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.

Ophthalmic Associates A Professional Corporation (NPI 1255325692)

Ophthalmic Associates A Professional Corporation is a ophthalmology physician provider located in Anchorage, Alaska. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Ophthalmic Associates A Professional Corporation
Address	542 W 2nd Ave
City	Anchorage
State	AK
ZIP	99501
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicaid	$456.4K
Medicare	$0

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

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	3,420	$60	$218.9K
99203	The provider sees a new 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 provider…	700	$100	$67.8K
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.	2,180	$20	$43.7K
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…	270	$90	$24.1K
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…	230	$100	$23.1K
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…	90	$170	$14.5K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	400	$30	$13.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	330	$40	$11.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	180	$70	$11.6K
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.	370	$30	$11.1K

Showing 1–10 of 15

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

Ophthalmic Associates A Professional Corporation — 0 of 15 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

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	101	490	680	$260	$1M
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…	295	440	580	$170	$458.7K
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…	59	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.	82	100	350	$260	$254.6K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	11	30	160	$310	$209.3K
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.	36	110	1,210	$30	$82.6K
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.	7	10	370	$30	$56.9K
99203	The provider sees a new 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 provider…	24	130	110	$120	$53.5K
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…	39	100	50	$180	$33.7K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	8	20	140	$80	$19.2K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Alaska Inc.	AK	Personal Care Attendant	$0	$25.7M
Narcotic Drug Treatment Center, Inc.	AK	Methadone Clinic	$151.2K	$21.7M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$20.3M
Municipality Of Anchorage	AK	Land Ambulance	$3.7M	$14M
Southcentral Foundation	AK	Rehabilitation Clinic/Center	$0	$17M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$16.3M
Northbridge, LLC	AK	Community/Behavioral Health Agency	$0	$14.3M
Mckinley Care LLC	AK	Assisted Living Facility	$0	$8.6M
Mary Heiman	AK	Case Manager/Care Coordinator	$0	$5.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$3.8M

Ophthalmic Associates A Professional Corporation — Billing Profile & Reimbursement Data

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Ophthalmic Associates A Professional Corporation — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eileen Myers	AK	Ophthalmology Physician	$283.5K	$0
Elizabeth Morgan	AK	Ophthalmology Physician	$213.4K	$0
Kelly Lorenz	AK	Ophthalmology Physician	$204.5K	$0
Laura Langford	AK	Optometrist	$172.4K	$0
Carl Rosen	AK	Ophthalmology Physician	$124.5K	$0
Nathan Frank	AK	Optometrist	$116.5K	$0
Shadia Tolliver	AK	Physician Assistant	$42.6K	$0
Kristi Wu	MI	Ophthalmology Physician	$37.2K	$0
Julia Shatten	AK	Cornea and External Diseases Specialist Physician	$19.7K	$0
Griffith Steiner	AK	Ophthalmology Physician	$14.4K	$0