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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Laconia Eye Associates PA (NPI 1295875383)

Field	Value
Entity Type	Organization
Organization	Laconia Eye Associates PA
Address	368 Hounsell Ave
City	Gilford
State	NH
ZIP	03249
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 7, 2007

Payer Source	Total Paid
Medicaid	$62K
Medicare	$0

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	1,400	$20	$29.3K
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.	290	$70	$20.9K
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…	220	$50	$11.2K
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…	20	$30	$500
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,…	20	$10	$90

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Laconia Eye Associates PA — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	380	420	480	$50	$223.9K
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…	58	100	480	$50	$53.8K
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.	39	90	210	$70	$35K
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.	47	130	700	$20	$28.6K
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,…	19	20	140	$20	$9.6K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Laconia Eye Associates PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Douglas Scott	NH	Ophthalmology Physician	$500.8K	$0
Andrew Garfinkle	NH	Ophthalmology Physician	$143.8K	$0
Cynthia Lawrence	NH	Optometrist	$76.3K	$9.5K
Reid Feller	ME	Ophthalmology Physician	$78.8K	$0
Catherine Vishton	VT	Optometrist	$53.6K	$0

Nearby Providers

Other providers in the same ZIP code as Laconia Eye Associates PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Children's Dentistry Of The Lakes Region, PLLC	NH	Dentist	$0	$16.7M
Horizons Counseling Center, Inc.	NH	Community/Behavioral Health Agency	$0	$263.5K
Bahder Behavioral Services LLC	NH	Psychiatry Physician	$0	$254.5K
David Parisi	NH	Clinical Social Worker	$11.2K	$175.4K
Cvs Manchester Nh, L.L.C.	NH	Pharmacy	$163.8K	$0
Stephen Catalano	NH	Clinical Child & Adolescent Psychologist	$0	$145.4K
Town Of Gilford	NH	Land Ambulance	$130.8K	$1.8K
Wal-mart Stores East LP	NH	Community/Retail Pharmacy	$100.4K	$0
Jacqueline Abikoff	NH	Addiction (Substance Use Disorder) Counselor	$0	$98K
Savida Health, PC	NH	Addiction Medicine (Internal Medicine) Physician	$0	$90K

Laconia Eye Associates PA — Billing Profile & Reimbursement Data

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Laconia Eye Associates PA — 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