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    OpenPayerNPI Medicare & MedicaidAtlantic Family Eye Care Inc
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    Atlantic Family Eye Care Inc — Billing Profile & Reimbursement Data

    NPI 1184769010 · Woonsocket, RI · Optometrist

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    Atlantic Family Eye Care Inc is a optometrist provider located in Woonsocket, Rhode Island. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAtlantic Family Eye Care Inc
    Address2345 Mendon Rd
    CityWoonsocket
    StateRI
    ZIP02895
    TaxonomyOptometrist
    NPI EnumeratedFebruary 20, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$524.8K
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    11 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92014An 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…3,650$40$156.9K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens2,090$50$94K
    V2020Frames, purchases4,630$20$78.7K
    92015The 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.3,530$20$77.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.720$60$41.6K
    V2784Lens, polycarbonate or equal, any index, per lens1,570$20$29.8K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal1,700$20$28.9K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens350$40$13.1K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…70$30$2.4K
    99213The 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…30$50$1.2K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Rhode Island median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99213The 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…1,8012,050300$50$72.3K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens22110200$40$44K
    92014An 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…12190230$40$35K
    V2020Frames, purchases16180380$20$31K
    92015The 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.15200360$20$23.8K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.15120100$70$22.1K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal29160240$20$21.8K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)5670520$20$20.4K
    V2784Lens, polycarbonate or equal, any index, per lens560100$20$19.5K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…4980140$30$16.9K

    Showing 1–10 of 11

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Atlantic Family Eye Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Holly DwanRIOptometrist$0$694.3K
    Brian KileyRIOptometrist$47.4K$46K
    William FreitasRIOptometrist$43.2K$42.8K
    Nicole PatricioRIOptometrist$24.3K$17.2K

    Nearby Providers

    Other providers in the same ZIP code as Atlantic Family Eye Care Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Community Care AllianceRICommunity/Behavioral Health Agency$0$46.4M
    Prime Healthcare Services Landmark LLCRIGeneral Acute Care Hospital$0$26.2M
    R.i.s.a.t., LLCRIMethadone Clinic$306K$21.6M
    Thundermist Health CenterRIDental Clinic/Center$0$18.6M
    Thundermist Health CenterRIFederally Qualified Health Center (FQHC)$0$15.8M
    Action Based EnterprisesRIDevelopmentally Disabled Services Day Training Agency$0$15.2M
    Woonsocket Education DepartmentRILocal Education Agency (LEA)$0$9.5M
    Woonsocket Housing AuthorityRIAssisted Living Facility$0$7M
    Beata NelkenRIPediatrics Physician$0$4.2M
    Tmed Holdings, Inc.RIDurable Medical Equipment & Medical Supplies$0$3.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Rhode Island Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Rhode Island Distribution
    Atlantic Family Eye Care Inc — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Rhode Island