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

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

Stephen W. Groves Md, PC (NPI 1326087768)

Field	Value
Entity Type	Organization
Organization	Stephen W. Groves Md, PC
Address	9102 S Toledo Ave
City	Tulsa
State	OK
ZIP	74137
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 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…	8,160	$110	$881.6K
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.	3,600	$130	$464.5K
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…	3,260	$110	$362.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	11,980	$30	$359.5K
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.	15,590	$20	$280.7K
99204	The provider sees a new 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 provider…	1,340	$150	$195.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	6,850	$30	$178.2K
V2020	Frames, purchases	12,760	$10	$127.6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	5,000	$20	$115.1K
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…	1,360	$80	$103.6K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Stephen W. Groves Md, PC — 7 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

18 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…	363	1,680	820	$90	$307K
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…	9	350	530	$100	$143.4K
99204	The provider sees a new 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 provider…	77	720	120	$150	$94.5K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	114	120	90	$130	$92.8K
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.	11	310	230	$120	$85.3K
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…	11	100	120	$90	$67.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7	340	760	$30	$56.3K
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.	6	380	830	$20	$36.2K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	2	10	100	$30	$32.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8	270	330	$30	$27.5K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Stephen W. Groves Md, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alpha Medical Laboratory LLC	OK	Clinical Medical Laboratory	$6.6M	$1.2M
Thomas Denmark	OK	Family Medicine Physician	$5.3M	$0
Matthew Comstock	OK	Interventional Cardiology Physician	$2.8M	$0
Clinton J Baird Plc	OK	Neurological Surgery Physician	$0	$2.6M
Certigen Laboratory, LLC	OK	Clinical Medical Laboratory	$2.1M	$284.3K
Chris King Counseling Services LLC	OK	Professional Counselor	$0	$2.2M
Advanced Orthopedics Of Oklahoma PLLC	OK	Orthopaedic Surgery Physician	$0	$2M
Gilead Counseling Center LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.7M
Birth & Beyond Pediatrics, P.C.	OK	Pediatrics Physician	$0	$1.6M
Brandon Claflin	OK	Pain Medicine (Physical Medicine & Rehabilitation) Physician	$532.7K	$0

Stephen W. Groves Md, PC — Billing Profile & Reimbursement Data

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Stephen W. Groves Md, PC — 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