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

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

Wesley Optometry PC (NPI 1306037882)

Field	Value
Entity Type	Organization
Organization	Wesley Optometry PC
Address	302 Oakhill Rd
City	Jasper
State	AL
ZIP	35504
Taxonomy	Optometrist
NPI Enumerated	August 8, 2007

Payer Source	Total Paid
Medicaid	$848.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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…	5,130	$60	$328.6K
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.	2,030	$90	$172.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	8,890	$20	$151.2K
V2750	Anti-reflective coating, per lens	680	$100	$65.5K
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.	8,010	$10	$64.1K
V2020	Frames, purchases	1,630	$10	$22.8K
V2784	Lens, polycarbonate or equal, any index, per lens	1,550	$10	$15.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,020	$20	$15.3K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	380	$20	$9.1K
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…	60	$30	$1.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Wesley Optometry PC — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

12 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…	1,971	1,990	680	$60	$201.7K
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…	1,585	1,990	560	$40	$185.6K
V2750	Anti-reflective coating, per lens	23	70	470	$80	$92.1K
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…	22	330	720	$50	$85.5K
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.	42	320	400	$70	$70.3K
V2784	Lens, polycarbonate or equal, any index, per lens	56	140	1,130	$10	$47.6K
V2020	Frames, purchases	72	200	870	$10	$41.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	17	320	1,310	$20	$38.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	57	130	790	$10	$28.6K
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.	26	380	1,370	$10	$20.2K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Wesley Optometry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Wesley	AL	Optometrist	$50.3K	$0

Nearby Providers

Other providers in the same ZIP code as Wesley Optometry PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hmc Rural Health Clinic LLC	AL	Family Medicine Physician	$0	$1.7M
Myra Stafford	AL	General Practice Dentistry	$0	$1.6M
Walker Womens Specialists PC	AL	Specialist	$0	$968K
John Bivona	AL	Family Medicine Physician	$133.8K	$0
Jonathan Gates	AL	Physical Therapist	$114.3K	$0
Katherine Bivona	AL	Family Medicine Physician	$74.8K	$0
Emma Crumpton	AL	Physical Therapist	$32.4K	$0
Lisa Roper	AL	Speech-Language Pathologist	$15.1K	$0

Wesley Optometry PC — Billing Profile & Reimbursement Data

Sign up for Wesley Optometry PC — Billing Profile & Reimbursement Data policy alerts

Wesley Optometry PC — Billing Profile & Reimbursement Data

Sign up for Wesley Optometry PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References