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    OpenPayerNPI Medicare & MedicaidDrs Price Young Odle & Horsch PA
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    Drs Price Young Odle & Horsch PA — Billing Profile & Reimbursement Data

    NPI 1073941340 · Emporia, KS · Optometrist

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    Drs Price Young Odle & Horsch PA is a optometrist provider located in Emporia, Kansas. This profile covers 0 Medicare and 16 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationDrs Price Young Odle & Horsch PA
    Address512 Commercial St
    CityEmporia
    StateKS
    ZIP66801
    TaxonomyOptometrist
    NPI EnumeratedOctober 24, 2013

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$947.1K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    16 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases8,430$40$362.3K
    92014An 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…4,060$60$247.8K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens4,170$30$116.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.680$90$62.7K
    92015The 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.8,100$10$48.6K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)3,420$10$30.8K
    92250Code 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,…490$30$16K
    92012For 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…330$50$15.8K
    V2782Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens230$70$15.5K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens310$30$10.6K

    Showing 1–10 of 16

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    16 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2020Frames, purchases14330320$40$62.7K
    92014An 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…13250180$60$60.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.2620070$90$37.6K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens9160170$30$34.6K
    92012For 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…55160120$50$30K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens42150110$40$30K
    V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens102090$40$22.7K
    V2760Scratch resistant coating, per lens86120230$20$14.3K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)10150160$10$11K
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens82050$40$10.9K

    Showing 1–10 of 16

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Drs Price Young Odle & Horsch PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Drs Price Young Odle & Horsch PAKSOptometrist$0$1.1M
    Stephen EisenbarthKSOptometrist$130K$0
    Matthew BoswellKSOptometrist$62.2K$0
    Ryan EmrickKSOptometrist$27.5K$13.5K

    Nearby Providers

    Other providers in the same ZIP code as Drs Price Young Odle & Horsch PA, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mental Health Center Of East Central Kansas A CorporationKSCommunity/Behavioral Health Agency$0$23.7M
    Quest Services, Inc.KSDevelopmentally Disabled Services Day Training Agency$0$20.4M
    JourneysKSDevelopmentally Disabled Services Day Training Agency$0$15.5M
    Mental Health Center Of East Central Kansas A CorporationKSCommunity/Behavioral Health Agency$0$12M
    Carearc, Inc.KSFederally Qualified Health Center (FQHC)$0$7.1M
    Newman Memorial County HospitalKSRural Health Clinic/Center$0$7M
    AuspisionKSCase Management Agency$0$6.1M
    Hetlinger Developmental Services, Inc.KSCase Management Agency$0$5.3M
    Stepping Stones Unlimited LLCKSCase Management Agency$0$4.5M
    Smith Agency LLCKSDevelopmentally Disabled Services Day Training Agency$0$3.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Kansas Providers
    0 of 5 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Drs Price Young Odle & Horsch PA — 4 of 16 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas