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.

National Vision, Inc. (NPI 1215258157)

Field	Value
Entity Type	Organization
Organization	National Vision, Inc.
Address	2435 Commerce Ave
City	Duluth
State	GA
ZIP	30096
Taxonomy	Optometrist
NPI Enumerated	June 15, 2010

Payer Source	Total Paid
Medicaid	$322.8K
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
V2020	Frames, purchases	2,570	$40	$92.5K
V2781	Progressive lens, per lens	1,080	$70	$74.2K
V2744	Tint, photochromatic, per lens	1,460	$40	$52.4K
V2750	Anti-reflective coating, per lens	1,890	$20	$43.5K
V2784	Lens, polycarbonate or equal, any index, per lens	1,910	$20	$38.2K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	370	$20	$7.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	620	$10	$5K
V2799	Vision item or service, miscellaneous	150	$20	$3.3K
V2430	Variable asphericity lens, bifocal, full field, glass or plastic, per lens	240	$10	$3.1K
V2025	Deluxe frame	50	$30	$1.7K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

National Vision, Inc. — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	19	90	650	$20	$68K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	42	80	630	$20	$54.4K
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.	42	70	80	$50	$47.8K
V2781	Progressive lens, per lens	1	10	660	$60	$39.3K
V2744	Tint, photochromatic, per lens	1	10	820	$30	$27.1K
V2784	Lens, polycarbonate or equal, any index, per lens	12	70	400	$10	$12.1K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1	10	200	$20	$4.2K
V2430	Variable asphericity lens, bifocal, full field, glass or plastic, per lens	1	10	240	$10	$3K
V2750	Anti-reflective coating, per lens	2	30	150	$1	$2.4K
V2025	Deluxe frame	2	10	30	$20	$1.8K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fredric Smilen	CT	Optometrist	$34.3K	$1.9M
Douglass Fruin	IL	Optometrist	$174.1K	$373.3K
Liann Griffiths	CA	Optometrist	$439.1K	$0
Huy Pham	NE	Optometrist	$2.6K	$393.8K
Nicholas Flebotte	OH	Optometrist	$372.7K	$400
Mark Yates	AZ	Optometrist	$308.9K	$13.1K
Jilda Long	VA	Optometrist	$314.3K	$3.1K
Nadia Roshan	UT	Occupational Vision Optometrist	$0	$316.4K
Damaris Benitez	FL	Optometrist	$296.6K	$7.1K
National Vision, Inc.	HI	Eyewear Supplier	$0	$250.9K

Nearby Providers

Other providers in the same ZIP code as National Vision, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peachtree Children's Dentistry	GA	Pediatric Dentistry	$0	$2.8M
Let's Talk Therapy, LLC	GA	Speech-Language Pathologist	$0	$1.8M
North Atlanta Dermatology	GA	Dermatology Physician	$0	$763.7K
Charles Agunobi	GA	Internal Medicine Physician	$741.1K	$0
David Pharis	GA	MOHS-Micrographic Surgery Physician	$709K	$0
Richard Maxa	GA	Internal Medicine Physician	$585K	$0
Meena Shah	GA	Family Medicine Physician	$487.6K	$0
Charles Douchy	GA	Dermatology Physician	$379.1K	$0
Maria Roca Martinez	GA	Internal Medicine Physician	$339.3K	$0
Gabrielle Sabini	GA	Dermatology Physician	$334.3K	$0

National Vision, Inc. — Billing Profile & Reimbursement Data

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National Vision, Inc. — 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