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

Why is the Medicaid comparison limited to New Mexico 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. New Mexico (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.

Fillmore Eye Clinic Incorporated (NPI 1083931182)

Fillmore Eye Clinic Incorporated is a ophthalmology physician provider located in Alamogordo, New Mexico. This profile covers 0 Medicare and 29 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Fillmore Eye Clinic Incorporated
Address	1124 10th St
City	Alamogordo
State	NM
ZIP	88310
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 28, 2010

Payer Source	Total Paid
Medicaid	$6.2M
Medicare	$0

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

29 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.	16,100	$110	$1.8M
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…	23,950	$70	$1.8M
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…	2,850	$290	$834.2K
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…	11,920	$50	$620K
J0178	Injection, aflibercept, 1 mg	300	$880	$262.2K
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	2,420	$50	$130.7K
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.	21,570	$10	$129.4K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	5,560	$20	$128K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	2,280	$60	$125.6K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	9,680	$10	$87.1K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Mexico Distribution

Fillmore Eye Clinic Incorporated — 8 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Mexico

Full comparison — all codes billed, vs. New Mexico median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	6	10	480	$1,280	$3.2M
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…	3	30	280	$400	$607.8K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	4	10	1,470	$70	$340.1K
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…	6	140	630	$80	$236.9K
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.	5	140	510	$100	$218.8K
J9035	Injection, bevacizumab, 10 mg	4	10	380	$70	$203.4K
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…	201	360	220	$90	$134.7K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	5	20	880	$30	$132.3K
00142	The provider performs anesthesia services for a patient undergoing an eye lens procedure.	2	10	570	$60	$93K
92202	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	1	10	9,680	$10	$83.1K

Showing 1–10 of 29

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fillmore Eye Clinic Incorporated	NM	Ambulatory Surgical Clinic/Center	$2.6M	$1.3M
Parley Fillmore	NM	Ophthalmology Physician	$612.6K	$0
Nicholas Spendlove	NM	Ophthalmology Physician	$581K	$0
Thomas Boyle	NM	Ophthalmology Physician	$312.7K	$0
Jacob Bailey	NM	Optometrist	$166K	$0
Elizabeth Dosch	NM	Optometrist	$139.9K	$0
Bryce Johnson	NM	Optometrist	$89.8K	$0
Robert Smith	AZ	Optometrist	$85K	$900
Brandon Hicks	ID	Optometrist	$69.9K	$0
William Reno	AZ	Certified Registered Nurse Anesthetist	$60.3K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Otero County Hospital Association	NM	General Acute Care Hospital	$0	$73.2M
American Medical Response Ambulance Service Inc	NM	Ambulance	$3M	$23.9M
Presbyterian Medical Services	NM	Federally Qualified Health Center (FQHC)	$0	$11M
Ben Archer Health Center	NM	Federally Qualified Health Center (FQHC)	$0	$5.2M
Rail Junction Emergency Physicians LLC	NM	Emergency Medicine Physician	$0	$4.4M
New Mexico Em-i Medical Services, P.C	NM	Nurse Practitioner	$0	$4.4M
Zia Therapy Center, Inc.	NM	Clinic/Center	$0	$4.3M
Four Corners Emergency Physicians PLLC	NM	Emergency Medicine Physician	$0	$3.2M
Alamogordo Physical Therapy & Wellness Center, Inc	NM	Physical Therapist	$0	$2.9M
Alamogordo Home Health Care And Hospice, Inc	NM	Home Health Agency	$0	$2.5M

Fillmore Eye Clinic Incorporated — Billing Profile & Reimbursement Data

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Fillmore Eye Clinic Incorporated — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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