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

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

Suzanne Romeo (NPI 1073893285)

Field	Value
Entity Type	Individual
Organization	Suzanne Romeo
Address	425 W Central Ave
City	Lompoc
State	CA
ZIP	93436
Taxonomy	Optometrist
NPI Enumerated	August 18, 2011

Payer Source	Total Paid
Medicare	$1.1K
Medicaid	$0

Key Findings

SUZANNE ROMEO is an optometrist based in LOMPOC, CA, with an NPI enumerated on 2011-08-18 (~15 years ago), indicating a longstanding enrollment in Medicare billing files. This tenure suggests the provider has been eligible to bill Medicare for over a decade, though it does not by itself indicate current billing intensity.

Lifetime Medicare revenue for this provider is $1.1K and there is no Medicaid billing on file (none below). This profile makes the provider effectively single-payer in these datasets, with Medicare representing the entirety of reported public-payer activity.

Revenue concentration is extreme within the Medicare data: the precomputed top-3 Medicare codes account for 100.0% of this provider's total Medicare revenue, and in fact the available data shows a single code driving all reported Medicare receipts. This indicates almost no diversification across Medicare CPT/HCPCS codes in the observed record.

The sole Medicare code on file is 92004, a comprehensive ophthalmological evaluation of a new patient that initiates diagnostic and treatment planning. Billing centered on 92004 suggests the practice activity reported to Medicare is primarily limited to comprehensive new-patient evaluations rather than procedural, surgical, or frequent follow-up services.

Claim-level detail for 92004 shows 13 claims at an $82 avg paid/claim producing $1.1K in revenue (100.0% of the provider's Medicare revenue). These figures point to very low Medicare claim volume overall and modest average reimbursement per encounter for the listed service.

On competitive standing for the top code, 92004 ranks #24202 of 26467 providers nationally (6th percentile; typical, unremarkable volume for this code). That ranking characterizes the provider as a modest participant nationally on this service line rather than a high-volume or dominant provider.

The absence of any Medicaid claims (none below — this provider has no Medicaid billing on file) implies either non-enrollment in Medicaid, a practice that does not serve Medicaid patients, or that Medicaid services are not captured under this taxonomy/NPI. For payer-mix analysis, this means analysts should treat this entity as Medicare-only in the available administrative data.

Operationally, the combination of very low Medicare revenue ($1.1K), narrow code mix concentrated on 92004, and limited claim count (13) is consistent with a low-volume Medicare practice presence — for example a part-time clinician, a limited Medicare panel, or a provider who bills most services to other payers not shown here. Analysts should consider supplemental data sources if they need to determine broader commercial billing activity or on-site service intensity.

Medicare: Complete Services Breakdown

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

1 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.	10	$80	$1.1K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Suzanne Romeo — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92004	2	1,950	50	$110	$9.7K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Watrous	CA	Rheumatology Physician	$4M	$5M
Michael Heeg	CA	Ophthalmology Physician	$2.6M	$0
Daniel Agarwal	CA	Ophthalmology Physician	$2.3M	$0
Ragui Sedeek	CA	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Jeffrey Wu	CA	Radiation Oncology Physician	$1.4M	$0
Pamela Golchet	CA	Retina Specialist (Ophthalmology) Physician	$1.1M	$0
Christopher Johnson	CA	Urology Physician	$896.5K	$0
Alex Harrison	CA	Cardiovascular Disease Physician	$892.2K	$0
John Siebenlist	CA	Procedural Dermatology Physician	$837.8K	$0
Craig Canfield	CA	Urology Physician	$785.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Santa Barbara County County Auditor	CA	Federally Qualified Health Center (FQHC)	$0	$44.1M
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$27.3M
Merakey Allos	CA	Community/Behavioral Health Agency	$0	$26M
Khawar Gul	CA	Internal Medicine Physician	$448.9K	$0
Julie Russcher	CA	Podiatrist	$367.5K	$0
Denise Rubino	CA	Interventional Pain Medicine Physician	$327.5K	$0
Leslie Kazia	CA	Family Nurse Practitioner	$164.8K	$3.8K
Eugene Pritchett	CA	Chiropractor	$129.4K	$0
Kenneth Hyman	CA	Medical Physician Assistant	$57.4K	$0

Suzanne Romeo — Billing Profile & Reimbursement Data

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Suzanne Romeo — Billing Profile & Reimbursement Data

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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