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

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

Swift Optometry Care PC (NPI 1063753887)

Field	Value
Entity Type	Organization
Organization	Swift Optometry Care PC
Address	26 Shenipsit Lake Rd
City	Tolland
State	CT
ZIP	06084
Taxonomy	Optometrist
NPI Enumerated	March 4, 2013

Payer Source	Total Paid
Medicaid	$2.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

38 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.	16,550	$40	$711.6K
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,…	26,940	$10	$323.2K
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…	23,120	$10	$277.4K
V2020	Frames, purchases	11,010	$20	$231.2K
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…	25,960	$10	$181.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	4,720	$30	$122.7K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	13,230	$10	$119K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	5,640	$20	$112.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	6,180	$20	$111.2K
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.	10,150	$10	$91.3K

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Swift Optometry Care PC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	928	1,710	750	$30	$243.3K
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.	39	440	1,200	$30	$118.2K
99203	The provider sees a new 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 provider…	372	480	200	$60	$112.1K
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…	7	410	700	$40	$99.1K
V2020	Frames, purchases	21	320	1,070	$30	$85.5K
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.	3	350	460	$60	$80.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	36	270	1,010	$20	$59.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	113	250	800	$30	$58.1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	169	210	770	$30	$58K
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	240	320	$30	$42.7K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Swift Optometry Care PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Markiel Yakubov	NY	Optometrist	$284.4K	$507.4K
David Sfass	NY	Optometrist	$519.2K	$0
Daniel Toocheck	PA	Optometrist	$403.2K	$27.5K
Jennifer Stevens	NJ	Optometrist	$343.9K	$510
Paul Tan	NY	Optometrist	$308.7K	$720
Pratik Vyas	NY	Optometrist	$249.7K	$15.9K
Salman Bhatti	GA	Optometrist	$222.5K	$0
Matthew Hassey	PA	Optometrist	$164.6K	$23.9K
Sasha Balwan	NY	Optometrist	$137.6K	$0
Yao Lu	FL	Optometrist	$105.6K	$2.8K

Nearby Providers

Other providers in the same ZIP code as Swift Optometry Care PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Victoria Guglielmone	CT	Social Worker	$34.3K	$0
Alexia Koudellou	CT	Gastroenterology Physician	$32.2K	$0

Swift Optometry Care PC — Billing Profile & Reimbursement Data

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Swift Optometry Care PC — Billing Profile & Reimbursement Data

Sign up for Swift Optometry Care PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References