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

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

Robert Cady (NPI 1174529564)

Field	Value
Entity Type	Individual
Organization	Robert Cady
Address	15 Lowell St
City	Portland
State	ME
ZIP	04102
Taxonomy	Glaucoma Specialist (Ophthalmology) Physician
NPI Enumerated	June 22, 2005

Payer Source	Total Paid
Medicare	$256.4K
Medicaid	$0

Key Findings

Practice scale and payer footprint: This provider’s Medicare billing dominates the reported activity with Total Medicare revenue of $256.4K and no Medicaid billing on file, meaning the provider operates effectively as a single-payer (Medicare) practice in the available data. The absence of any Medicaid claims suggests a negligible in-state Medicaid footprint or non-participation in Medicaid billing.

Revenue concentration and top-code dependence: The provider’s revenue is highly concentrated in a small number of services — the precomputed top 3 Medicare codes account for 65.6% of this provider's total Medicare revenue. In particular, code 66984 alone represents $91.4K and 35.7% of Medicare revenue, making cataract extraction with intraocular lens insertion the single largest revenue driver.

Business and service-line implications: The code mix (notably 66984, 92014, 92012, 66821, 92133 and 92083) indicates a blended surgical and outpatient ophthalmology practice with a strong surgical focus on cataract procedures plus ongoing glaucoma and retinal/optic nerve imaging and visual field testing. High volumes of 66984 (cataract surgery) together with substantial imaging codes (92133, 92134) suggest the practice combines operating-room procedures with clinic-based diagnostic workflows typical of a glaucoma specialist who also performs cataract surgery.

Competitive standing on cataract surgery (national): For cataract extraction 66984 this provider is an extreme outlier nationally, ranking #159 of 15965 providers (99th percentile; extreme outlier, far above typical national volume for this code). That ranking signals a nationwide-level surgical volume that is far above typical peers for that procedure and positions the provider as a major cataract surgeon relative to the national distribution.

Clinical-service volume and diagnostics: The provider reports notably above-typical imaging volume for optical coherence tomography with 92133 (332 claims, $8.6K revenue) where the file notes it is in the 94th percentile and described as "notably above typical national volume for this code." In addition, visual field testing 92083 (264 claims, $11.6K revenue) and biometry 92136 (383 claims, $9.2K revenue) appear at high-but-typical percentiles, consistent with a clinic that supports pre- and post-operative surgical workflows.

Other procedure mix and specialty signals: The presence of glaucoma-specific procedures such as 65820 (31 claims, $20.1K) and 65855 (13 claims, $2.1K) alongside regular comprehensive exam codes (92014, 92012) reinforces the glaucoma specialist taxonomy — the practice is providing both interventional glaucoma care and ongoing medical/diagnostic management. These procedure-level details align with the provider’s listed taxonomy as Glaucoma Specialist (Ophthalmology) Physician.

Revenue risk concentration: Because a single code (66984) accounts for a large share of Medicare revenue (35.7% of the provider’s Medicare revenue) and the top three codes drive 65.6% of revenue, the provider’s Medicare revenue profile is sensitive to payment or volume changes for a small set of codes. Payers or analysts should note this concentration when modeling downside exposure to reimbursement shifts or surgical volume changes.

Tenure and stability: The provider’s NPI was enumerated on 2005-06-22 (~21 years ago), indicating a long-tenured presence in the Medicare program which may reflect an established referral base and sustained clinical activity over two decades. This tenure, combined with the high cataract volume, suggests a mature surgical practice rather than a newly established clinic.

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,810	$20	$91.4K
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…	650	$90	$56.1K
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…	340	$60	$20.7K
65820	The provider incises the limbus to improve drainage of aqueous humor in the eye. This procedure is typically performed on children, usually to treat congenital glaucoma.	30	$650	$20.1K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$290	$14.7K
99204	The provider sees a new 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 provider…	120	$110	$13.3K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	260	$40	$11.6K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	380	$20	$9.2K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	330	$30	$8.6K
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.	190	$30	$5.4K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Robert Cady — 7 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	3	90	1,340	$40	$62.5K
65820	2	10	30	$1,070	$33.2K
66821	22	40	50	$200	$14.9K
92014	8	240	150	$80	$14.7K
92012	5	130	50	$60	$5.2K
92134	26	180	50	$30	$4.5K
92136	2	30	150	$30	$4.4K
99204	21	810	30	$100	$3.6K
65855	7	10	20	$140	$3.3K
92083	1	180	40	$40	$2.2K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$142.6M
Mainehealth	ME	Community/Behavioral Health Agency	$0	$115M
Mainehealth	ME	General Acute Care Hospital	$0	$70.7M
Mainehealth	ME	General Acute Care Hospital	$0	$40M
Mainehealth	ME	General Acute Care Hospital	$0	$31.5M
Mainehealth	ME	General Acute Care Hospital	$0	$22.7M
Mainehealth	ME	Rural Health Clinic/Center	$0	$16.7M
Mainehealth	ME	Multi-Specialty Clinic/Center	$0	$10.9M
Mainehealth	ME	Rural Health Clinic/Center	$0	$10M
Mainehealth	ME	Rural Health Clinic/Center	$0	$9.8M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shalom House, Inc.	ME	Mental Illness Community Based Residential Treatment Facility	$0	$81.9M
Mercy Hospital	ME	General Acute Care Hospital	$0	$35.5M
Maxim Healthcare Services, Inc.	ME	Home Health Agency	$0	$28.1M
Quality Care Access, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$17.2M
Portland Community Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$12.9M
Al-shawk Home Healthcare, LLC	ME	Personal Care Attendant	$0	$7M
Maine Eye Center, PA	ME	Ophthalmology Physician	$0	$6.1M
Hand Of Mercy Health Care, LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$6.1M
Mainehealth	ME	General Acute Care Hospital	$0	$5.5M
Merrimack River Medical Services, Inc.	ME	Substance Use Disorder Rehabilitation Clinic/Center	$253.7K	$4.6M

Robert Cady — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References