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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Fashion Optical (NPI 1154751410)

Field	Value
Entity Type	Organization
Organization	Fashion Optical
Address	1766 Columbia Rd Nw
City	Washington
State	DC
ZIP	20009
Taxonomy	Optometrist
NPI Enumerated	November 22, 2013

Payer Source	Total Paid
Medicaid	$33.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	140	$130	$18.8K
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…	160	$40	$6.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	240	$20	$4.9K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	30	$60	$1.9K
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…	30	$40	$1.3K
V2784	Lens, polycarbonate or equal, any index, per lens	10	$30	$450
V2020	Frames, purchases	10	$20	$310

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Fashion Optical — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	29	30	490	$60	$81.8K
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…	37	50	720	$60	$80.7K
V2784	Lens, polycarbonate or equal, any index, per lens	27	30	910	$40	$79.2K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	18	40	120	$160	$75.3K
V2020	Frames, purchases	30	30	410	$30	$38.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	17	20	1,900	$20	$37.7K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	6	10	120	$30	$5.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mary's Center For Maternal And Child Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$56.6M
Unity Health Care, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$48M
Community Of Hope, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$3.6M
La Clinica Del Pueblo, Inc.	DC	Federally Qualified Health Center (FQHC)	$0	$2.7M
Core Dc LLC	DC	Case Management Agency	$0	$2.6M
Unity Health Care, Inc	DC	Federally Qualified Health Center (FQHC)	$0	$2.3M
Sharmin Dental Clinic, P.C.	DC	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$1.8M
Nuvaya, Inc	DC	Substance Abuse Rehabilitation Facility	$0	$1.6M
Samuel Antwi	DC	Family Nurse Practitioner	$16K	$1.5M
Lenox Medical Supply Services, LLC	DC	Durable Medical Equipment & Medical Supplies	$0	$1M

Fashion Optical — Billing Profile & Reimbursement Data

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Fashion Optical — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References