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

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

Woodburn Eye Center, LLC (NPI 1255827689)

Field	Value
Entity Type	Organization
Organization	Woodburn Eye Center, LLC
Address	580 Glatt Cir
City	Woodburn
State	OR
ZIP	97071
Taxonomy	Optometrist
NPI Enumerated	July 9, 2018

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	16,290	$70	$1.1M
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…	11,190	$90	$1M
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.	2,380	$110	$257.4K
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.	14,750	$10	$206.6K
V2020	Frames, purchases	1,320	$20	$28.9K
V2784	Lens, polycarbonate or equal, any index, per lens	1,270	$20	$25.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,210	$20	$24.1K
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…	70	$70	$4.9K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	10	$30	$300

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Woodburn Eye Center, LLC — 3 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

9 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…	6	250	460	$80	$121.3K
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.	17	260	200	$100	$72.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2	210	450	$50	$68.8K
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…	32	50	120	$60	$62.9K
V2020	Frames, purchases	33	140	460	$20	$58K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	4	10	1,690	$20	$46.1K
V2784	Lens, polycarbonate or equal, any index, per lens	27	110	520	$10	$42.6K
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.	5	250	420	$10	$23.9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8	70	160	$10	$21K

Nearby Providers

Other providers in the same ZIP code as Woodburn Eye Center, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Telecare Mental Health Services Of Oregon, Inc	OR	Psychiatric Residential Treatment Facility	$0	$11M
Woodburn Pediatric Clinic LLP	OR	Pediatrics Physician	$0	$5.6M
Woodburn Ambulance Service, Inc.	OR	Land Ambulance	$572.7K	$4.4M
Dva Healthcare Renal Care Inc	OR	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Silverton Health	OR	Rural Health Clinic/Center	$0	$2.8M
Brightways Counseling Group At Woodburn LLC	OR	Mental Health Counselor	$0	$2.4M
Justin Walter	OR	Dentist	$0	$1.8M
Yakima Valley Farm Workers Clinic	OR	Federally Qualified Health Center (FQHC)	$0	$1.7M
Yakima Valley Farm Workers Clinic	OR	Federally Qualified Health Center (FQHC)	$0	$1.2M
Alison Carrigg	OR	Dermatopathology Physician	$265.4K	$0

Woodburn Eye Center, LLC — Billing Profile & Reimbursement Data

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Woodburn Eye Center, 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