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

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

Southside Eyecare, LLC (NPI 1245403377)

Field	Value
Entity Type	Organization
Organization	Southside Eyecare, LLC
Address	9350 Independence Dr
City	Anchorage
State	AK
ZIP	99507
Taxonomy	Optometrist
NPI Enumerated	April 9, 2008

Payer Source	Total Paid
Medicaid	$215.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	870	$130	$109.6K
92015	The 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.	2,120	$20	$48.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	630	$50	$28.9K
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.	170	$170	$28.6K
1036F	N/A	1,080	$0	$0
2024F	The ophthalmology or optometry provider takes photos of the eye in seven standard fields in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in…	50	$0	$0
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	30	$0	$0
G8420	Bmi is documented within normal parameters and no follow-up plan is required	430	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	110	$0	$0
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	20	$0	$0

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alaska Distribution

Southside Eyecare, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	39	100	460	$250	$317.6K
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.	59	100	350	$260	$254.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	37	60	900	$80	$174.2K
92015	The 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.	38	110	1,210	$30	$82.6K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	16	20	90	$1	$1
1036F	N/A	6	10	1,200	$0	$0
2024F	The ophthalmology or optometry provider takes photos of the eye in seven standard fields in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in…	1	10	50	$0	$0
G8420	Bmi is documented within normal parameters and no follow-up plan is required	2	10	830	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	7	10	120	$0	$0
G8430	Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and…	2	10	60	$0	$0

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Southside Eyecare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hearts And Hands Of Care Inc	AK	In Home Supportive Care Agency	$0	$81M
Gentle Care Services Inc.	AK	In Home Supportive Care Agency	$0	$16.6M
Btydental Group, LLC	AK	Dentist	$0	$11.4M
Senior Care Specialists	AK	Respite Care	$0	$9.1M
Alzheimer's Disease Resource Agency Of Alaska, Inc.	AK	Case Manager/Care Coordinator	$0	$5.6M
Loving Home Care, LLC	AK	Assisted Living Facility	$0	$5.3M
Springcreek Dowling LLC	AK	Assisted Living Facility	$0	$5M
Alaska Dinner Factory, Inc.	AK	Home Delivered Meals	$0	$4.1M
Reading Write Alaska Inc	AK	Speech-Language Pathologist	$0	$2.9M
Mv Public Transportation, Inc.	AK	Non-emergency Medical Transport (VAN)	$0	$2.6M

Southside Eyecare, LLC — Billing Profile & Reimbursement Data

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Southside Eyecare, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References