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

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

Advanced Eyecare, LLC (NPI 1104045665)

Field	Value
Entity Type	Organization
Organization	Advanced Eyecare, LLC
Address	5 Alex Pl
City	Picayune
State	MS
ZIP	39466
Taxonomy	Optometrist
NPI Enumerated	April 24, 2007

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	5,890	$60	$370.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	3,030	$90	$276.1K
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…	6,220	$40	$217.8K
V2020	Frames, purchases	6,280	$20	$150.7K
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.	9,750	$10	$136.4K
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,…	4,980	$20	$119.4K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	6,370	$20	$95.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	4,020	$20	$64.2K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	1,640	$30	$50.7K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	1,500	$30	$41.9K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Advanced Eyecare, LLC — 11 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

28 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…	352	1,910	930	$60	$278.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	237	1,670	720	$50	$196.4K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	44	190	120	$20	$56.6K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	20	490	90	$70	$49.9K
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.	14	500	910	$20	$39.1K
V2020	Frames, purchases	17	450	740	$30	$37.3K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	1	10	1,340	$10	$32.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	41	390	740	$20	$25.9K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	4	20	80	$70	$24K
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.	10	40	70	$10	$19.3K

Showing 1–10 of 28

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jarrad Berry	NC	Optometrist	$81K	$225.8K
Kraig Stasney	MS	Optometrist	$71.7K	$228.6K

Nearby Providers

Other providers in the same ZIP code as Advanced Eyecare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Forrest County General Hospital	MS	General Acute Care Hospital	$0	$21.7M
Saint Francis Community Services In Mississippi Inc	MS	Assisted Living Facility (Behavioral Disturbances)	$0	$14.7M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$4.6M
Picayune General Dentistry, Inc.	MS	General Practice Dentistry	$0	$3.6M
Forrest County General Hospital	MS	Family Medicine Physician	$0	$2.7M
Horace Combs	MS	General Practice Dentistry	$0	$1.3M
Picayune Urgent Care Clinic, LLC	MS	Urgent Care Clinic/Center	$0	$1.3M
Highland Community Hospital Physicians	MS	Obstetrics & Gynecology Physician	$0	$1.2M
Willow Bend Emergency Group, LLC	MS	Emergency Medicine Physician	$0	$1.2M
Lori Blackmer	MS	Optometrist	$94.4K	$101.9K

Advanced Eyecare, LLC — Billing Profile & Reimbursement Data

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Advanced Eyecare, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References