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

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

Matthew Dodds (NPI 1225092562)

Key Findings

Field	Value
Entity Type	Individual
Organization	Matthew Dodds
Address	1421 Wilkins Cir
City	Casper
State	WY
ZIP	82601
Taxonomy	Specialist
NPI Enumerated	April 13, 2006

Payer Source	Total Paid
Medicare	$387.2K
Medicaid	$0

MATTHEW DODDS is a specialist based in CASPER, WY with an NPI enumerated on 2006-04-13 (~20 years ago). The provider’s lifetime Medicare revenue on file is $387.2K and there is no Medicaid billing on file, indicating the provider operates with effectively single-payer exposure to Medicare at present.

Revenue is highly concentrated in a small set of ophthalmology services: the precomputed top three Medicare codes account for 77.1% of the provider’s Medicare revenue. Those top contributors are 66984 ($176.8K, 45.6%), 92014 ($64.3K, 16.6%), and 66821 ($57.8K, 14.9%), which together dominate the revenue profile and suggest dependence on a narrow service mix.

The code mix points to a surgical ophthalmology practice centered on cataract care and related follow-up: 66984 (insertion of intraocular lens after cataract extraction) is the single largest revenue source, and 66821 (YAG capsulotomy) plus 92014 (comprehensive established eye exam) support a workflow of surgery plus pre/post-operative evaluation. Imaging and diagnostic codes such as 92136 (axial length), 92134 (retinal OCT), 92133 (optic nerve OCT), and 92083 (visual field) are present and consistent with specialty ophthalmic diagnostics, but they contribute modestly to revenue relative to the surgical codes.

Competitive standing is mixed across codes: 66984 ranks #3214 of 15965 providers nationally (80th percentile), indicating a typical but not dominant national volume for cataract surgery; 66821 ranks #632 of 10087 (94th percentile), showing above-typical national volume for YAG capsulotomy; and 92014 ranks #2508 of 35415 (93th percentile), consistent with a relatively strong presence in comprehensive established exams. Overall, the provider appears to be a modest-to-strong participant in cataract-related services rather than a national outlier across all ophthalmology activity.

There is a notable statistical outlier in evaluation-and-management coding: 99204 (new patient, moderate complexity) is listed as an "extreme outlier, far above typical national volume," with 320 claims and $33.9K (8.8%) of Medicare revenue and a national rank of #1035 of 227068 (100th percentile). This unusually high volume of mid-complexity new-patient visits relative to peers could reflect a referral intake pattern, a high rate of surgical consults converting from new-patient evaluations, or other practice-level intake dynamics that warrant further operational review.

Absence of Medicaid billing ("none below") means this provider’s public-payer exposure is concentrated entirely in Medicare on the claims available, which reduces diversification of payer mix. That concentration increases sensitivity to Medicare-specific reimbursement changes, beneficiary demographics, and local Medicare volume trends; it also limits visibility into Medicaid-dependent patient segments in Wyoming.

Ancillary and diagnostic services supply supportive revenue but remain secondary to the surgical core: 92136 shows 442 claims and $12.8K (3.3%) of revenue and ranks #813 of 8731 providers (91th percentile), while 92134 (221 claims, $6.2K, 1.6%) and 92133 (165 claims, $4K, 1.0%) indicate a steady throughput of imaging studies used for perioperative planning and disease monitoring. These ancillary services reinforce the cataract and retina diagnostic workflow but do not materially diversify the revenue base.

From an operational perspective, the practice’s dependence on cataract procedures and a single-payer (Medicare) revenue stream—combined with nearly 20 years of NPI tenure—paints the profile of an established, surgery-focused ophthalmology provider. The concentration (top three codes = 77.1%) suggests that changes in surgical volume, referral patterns, or Medicare policy for ophthalmic procedures would materially affect the provider’s financial performance, so payers and partners should prioritize monitoring trends in 66984, 92014, and 66821 when evaluating this entity.

Medicare: Complete Services Breakdown

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

14 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…	430	$410	$176.8K
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…	810	$80	$64.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	250	$230	$57.8K
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…	320	$110	$33.9K
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	$60	$14.7K
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…	440	$30	$12.8K
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…	190	$40	$7.7K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	220	$30	$6.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	120	$40	$4.6K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	170	$20	$4K

Showing 1–10 of 14

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Of Wyoming	WY	Federally Qualified Health Center (FQHC)	$0	$14.8M
Bear Country Home Healthcare	WY	Home Health Agency	$0	$7.8M
Wyoming Independent Living Rehabilitation, Inc.	WY	Case Management Agency	$0	$4.7M
Wyoming Medical Center Inc	WY	General Acute Care Hospital	$0	$4.4M
Douglas Holmes	WY	Retina Specialist (Ophthalmology) Physician	$4.1M	$0
Emergency Medical Physicians PC	WY	Emergency Medicine Physician	$0	$4.1M
Acm Therapy Group LLC	WY	Occupational Therapist	$0	$3.6M
Emg Casper Pp LLC	WY	Assisted Living Facility	$0	$3.5M
Renewed Hope Foundation, Inc.	WY	Physical Therapist	$0	$2.6M
Optimal Physical Therapy, LLC	WY	Physical Therapy Clinic/Center	$0	$2.5M

Matthew Dodds — 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

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
68761	3	10	70	$60	$100.5K
66984	3	80	50	$410	$39.9K
92014	3	80	190	$80	$21.5K
66821	1	30	40	$220	$14.9K
92136	3	10	440	$20	$10.7K
99213	204	850	110	$60	$9.9K
92134	13	80	70	$30	$5K
99204	1	340	30	$110	$5K
92083	4	70	40	$40	$3.4K
99203	221	380	30	$70	$3.3K