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

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

Cody Lay (NPI 1316091416)

Field	Value
Entity Type	Individual
Organization	Cody Lay
Address	818 E 23rd St
City	Columbus
State	NE
ZIP	68601
Taxonomy	Optometrist
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$347.1K
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
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.	1,930	$70	$140.8K
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…	1,770	$60	$108K
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.	5,070	$20	$86.3K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	180	$40	$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…	110	$40	$4K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Cody Lay — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

5 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…	27	140	220	$50	$45K
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.	14	130	250	$60	$44.3K
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.	23	210	660	$10	$25.5K
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…	67	110	180	$30	$16.8K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	37	110	90	$40	$10.8K

Nearby Providers

Other providers in the same ZIP code as Cody Lay, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Midwest Medical Transport Company LLC	NE	Ambulance	$20.7M	$30.1M
Columbus Community Hospital Inc	NE	General Acute Care Hospital	$0	$8.9M
Good Neighbor Community Health Center	NE	Federally Qualified Health Center (FQHC)	$0	$4.7M
Behavioral Health Specialists, Inc Seekers Of Serenity Place	NE	Substance Abuse Rehabilitation Facility	$0	$4.1M
Cch Pediatric Clinic PC	NE	Pediatrics Physician	$0	$3.1M
Columbus Urgent Care LLC	NE	Urgent Care Clinic/Center	$0	$1.4M
Good Neighbor Community Health Center	NE	Public Health or Welfare Agency	$0	$1.1M
Columbus Physical Therapy, P.C.	NE	Physical Therapist	$0	$785K
Peter Diedrichsen	NE	Ophthalmology Physician	$749.8K	$0
Columbus Family Practice Associates, P.C.	NE	Family Medicine Physician	$0	$716.2K

Cody Lay — Billing Profile & Reimbursement Data

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Cody Lay — 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