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.

Pinnacle Optical, LLC (NPI 1174011209)

Field	Value
Entity Type	Organization
Organization	Pinnacle Optical, LLC
Address	1900 Crestwood Blvd Ste 100
City	Irondale
State	AL
ZIP	35210
Taxonomy	Eyewear Supplier
NPI Enumerated	April 24, 2018

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2784	Lens, polycarbonate or equal, any index, per lens	122,700	$10	$1.6M
V2020	Frames, purchases	125,370	$10	$1.4M
V2750	Anti-reflective coating, per lens	14,730	$90	$1.3M
V2499	Variable sphericity lens, other type	17,380	$60	$1.1M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	67,630	$10	$811.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	20,940	$10	$209.4K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	1,880	$90	$171.3K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	5,690	$30	$148K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	8,710	$10	$104.5K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	790	$70	$58.8K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Pinnacle Optical, LLC — 15 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	10	10	2,530	$40	$97.7K
V2750	Anti-reflective coating, per lens	2	70	470	$80	$92.1K
V2499	Variable sphericity lens, other type	1	40	600	$60	$79.2K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	4	30	380	$60	$47.8K
V2784	Lens, polycarbonate or equal, any index, per lens	2	140	1,130	$10	$47.6K
V2020	Frames, purchases	2	200	870	$10	$41.3K
V2111	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens	1	10	3,440	$10	$38.5K
V2715	Prism, per lens	5	10	120	$10	$33.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2	130	790	$10	$28.6K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	2	10	2,700	$10	$25K

Showing 1–10 of 24

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Metro Treatment Of Alabama, LP	AL	Methadone Clinic	$197.9K	$0
Benjamin Britton	AL	Physical Therapist	$88.9K	$0
Lorra Hyland	AL	Gerontology Nurse Practitioner	$34.2K	$0

Pinnacle Optical, LLC — Billing Profile & Reimbursement Data

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Pinnacle Optical, LLC — 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