K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	1	10	30	$10	$18.2K
V2020	Frames, purchases	1	660	590	$10	$18.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1	390	320	$10	$18K
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	3	10	130	$110	$17.9K
V2783	Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens	1	20	100	$40	$16.6K
V2204	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1	10	2,380	$10	$16.4K

Showing 1–10 of 37

Nearby Providers

Other providers in the same ZIP code as Hoya Optical Labs Of America, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Phdc Of Knoxville, P.C.	TN	General Practice Dentistry	$0	$23.5M
Knoxville Home Therapies LLC	TN	Home Infusion Therapy Pharmacy	$0	$11.7M
Drd Management, Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$389.5K	$8.5M
Oxygen And Sleep Associates, Inc.	TN	Oxygen Equipment & Supplies (DME)	$0	$8.6M
Drd Management, Inc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$404K	$6.9M
Cherokee Health Systems	TN	Federally Qualified Health Center (FQHC)	$0	$4.7M
Lincare Inc.	TN	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Michael Allee	TN	Optometrist	$22.2K	$237K
Heather Hamstra	TN	Nurse Practitioner	$156.4K	$0
Jamie Ligon	TN	Physical Therapist	$81.3K	$0

Hoya Optical Labs Of America, Inc — Billing Profile & Reimbursement Data

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Hoya Optical Labs Of America, Inc — 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