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.

Eye Associates Of New Mexico Ltd (NPI 1104868520)

Field	Value
Entity Type	Organization
Organization	Eye Associates Of New Mexico Ltd
Address	5757 Harper Dr Ne
City	Albuquerque
State	NM
ZIP	87109
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 11, 2006

Payer Source	Total Paid
Medicaid	$46.9M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused practice: it has no Medicare billing on file and reports Total Medicaid revenue of $46.9M. The absence of Medicare activity indicates a single-payer concentration in public programs rather than a mixed Medicare/Medicaid payer mix.

Revenue is highly concentrated in a small set of ophthalmology services: the top three Medicaid codes (J0178, 92004, 92014) together account for 66.7% of this provider's total Medicaid revenue. Individually, J0178 accounts for $20.8M (44.7%), 92004 for $5.3M (11.3%), and 92014 for $5.0M (10.7%), showing that a majority of revenue is driven by a narrow set of procedure types.

The clinical footprint strongly emphasizes intravitreal pharmacologic therapy and medical retina care: J0178 (Injection, aflibercept) has 17K claims at $122 avg paid/claim generating $20.8M and 67028 intravitreal injection has 38.4K claims ($65 avg, $2.5M), with J9035 (bevacizumab) and J2778/J2777 also present. These volumes indicate high-throughput, procedure-driven retinal injection services as a primary service line. J0178 is noted as ranking #1 of 8 providers in-state and labeled notably above typical state volume.

Surgical and perioperative ophthalmology is also material: 66984 (cataract extraction with lens insertion) produced 12.7K claims at $280 avg for $3.6M (7.6% of Medicaid revenue) and ranks #1 of 26 in-state (100th percentile). Presence of 92136 biometry and 92134 retinal imaging further supports a full-service cataract and surgical workup capability with significant procedural throughput.

The practice shows extremely high ambulatory exam volume consistent with a large multisite or high-access clinic model: 92004 (comprehensive new patient eval) has 59.5K claims for $5.3M and 92014 (comprehensive established exam) has 73.5K claims for $5.0M, with both codes ranking #1 in-state and labeled extreme outlier or extreme volume relative to peers. High claim counts for 99214 (27.9K) and 99213 (24.7K) further indicate substantial ongoing patient management and follow-up visits.

Competitive standing in New Mexico is dominant for many ophthalmic services: multiple high-revenue codes (J0178, 92004, 92014, 66984, 92134, 67028, J9035) rank #1 in-state and are in the 100th percentile or otherwise called extreme outliers, which positions the provider as a leading statewide operator for retina injections, comprehensive exams, and cataract procedures. Where codes do not rank at the top (for example 99214 and 99213), the provider still sits in high percentiles (97th and 95th respectively), indicating broad clinical scale across categories.

The practice also operates a sizable optical and ancillary services component: V2020 (frames) has 18.8K claims yielding $395.4K and ranks #4 of 147 (98th percentile), V2784 and other lens codes appear with high claim volumes, and refraction 92015 shows 85.9K claims ($343.7K) at rank #1 of 151 (100th percentile). These data together suggest integrated optical dispensing and refraction services generating meaningful ancillary revenue and patient flow.

Long tenure supports an established regional presence: the provider's NPI was enumerated 2006-06-11 (~20 years ago), consistent with the sustained, high aggregate Medicaid volumes and repeated #1 in-state ranks across core ophthalmology and optical codes. The combination of longevity and concentrated Medicaid revenue indicates a stable, Medicaid-centric operational footprint rather than a recent or transient billing pattern.

Medicaid: Complete Services Breakdown

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

61 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	17,020	$1,220	$20.8M
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.	59,500	$90	$5.3M
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…	73,550	$70	$5M
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…	12,710	$280	$3.6M
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.	38,360	$70	$2.5M
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…	27,900	$60	$1.8M
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.	45,130	$30	$1.2M
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…	24,720	$50	$1.2M
J9035	Injection, bevacizumab, 10 mg	12,860	$60	$771.6K
J2778	Injection, ranibizumab, 0.1 mg	1,000	$740	$733.3K

Showing 1–10 of 61

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

Eye Associates Of New Mexico Ltd — 19 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

61 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	1	10	480	$1,280	$3.2M
J0585	Injection, onabotulinumtoxina, 1 unit	12	20	810	$520	$1.6M
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…	1	30	280	$400	$607.8K
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…	44	930	910	$80	$521.6K
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…	30	960	1,010	$90	$490K
J2778	Injection, ranibizumab, 0.1 mg	1	10	380	$900	$408.7K
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.	1	10	1,470	$70	$340.1K
J2777	Injection, faricimab‑svoa, 0.1 mg	1	10	200	$1,080	$292.6K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	175	380	220	$160	$273.9K
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…	1	140	630	$80	$236.9K

Showing 1–10 of 61

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eye Associates Of New Mexico Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Pitcher	NM	Ophthalmology Physician	$5.1M	$0
Mark Chiu	NM	Ophthalmology Physician	$3.8M	$0
Christopher Roybal	NM	Ophthalmology Physician	$3.8M	$0
Ashok Reddy	NM	Ophthalmology Physician	$3.2M	$0
Kamalesh Ramaiya	NM	Ophthalmology Physician	$2.9M	$0
Betty Klein	NM	Ophthalmology Physician	$2.4M	$0
Rizwan Shaikh	LA	Ophthalmology Physician	$2.2M	$0
Iuri Golubev	NM	Ophthalmology Physician	$1.7M	$0
Eye Associates Of New Mexico, Ltd.	NM	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Ian Thompson	NM	Ophthalmology Physician	$1.3M	$0

Nearby Providers

Other providers in the same ZIP code as Eye Associates Of New Mexico Ltd, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Presbyterian Healthcare Services	NM	Internal Medicine Physician	$0	$240.8M
Heritage Home Healthcare Services, Inc.	NM	Home Health Agency	$0	$141.5M
Home Medical Equipment Specialists LLC	NM	Durable Medical Equipment & Medical Supplies	$0	$100M
The New Beginnings LLC	NM	Adult Day Care Clinic/Center	$0	$85.1M
We Care Agency, Inc.	NM	In Home Supportive Care Agency	$0	$60.1M
Lovelace Health System, LLC	NM	General Acute Care Hospital	$0	$57.7M
Adelante Development Center, Inc.	NM	Personal Care Attendant	$0	$57M
Southwest Labs LLC	NM	Clinical Medical Laboratory	$1.1M	$41.5M
Southwest Medical Associates, LLC	NM	General Practice Physician	$0	$41.4M
Tspc-nm, LLC	NM	Nursing Care Agency	$0	$28.9M

Eye Associates Of New Mexico Ltd — Billing Profile & Reimbursement Data

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Eye Associates Of New Mexico Ltd — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References