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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Vance Thompson (NPI 1073519989)

Field	Value
Entity Type	Individual
Organization	Vance Thompson
Address	3101 W 57th St
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 24, 2005

Payer Source	Total Paid
Medicare	$514.1K
Medicaid	$0

Key Findings

This provider’s billing footprint is effectively single-payer Medicare: lifetime Medicare revenue is $514.1K and there is no Medicaid billing on file, so Medicaid does not contribute to this provider’s reported revenue mix. Analysts should treat this profile as Medicare-dominant when assessing payor exposure and reimbursement sensitivity.

Revenue is highly concentrated in a narrow set of surgical/diagnostic ophthalmology services: the precomputed top three Medicare codes account for 100.0% of total Medicare revenue, with a single code, 66984, representing $400.5K or 77.9% of Medicare revenue. That concentration indicates the practice derives the bulk of its Medicare income from a single procedure line rather than a broad portfolio of evaluation-and-management or ancillary services.

Operationally the code mix points to a cataract-centric surgical practice: 66984 (cataract extraction with IOL insertion) is the dominant revenue driver, 66821 (YAG capsulotomy for posterior capsule opacification) is the second-largest revenue source, and 92136 (ocular biometry for IOL power calculation) reflects routine preoperative measurement. The presence of both surgical codes and high-volume biometry suggests the provider performs diagnosis, pre-op planning, and surgery for cataract patients rather than only consultative or follow-up care.

Volume and payment details reinforce the surgical focus: 66984 shows 1.1K claims at $351 avg paid/claim yielding $400.5K revenue, 66821 shows 237 claims at $334 avg paid/claim yielding $79.2K revenue, and 92136 shows 1.1K claims at $31 avg paid/claim yielding $34.7K revenue. These claim counts and per-claim payments should be considered when modeling procedure-level throughput and revenue sensitivity to changes in surgical volume.

Competitive standing is mixed across procedures: for 66984 the provider ranks #1837 of 15965 providers nationally (88th percentile; typical, unremarkable volume for this code), and for 66821 the provider ranks #686 of 10087 providers nationally (93th percentile; typical, unremarkable volume for this code), which position the provider as an above-average but not dominant national participant for common cataract procedures. In contrast, 92136 ranks #69 of 8731 providers nationally (99th percentile; extreme outlier, far above typical national volume), signaling an unusually high throughput of biometry relative to peers.

The combination of an extreme outlier position on 92136 (high-volume biometry) with typical national volumes on the primary surgical codes suggests a practice that either consolidates pre-op testing internally for a large surgical population or receives referrals for biometry from other surgeons. Although 92136 contributes $34.7K (6.7% of Medicare revenue), its volume profile is a distinctive operational signal that merits follow-up in utilization and referral analyses.

The provider has an established tenure: the NPI was enumerated on 2005-06-24 (~21 years ago). That long-enough presence in Medicare combined with the narrow, surgery-focused code mix is consistent with a longstanding cataract-focused practice rather than a recently pivoted specialty or short-tenure billing pattern.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	1,140	$350	$400.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	240	$330	$79.2K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	1,120	$30	$34.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Vance Thompson — 2 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	5	130	40	$410	$67.7K
66821	6	30	100	$230	$35.6K
92136	1	30	210	$30	$9.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nathan Steinle	CA	Retina Specialist (Ophthalmology) Physician	$9.5M	$0
Prema Abraham	SD	Retina Specialist (Ophthalmology) Physician	$7.1M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Mitchell Goff	UT	Retina Specialist (Ophthalmology) Physician	$3.8M	$0
Brendan Girschek	AZ	Ophthalmology Physician	$3.2M	$0
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M

Vance Thompson — Billing Profile & Reimbursement Data

Sign up for Vance Thompson — Billing Profile & Reimbursement Data policy alerts

Vance Thompson — Billing Profile & Reimbursement Data

Sign up for Vance Thompson — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References