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

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

Ideal Vision Center LLC (NPI 1316103609)

Field	Value
Entity Type	Organization
Organization	Ideal Vision Center LLC
Address	302 S Route 4
City	Hagatna
State	GU
ZIP	96910
Taxonomy	Clinic/Center
NPI Enumerated	August 6, 2008

Payer Source	Total Paid
Medicaid	$81.5K
Medicare	$0

Key Findings

IDEAL VISION CENTER LLC appears to be effectively a single-payer Medicaid provider: there is no Medicare billing on file and total Medicaid revenue on record is $81.5K, indicating that all reported government reimbursement comes from Medicaid. This places the practice’s public-payer footprint squarely within state Medicaid rather than a mixed Medicare/Medicaid model.

Medicaid revenue is highly concentrated in a very small code set: the precomputed top-3 codes account for 100.0% of the provider’s Medicaid revenue, with V2199 representing 77.4% of Medicaid dollars and 92015 representing 22.6%. That concentration means a handful of services (primarily lens supply and eye examination/refraction) drive the entire Medicaid revenue stream.

The code mix shows a clinical focus on optical dispensing and basic vision services: V2199 (single vision lens) generated $63.1K from 517 claims at a $122 avg paid/claim, while 92015 (vision determination/refraction) produced $18.5K from 923 claims at a $20 avg paid/claim. Together these codes suggest the operation functions as an eye clinic/optical provider that pairs high-volume, low-paid refractions with higher-dollar lens sales.

Operational revenue dynamics are asymmetric: V2199 delivers the majority of dollars through fewer, higher-paid claims (517 claims at $122 avg), whereas 92015 shows a higher claim count (923 claims) but much lower average payment ($20 avg). This pattern implies revenue is driven more by product dispensing (single vision lenses) than by professional exam fees under Medicaid.

State-level competitive standing is modest rather than dominant: V2199 ranks #2 of 4 in-state providers (67th percentile) and 92015 ranks #2 of 5 in-state providers (75th percentile), with both described as typical, unremarkable volumes for those codes. These rankings indicate the provider participates in the state market at a middle-to-upper-middle level but does not appear to be a statewide leader for these services.

The practice has an established operational tenure: the NPI was enumerated on 2008-08-06 (~18 years ago), reflecting a long-term presence in the market that could support steady referral or patient relationships despite modest Medicaid scale. Longevity suggests the billing patterns observed are likely the result of sustained service focus rather than a short-term or new entrant artifact.

The extremely narrow Medicaid service mix — with two codes accounting for the full recorded Medicaid revenue — makes the provider sensitive to reimbursement or policy changes affecting lens supply and refraction services. This concentration presents both a vulnerability to negative payment shifts for V2199/92015 and a clear, data-backed opportunity area if the provider or payers pursue service diversification or alternative payment arrangements.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2199	Not otherwise classified, single vision lens	520	$120	$63.1K
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.	920	$20	$18.5K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Guam Distribution

Ideal Vision Center LLC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Guam

Full comparison — all codes billed, vs. Guam median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2199	Not otherwise classified, single vision lens	2	10	480	$120	$63.3K
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.	2	10	900	$20	$15.9K

Nearby Providers

Other providers in the same ZIP code as Ideal Vision Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rsa - Guam, LLC	GU	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.4M
Pacific Med & Nephrology	GU	Multi-Specialty Clinic/Center	$0	$2.3M
Guam Fire Department	GU	Land Ambulance	$277.5K	$1.3M
Advanced Eyecare, LLC	GU	Ophthalmology Physician	$0	$813.8K
Peter Lombard	GU	Ophthalmology Physician	$575.7K	$0
Robert Nerves	GU	Nephrology Physician	$238.7K	$0
Kunsun Lee	GU	Dentist	$0	$168.2K
Saied Safabakhsh	GU	Nephrology Physician	$68K	$0
Evangeline Claassens	GU	Family Nurse Practitioner	$39.4K	$0
Carla Haddock	GU	Family Nurse Practitioner	$34K	$0

Ideal Vision Center LLC — Billing Profile & Reimbursement Data

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Ideal Vision Center LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References