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

Why is the Medicaid comparison limited to North 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. North 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.

Monte Leidenix (NPI 1104814425)

Field	Value
Entity Type	Individual
Organization	Monte Leidenix
Address	620 N 9th St
City	Bismarck
State	ND
ZIP	58501
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 11, 2005

Payer Source	Total Paid
Medicare	$553.3K
Medicaid	$0

Key Findings

This provider is effectively single-payer in the available data: Total Medicare revenue is $553.3K and there is no Medicaid billing on file. The top 3 Medicare codes (66984, 66982, 92014) account for 68.5% of the provider's Medicare revenue, indicating concentrated reliance on a few service lines for most of the billed Medicare dollars.

The code mix is strongly surgical and cataract-centric: 66984 (736 claims, $253.9K revenue, 45.9% of Medicare revenue) and 66982 ($63.8K revenue, 11.5%) are the top revenue drivers and describe intraocular lens insertion after extracapsular cataract extraction. These surgical codes, combined with high-volume comprehensive established exams under 92014 (687 claims, $61.1K, 11.1%), point to an ophthalmology practice structured around cataract surgery plus routine pre- and post-operative evaluations.

Revenue concentration is high at the procedure level: 66984 alone generates $253.9K (45.9% of Medicare revenue), and the precomputed top-3 share is 68.5% of total Medicare revenue, showing that a small set of codes produces most reported Medicare income. For payers and network planners this suggests the provider’s financial performance is sensitive to reimbursement and utilization changes in those primary cataract and exam codes.

Competitive standing across codes is mixed but leans toward above-average national volume for surgical work: 66984 ranks #2326 of 15965 providers nationally (85th percentile) and 66982 ranks #201 of 4580 (96th percentile), both described as "typical, unremarkable volume for this code" by the dataset even as their percentiles are relatively high. The established exam code 92014 ranks #3422 of 35415 (90th percentile) and is also labeled "typical, unremarkable volume for this code," indicating steady throughput for office-based ophthalmic care compared with national peers.

There are notable statistical outliers worth attention: 99204 (495 claims, $53.5K revenue, 9.7%) is flagged as an "extreme outlier, far above typical national volume for this code," suggesting unusually high billing for new-patient level-4 E/M visits relative to national peers. Similarly, 92136 (919 claims, $27.6K revenue, 5.0%) is labeled an "extreme outlier, far above typical national volume for this code," indicating very high utilization of ocular biometry services that support intraocular lens selection.

Operational detail in the Medicare mix supports a full cataract surgery workflow: measurable procedure and follow-up codes appear throughout the top-25 — e.g., 66821 (161 claims, $47K revenue, 8.5%) for YAG capsulotomy and 92136 (919 claims, $27.6K revenue, 5.0%) for IOL biometry — consistent with both surgical throughput and postoperative care being billed to Medicare. This combination is what one would expect from a practice performing high volumes of cataract cases and subsequent optical follow-up.

The provider’s NPI was enumerated on 2005-10-11 (~21 years ago), indicating a long tenure in the Medicare program; analysts can treat this as an established practice rather than a recent entrant when assessing referral patterns or market dynamics. Long tenure combined with concentrated surgical revenue often signals embedded referral relationships and steady patient flow for cataract services.

From a payer-impact perspective, the absence of Medicaid billing means payer mix risk is concentrated in Medicare. Contracting, reimbursement changes, or utilization-management policies affecting cataract surgery and related E/M visits could materially affect reported revenue; the extreme outlier status on 99204 and 92136 also suggests areas to prioritize for utilization review or peer-comparison benchmarking rather than assuming uniform coding patterns.

Medicare: Complete Services Breakdown

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

16 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…	740	$350	$253.9K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	140	$470	$63.8K
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…	690	$90	$61.1K
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…	500	$110	$53.5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	160	$290	$47K
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…	920	$30	$27.6K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$450	$14.5K
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…	90	$70	$6K
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…	130	$50	$5.9K
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	290	$20	$5.9K

Showing 1–10 of 16

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 16 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. North Dakota Distribution

Monte Leidenix — 4 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. state median

16 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	7	100	50	$350	$61.2K
66991	7	10	30	$1,320	$50.1K
66982	1	20	40	$590	$29.4K
66821	7	30	80	$230	$27.3K
92014	7	170	160	$70	$15.6K
92136	3	30	240	$30	$8.3K
92134	64	140	70	$20	$4.8K
99204	1	570	30	$100	$4.4K
92012	16	70	40	$50	$3.7K
65855	8	10	20	$130	$3.3K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Monte Leidenix, 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
Anil Potti	ND	Hematology & Oncology Physician	$4.9M	$0
Kyle Thompson	ID	Retina Specialist (Ophthalmology) Physician	$4.5M	$0
Marina Gilca	ND	Retina Specialist (Ophthalmology) Physician	$4.3M	$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

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Enable, Inc.	ND	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$40.8M
Heartview Foundation	ND	Substance Use Disorder Rehabilitation Clinic/Center	$0	$13.6M
Sanford Bismarck	ND	General Acute Care Hospital	$0	$12.5M
Bismarck Public Schools Early Intervention	ND	Early Intervention Provider Agency	$0	$12M
West Central Behavioral Health Clinic	ND	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.2M
D. Michael Goebel D.d.s., PC	ND	Pediatric Dentistry	$0	$5.8M
Poppy's Promise LLC	ND	Community/Behavioral Health Agency	$0	$5.6M
Sanford Bismarck	ND	Clinical Medical Laboratory	$726.9K	$4.3M
St. Alexius Medical Center	ND	Specialist	$0	$3.6M
Lasting Love Homecare	ND	In Home Supportive Care Agency	$0	$3.6M

Monte Leidenix — 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