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

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

Kenneth Pair (NPI 1164519666)

Field	Value
Entity Type	Individual
Organization	Kenneth Pair
Address	2615 Mcfarland Blvd E
City	Tuscaloosa
State	AL
ZIP	35405
Taxonomy	Optometrist
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicare	$4.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

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…	50	$50	$2.6K
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…	40	$40	$1.4K
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.	20	$20	$440
92201	The provider performs an extended ophthalmoscopy, typically with an indirect ophthalmoscope which utilizes a bright light and a hand–held indirect lens rather than the common hand–held one–piece…	20	$20	$260

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Alabama Distribution

Kenneth Pair — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	297	430	100	$80	$13.3K
99213	4,422	6,470	80	$50	$7.9K
92134	342	410	50	$30	$6.4K
92201	7	10	20	$20	$390

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Invision Ophthalmology P.C.	AL	Ambulatory Surgical Clinic/Center	$268.2K	$0
Young Choi	AL	Ophthalmology Physician	$228.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aim Plus Medical Supplies, LLC	AL	Durable Medical Equipment & Medical Supplies	$0	$24.1M
Tuscaloosa County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$3.8M
Advantage Dental Oral Health And Vision Center Of Alabama, P.C.	AL	Pediatric Dentistry	$0	$2.1M
Jacqueline Averette	AL	Family Nurse Practitioner	$1.7M	$0
Crimson Care LLC	AL	Family Medicine Physician	$0	$1.5M
Global Eye Care, P.C.	AL	Optometrist	$0	$1.1M
Ttc, L.L.C.	AL	Children's Substance Abuse Rehabilitation Facility	$345.8K	$0
Jennifer Burdette	AL	Family Medicine Physician	$103.6K	$0
Christopher Mcgee	AL	Family Medicine Physician	$91.6K	$0
Robert Posey	AL	Family Medicine Physician	$74.2K	$0

Kenneth Pair — Billing Profile & Reimbursement Data

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Kenneth Pair — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References