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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Elise In't Veld (NPI 1215279856)

Field	Value
Entity Type	Individual
Organization	Elise In't Veld
Address	6601 S Minnesota Ave Ste 200
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Ophthalmology Physician
NPI Enumerated	March 21, 2013

Payer Source	Total Paid
Medicare	$306.5K
Medicaid	$0

Key Findings

This provider’s Medicare billing is dominated by cataract-related procedures and office visits: 66984 generated $87.4K (28.5% of Medicare revenue), 66821 generated $36.7K (12.0%), and 99213 generated $35.6K (11.6%). Those three codes together account for 52.1% of the provider’s total Medicare revenue, indicating a surgical ophthalmology practice with substantial routine post‑op and follow‑up visit activity.

The practice shows a high concentration of Medicare revenue in a short list of services: total Medicare revenue is $306.5K and the precomputed top three codes account for 52.1% of that sum. That concentration implies financial sensitivity to volume changes in cataract surgery and related E/M visits.

On payer mix this clinician is effectively single‑payer: Medicare revenue is $306.5K while there is no Medicaid billing on file. The absence of Medicaid claims suggests limited Medicaid participation or patient mix skewed toward Medicare beneficiaries, which concentrates payer risk and reimbursement exposure.

Competitive standing on core surgical codes is solid but not dominant: 66984 ranks #3929 of 15965 providers nationally (75th percentile; typical, unremarkable volume) while 66821 ranks #1629 of 10087 (84th percentile; typical, unremarkable volume). These percentiles indicate the provider performs cataract and posterior capsulotomy procedures at somewhat above‑average volumes regionally but is not a national outlier.

Office visit coding shows volumes that are notably above typical national peers: 99213 has 614 claims and $35.6K revenue and ranks #18598 of 457151 providers nationally (96th percentile; notably above typical national volume), and 99204 has 155 claims and $17.1K revenue and ranks #9788 of 227068 providers nationally (96th percentile; notably above typical national volume). This pattern suggests a high throughput of new and established patient visits relative to most ophthalmologists, consistent with a busy clinic managing pre‑ and post‑operative care.

The provider’s diagnostic and ancillary services profile supports a full-scope ophthalmology practice: 92083 (extended visual field) generated $10K (3.3%) with 239 claims, 92136 (IOL biometry) generated $8.6K (2.8%) with 287 claims, and 92133 (optic nerve imaging) generated $6.1K (2.0%) with 245 claims. These volumes show routine use of imaging and testing that align with cataract and glaucoma management workflows.

There is a nontrivial procedural footprint in glaucoma and related interventions: 65820 (typically pediatric limbal incision) produced $28.6K (9.3%) with 50 claims and ranks #246 of 1249 providers nationally (80th percentile; typical, unremarkable volume), while microinvasive or laser codes such as 66174 and 65855 also appear in the mix. The presence of these codes indicates the provider performs a range of surgical interventions beyond straightforward cataract extraction, including glaucoma‑directed procedures.

The provider has an established presence in the Medicare market with NPI enumeration on 2013-03-21 (~13 years ago). Combined with concentrated cataract revenue, strong E/M volumes, and a full set of diagnostic codes, this suggests a stable, referral‑oriented ophthalmology practice focused on surgical volume and office‑based follow up rather than Medicaid‑dependent care.

Medicare: Complete Services Breakdown

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

20 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…	310	$280	$87.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	130	$280	$36.7K
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…	610	$60	$35.6K
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.	50	$570	$28.6K
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…	230	$80	$19.4K
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…	40	$460	$18K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	200	$90	$17.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	160	$110	$17.1K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	240	$40	$10K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	290	$30	$8.6K

Showing 1–10 of 20

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 20 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Elise In't Veld — 3 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

20 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	17	130	40	$410	$67.7K
65820	2	10	40	$1,010	$37.2K
66821	12	30	100	$230	$35.6K
66174	5	10	40	$850	$26.5K
66982	11	20	40	$580	$25K
92014	75	200	170	$80	$17.1K
99214	451	1,660	90	$70	$11.4K
92136	11	30	210	$30	$9.2K
65855	9	10	40	$150	$8.6K
92012	80	90	50	$60	$7.4K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Elise In't Veld, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Ashar Luqman	IA	Nephrology Physician	$1.4M	$0
Taylor Slingsby	SD	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Elise In't Veld, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M
Encompass Mental Health, LLC	SD	Mental Health Counselor	$0	$908.7K
Avera Mckennan	SD	Infectious Disease Physician	$0	$852.9K

Elise In't Veld — 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