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

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

City Optical Co., Inc. (NPI 1265421366)

Field	Value
Entity Type	Organization
Organization	City Optical Co., Inc.
Address	982 N Mitthoeffer Road
City	Indianapolis
State	IN
ZIP	46229
Taxonomy	Optometrist
NPI Enumerated	October 20, 2005

Payer Source	Total Paid
Medicaid	$5.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	15,260	$110	$1.6M
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…	13,320	$90	$1.2M
V2020	Frames, purchases	29,780	$40	$1.1M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	14,470	$40	$636.7K
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.	32,300	$10	$452.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	3,940	$40	$145.8K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,460	$50	$113.1K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	630	$170	$103.5K
V2755	U-v lens, per lens	3,900	$30	$101.3K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1,200	$40	$43.1K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

City Optical Co., Inc. — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	14	40	420	$120	$120.4K
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…	9	690	360	$70	$110.9K
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.	4	560	310	$90	$106.9K
V2020	Frames, purchases	4	710	490	$30	$72.5K
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,…	757	880	250	$40	$59.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	7	450	260	$40	$52.9K
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.	8	840	390	$10	$30.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	22	360	250	$30	$28.4K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	10	140	100	$50	$26.1K
V2755	U-v lens, per lens	17	220	270	$20	$25.6K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with City Optical Co., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
City Optical Co., Inc.	IN	Optometrist	$0	$7.9M
City Optical Co., Inc.	IN	Optometrist	$0	$6.5M
City Optical Co., Inc.	IN	Optometrist	$0	$6M
City Optical Co., Inc.	IN	Optometrist	$0	$5.9M
City Optical Co., Inc.	IN	Optometrist	$0	$3.7M
City Optical Co., Inc.	IN	Optometrist	$0	$3.5M
City Optical Co., Inc.	IN	Optometrist	$0	$3.3M
City Optical Co., Inc.	IN	Optometrist	$0	$2.8M
Barbara Tylka	MN	Optometrist	$73.4K	$4.6K
Syeda Ahmed	IN	Optometrist	$73.2K	$0

Nearby Providers

Other providers in the same ZIP code as City Optical Co., Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jane Pauley Community Health Center Inc	IN	Federally Qualified Health Center (FQHC)	$0	$30.1M
Beltway Surgery Centers, LLC	IN	Ambulatory Surgical Clinic/Center	$867.2K	$0
Peter Koerner	IN	Optometrist	$132.9K	$0
Haihong Mao	IN	Family Medicine Physician	$100.7K	$0
Issa Shammas	IN	Internal Medicine Physician	$79K	$0
Brett Fink	IN	Orthopaedic Surgery Physician	$57.6K	$0
Kristin Kindred	IN	Foot & Ankle Surgery Podiatrist	$28.2K	$0
Mary Ann Wietbrock	IN	Clinical Nurse Specialist	$15.1K	$0
Krista Brandle	IN	Clinical Social Worker	$1.6K	$0

City Optical Co., Inc. — Billing Profile & Reimbursement Data

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City Optical Co., Inc. — 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