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

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

White River Family Eyecare, PC (NPI 1104878206)

Field	Value
Entity Type	Organization
Organization	White River Family Eyecare, PC
Address	587 Hartford Ave
City	White River Junction
State	VT
ZIP	05001
Taxonomy	Optometrist
NPI Enumerated	May 17, 2006

Payer Source	Total Paid
Medicaid	$126K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	570	$100	$54.6K
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.	2,810	$10	$39.4K
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.	280	$110	$32K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	10	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

White River Family Eyecare, PC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	19	50	290	$70	$66.1K
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.	26	60	170	$100	$52.9K
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.	16	70	850	$10	$26.9K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	23	20	190	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with White River Family Eyecare, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sandra Dufour	VT	Optometrist	$52K	$0
Sheila Hastie	NH	Optometrist	$42.8K	$0
Heather Bourdeau	VT	Optometrist	$39.5K	$0
Eugene Bernal	VT	Optometrist	$30.4K	$0

Nearby Providers

Other providers in the same ZIP code as White River Family Eyecare, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Town Of Hartford	VT	Ambulance	$171.8K	$275.8K
Schramm And Symancyk, PLLC	VT	General Practice Dentistry	$0	$290K
Kimberley Hartell	VT	Marriage & Family Therapist	$0	$229.8K
Dartmouth Health Home Care, Inc.	VT	Home Health Agency	$0	$219.8K
Donald Anderson	VT	Chiropractor	$35.2K	$100.4K
White River Family Practice PC	VT	Family Medicine Physician	$0	$130.6K
Gifford Health Care, Inc	VT	Federally Qualified Health Center (FQHC)	$0	$111.2K
Richard Graham	VT	Urology Physician	$94.8K	$0
Julie Davis	VT	Family Medicine Physician	$92.7K	$0
Jill Blumberg	VT	Family Medicine Physician	$77K	$0

White River Family Eyecare, PC — Billing Profile & Reimbursement Data

Sign up for White River Family Eyecare, PC — Billing Profile & Reimbursement Data policy alerts

White River Family Eyecare, PC — Billing Profile & Reimbursement Data

Sign up for White River Family Eyecare, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References