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

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

Standard Optical Co (NPI 1174624787)

Field	Value
Entity Type	Organization
Organization	Standard Optical Co
Address	1901 W Parkway Blvd
City	Salt Lake City
State	UT
ZIP	84119
Taxonomy	Optometrist
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	6,780	$90	$603.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,610	$80	$437.7K
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…	3,540	$60	$219.7K
V2020	Frames, purchases	7,270	$20	$174.6K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2,940	$10	$32.4K
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.	15,710	$1	$31.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	890	$20	$13.4K
V2755	U-v lens, per lens	2,860	$1	$2.9K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	50	$20	$820

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Standard Optical Co — 7 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

9 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…	4	160	120	$100	$55.5K
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.	2	140	100	$90	$42.5K
V2020	Frames, purchases	2	80	180	$50	$36.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1	40	290	$60	$32K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	6	40	150	$10	$6.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2	30	50	$10	$6.2K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	7	10	180	$10	$3.4K
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	210	170	$1	$2.7K
V2755	U-v lens, per lens	1	20	180	$1	$400

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peach Tree Healthcare	CA	Federally Qualified Health Center (FQHC)	$0	$26.4M
Maximilian Psolka	UT	Ophthalmology Physician	$352.1K	$0
Lloyd Williams	NC	Cornea and External Diseases Specialist Physician	$175.8K	$0
David Meyer	UT	Optometrist	$35.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Utah Community Physicians Group	UT	General Practice Physician	$0	$36M
Unified Fire Authority-salt Lake	UT	Land Ambulance	$920.5K	$14.6M
C.n.s. Corporation	UT	Home Health Agency	$0	$13.6M
West Valley City	UT	Ambulance	$202.1K	$6.2M
Granger Medical Clinic PC	UT	Multi-Specialty Clinic/Center	$0	$5.1M
Unified Health Services LLC	UT	Community Based Hospice Care Agency	$0	$4.1M
Community Nursing Service	UT	Community Based Hospice Care Agency	$0	$4.1M
Granger Pediatric Dentistry	UT	Dental Clinic/Center	$0	$2.4M
Hans Petersen	UT	Pediatric Dentistry	$0	$1.6M
Community Nursing Service	UT	Home Health Agency	$0	$970.4K

Standard Optical Co — Billing Profile & Reimbursement Data

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Standard Optical Co — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References