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

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

Hero Vision Of Utica, LLC (NPI 1184184129)

Field	Value
Entity Type	Organization
Organization	Hero Vision Of Utica, LLC
Address	602 S Utica Ave
City	Tulsa
State	OK
ZIP	74104
Taxonomy	Optometrist
NPI Enumerated	March 25, 2019

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	7,460	$110	$827.6K
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.	5,900	$130	$778.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	10,590	$30	$317.7K
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.	13,500	$20	$243.1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	8,720	$30	$217.9K
V2020	Frames, purchases	10,640	$10	$106.4K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1,770	$20	$37.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,800	$20	$34.2K
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…	230	$80	$18.3K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	140	$30	$3.5K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Hero Vision Of Utica, LLC — 6 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,212	1,750	870	$70	$254.4K
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…	12	350	530	$100	$143.4K
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.	3	310	230	$120	$85.3K
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…	82	100	120	$90	$67.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	9	340	760	$30	$56.3K
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.	8	380	830	$20	$36.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	40	270	330	$30	$27.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3	250	340	$30	$27.2K
V2020	Frames, purchases	9	360	730	$10	$18.3K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	7	60	60	$20	$11.6K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Hero Vision Of Utica, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green Country Emergency Physicians Group Of Tulsa PLLC	OK	Emergency Medicine Physician	$0	$18.9M
St. John Physicians, Inc.	OK	Internal Medicine Physician	$0	$17.7M
Ahs Oklahoma Physician Group LLC	OK	Family Medicine Physician	$0	$17.4M
Ahs Hillcrest Medical Center, LLC	OK	General Acute Care Hospital	$0	$14.4M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$8.5M
Oklahoma State University	OK	Medical Specialty Clinic/Center	$0	$8.2M
Mbc Dental	OK	General Practice Dentistry	$0	$7.4M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$6.4M
Community Health Connection, Inc.	OK	Federally Qualified Health Center (FQHC)	$0	$6.4M
Tulsa Hospitalists Inc	OK	Internal Medicine Physician	$0	$5.6M

Hero Vision Of Utica, LLC — Billing Profile & Reimbursement Data

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Hero Vision Of Utica, 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