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 Armed Forces Pacific for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Armed Forces Pacific 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. Armed Forces Pacific (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.

Nicholas Hardgrave (NPI 1285907139)

Field	Value
Entity Type	Individual
Organization	Nicholas Hardgrave
Address	36th Medical Group-andersen Afb Clinic/optometry
City	Apo
State	AP (Armed Forces Pacific)
ZIP	96543
Taxonomy	Optometrist
NPI Enumerated	February 22, 2012

Payer Source	Total Paid
Medicare	$22.6K
Medicaid	$0

Key Findings

Provider profile and tenure: NICHOLAS HARDGRAVE is enumerated as an Optometrist (NPI registered 2012-02-22, ~14 years ago) and has reported lifetime Medicare revenue of $22.6K with no Medicaid billing on file. This combination of a long enumeration date and very small lifetime Medicare receipts suggests a low-volume clinical presence rather than a high-throughput practice within the Medicare program.

Revenue concentration: the top three Medicare codes (92014, 92004, 66984) account for 65.5% of this provider's total Medicare revenue, with 92014 at 34.3%, 92004 at 17.1%, and 66984 at 14.2%. This concentration indicates that a small set of services disproportionately drives the provider's Medicare receipts rather than a broad, evenly distributed service mix.

Business/service-line implications: the dominant codes 92014 and 92004 are comprehensive eye examinations for established and new patients respectively, and 92250 (fundus photography) and 99213/99214 (office E/M visits) are also among the top billers; together these codes describe a practice focused on comprehensive ocular evaluations and diagnostic imaging. The presence of 66984 (intraocular lens insertion after cataract removal) in the top three suggests involvement in cataract-related procedural care or co-management/billing relationships that extend beyond purely office-based optometry services.

Payer mix and network impact: this provider is effectively single-payer in the available data — reporting $22.6K from Medicare and none from Medicaid (no Medicaid billing on file). For payers evaluating Medicaid network capacity, this provider will not materially affect Medicaid access; for Medicare analyses, the provider represents a very small individual contributor to spend.

Competitive standing by code: volumes for the leading codes are described as "typical, unremarkable volume for this code," with 92014 ranking #19293 of 35415 (45th percentile) and 92004 ranking #10895 of 26467 (58th percentile), indicating routine participation rather than market leadership. 92250 ranks #6974 of 25087 (72th percentile), which is relatively higher within its peer set, but overall rank and revenue position across codes point to a modest national footprint rather than a dominant competitive standing.

Service-intensity and revenue mix: procedural and diagnostic codes carry meaningful average paid/claim differentials (e.g., $73 for 92014, $84 for 92004, $80 for 66984, and $23 for 92250) and together produce concentrated revenue streams—92014 alone generated $7.7K and 92250 generated $3.1K in lifetime Medicare revenue. Office visit codes 99213 ($3K, 13.4% of Medicare revenue) and 99214 ($1.7K, 7.5%) also contribute a nontrivial share, indicating that E/M activity complements the exam and diagnostic work in driving revenue.

Observed billing scale and operational inference: claim counts are modest in absolute terms (for example, 106 claims for 92014, 133 claims for 92250, and 46 claims for 92004) which—combined with the $22.6K lifetime Medicare revenue—suggests a small-volume practice or limited Medicare-facing activity. Analysts considering referral networks or local capacity should treat this provider as a low-volume contributor whose impact on overall utilization and spend will be limited.

Medicare: Complete Services Breakdown

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

6 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…	110	$70	$7.7K
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.	50	$80	$3.9K
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…	40	$80	$3.2K
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,…	130	$20	$3.1K
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…	50	$60	$3K
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…	30	$70	$1.7K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes. Note: this provider's state, "AP," is a US military postal designation for Armed Forces stationed in the Asia-Pacific region — not a traditional US state; the State panel below benchmarks against other providers coded under the same designation.

View: State1 / 2

Claims Volume vs. Armed Forces Pacific Distribution

Nicholas Hardgrave — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Armed Forces Pacific

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	14	20	60	$80	$9.1K
92014	1	10	110	$70	$7.7K
99213	6	10	30	$50	$4.2K
66984	1	10	40	$80	$3.2K
92250	1	10	130	$20	$3K
92004	1	10	30	$80	$2.5K

Nicholas Hardgrave — 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

Frequently Asked Questions

References