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

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

Marietta Eye Clinic, PA (NPI 1205857968)

Field	Value
Entity Type	Organization
Organization	Marietta Eye Clinic, PA
Address	895 Canton Rd Ne
City	Marietta
State	GA
ZIP	30060
Taxonomy	Ophthalmologic Surgery Clinic/Center
NPI Enumerated	July 21, 2006

Payer Source	Total Paid
Medicare	$2.5M
Medicaid	$0

Key Findings

This practice is effectively Medicare-focused: lifetime Medicare revenue is $2.5M while there is no Medicaid billing on file, indicating a single-payer footprint in the data and limited or no participation in state Medicaid programs. That payer concentration shapes reimbursement exposure and network negotiation leverage largely around Medicare fee schedules.

Revenue is highly concentrated in a small set of cataract-related services: the precomputed top 3 Medicare codes account for 77.4% of the provider's total Medicare revenue, driven primarily by 66984 (reported $1.6M revenue, 65.6% of Medicare revenue). The dominance of a single high-revenue code suggests the clinic’s workflow, equipment, and referral patterns are organized around high-volume cataract extraction with lens implantation.

The provider’s service mix confirms a cataract-centered surgical practice with complementary ophthalmic procedures: high-volume codes include 66984 (cataract extraction with lens insertion), 66821 (YAG capsulotomy) and 66982 (complex intraocular lens insertion), and the presence of corneal codes such as V2785 (processing/transporting corneal tissue) and 65756 (full corneal transplant) points to a clinic that also engages in corneal services and coordination. Together these codes imply a surgical ambulatory center model handling intraocular surgery, postoperative YAG laser care, and corneal graft work.

Competitive standing for the practice on key cataract procedures is above typical: 66984 ranks #997 of 15965 providers nationally (94th percentile) and is described as "notably above typical national volume," indicating this provider is a materially higher-volume cataract surgeon compared with most peers nationally. The companion code 66821 is an extreme outlier (rank #117 of 10087 providers, 99th percentile), signaling exceptionally high reported volume for posterior capsulotomy relative to other providers and suggesting an outsized role in postoperative laser management or high cataract surgery throughput.

There is evidence of meaningful ancillary service lines beyond core cataract work. Procedure 15823 (upper eyelid skin trimming/blepharoplasty) generated $78.1K and ranks in the 94th percentile (#98 of 1718 providers, "notably above typical national volume"), while 65855 (laser trabeculoplasty) shows 174 claims and $17.1K revenue and is in the 98th percentile (#70 of 2796 providers, "notably above typical national volume"). These figures indicate additional revenue streams in oculoplastics and glaucoma laser treatment that complement the surgical cataract volume.

Corneal activity is present but not dominant: V2785 (processing, preserving and transporting corneal tissue) produced $121K (4.9% of Medicare revenue) and ranks #61 of 231 providers (72th percentile, labeled "typical, unremarkable volume"), while 65756 (full corneal transplant) accounted for $49.6K (2.0% of Medicare revenue) and ranks #108 of 567 providers (80th percentile). These data imply the clinic either coordinates corneal tissue processing/transplantation or maintains referral relationships for corneal surgery, contributing a modest but visible share of Medicare revenue.

The absence of any Medicaid billing on file ("none below") means the provider is essentially single-payer in the available claims, which reduces exposure to Medicaid reimbursement variability but may also limit patient mix and payor diversification. For payers and network managers assessing access and capacity, this pattern suggests the provider’s value to commercial or state Medicaid networks would need to be evaluated on metrics other than historical Medicaid volume.

The practice appears well-established: the NPI was enumerated on 2006-07-21 (~20 years ago), indicating long tenure in the market that aligns with sustained Medicare billing patterns and higher-than-typical national volumes for several ophthalmic procedures. Longevity combined with concentrated high-volume cataract work supports the interpretation of a mature surgical clinic with entrenched referral sources and operational capacity for intraocular procedures.

Medicare: Complete Services Breakdown

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

18 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…	2,000	$810	$1.6M
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	870	$200	$172.7K
V2785	Processing, preserving and transporting corneal tissue	30	$3,670	$121K
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.	70	$1,470	$102.5K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	120	$820	$95.4K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$2,490	$79.8K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	150	$510	$78.1K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	30	$1,500	$49.6K
66180	The provider implants a shunt in the anterior chamber of the eye to facilitate drainage of aqueous humor, or fluid, in order to reduce intraocular pressure. He uses a graft to reinforce the tissue…	10	$2,000	$25.9K
67042	In this procedure, the provider removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical cutting tool. He removes the internal limiting membrane of the retina…	20	$1,500	$25.6K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Georgia Distribution

Marietta Eye Clinic, PA — 4 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2785	2	10	20	$3,460	$110.7K
66984	42	410	190	$160	$103.1K
66991	15	40	30	$1,620	$60.1K
65820	4	40	30	$1,000	$39K
65756	4	20	20	$1,180	$31.9K
67042	8	20	20	$1,200	$31.1K
67108	4	10	10	$1,260	$25.2K
67036	8	10	20	$1,120	$23.6K
15823	1	60	40	$520	$23.5K
66180	9	10	20	$1,410	$22.5K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Marietta Eye Clinic, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Annal Meleth	GA	Ophthalmology Physician	$2.2M	$0
Lakshmana Kooragayala	GA	Ophthalmology Physician	$1.8M	$0
Bilal Yousufzai	DC	Ophthalmology Physician	$1.6M	$0
Jared Cox	GA	Optometrist	$23.3K	$525.1K
Justin Wilkin	GA	Ophthalmology Physician	$354.5K	$0
Puneet Panda	GA	Ophthalmology Physician	$257.2K	$0
Andre Cohen	GA	Ophthalmology Physician	$239.2K	$0
Byron Long	GA	Ophthalmology Physician	$208.2K	$0
Charles Ho	GA	Ophthalmology Physician	$186.3K	$0
Denise Johnson	GA	Ophthalmology Physician	$165.1K	$0

Nearby Providers

Other providers in the same ZIP code as Marietta Eye Clinic, PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Quantum Radiology, PC	GA	Diagnostic Radiology Physician	$0	$4.3M
Robert Stoltz	GA	Specialist	$2.6M	$0
Weijian Zhu	GA	Anatomic Pathology & Clinical Pathology Physician	$2.6M	$4.7K
Jeffrey Winter	GA	Vascular Surgery Physician	$2.4M	$0
Kennestone Hospital, Inc.	GA	General Acute Care Hospital	$0	$1.9M
Kevin Thomas	GA	Dermatopathology (Pathology) Physician	$1.6M	$0
Mark Chastain	GA	Dermatology Physician	$1.6M	$0
Marietta Advanced Surgery Center	GA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Mohammed Abubaker	GA	Rheumatology Physician	$1.2M	$0
Jared Friedman	GA	MOHS-Micrographic Surgery Physician	$1.2M	$0

Marietta Eye Clinic, PA — 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