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

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

Nationwide Optometry P.C. (NPI 1326472945)

Field	Value
Entity Type	Organization
Organization	Nationwide Optometry P.C.
Address	2040 E Rio Salado Pkwy Ste 120
City	Tempe
State	AZ
ZIP	85288
Taxonomy	Optometrist
NPI Enumerated	August 30, 2013

Payer Source	Total Paid
Medicaid	$33.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

34 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…	274,200	$30	$9M
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.	167,090	$30	$5.3M
V2020	Frames, purchases	134,330	$40	$5.2M
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…	163,030	$30	$5.2M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	67,500	$30	$1.8M
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	39,030	$30	$1.2M
V2784	Lens, polycarbonate or equal, any index, per lens	47,280	$30	$1.2M
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…	29,050	$30	$871.5K
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.	86,880	$10	$781.9K
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…	17,710	$40	$743.9K

Showing 1–10 of 34

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Nationwide Optometry P.C. — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

34 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2783	Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens	2	10	710	$90	$624K
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…	221	3,040	750	$50	$343.9K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	13	20	960	$60	$329.3K
V2020	Frames, purchases	2	100	240	$30	$298.6K
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	150	250	$60	$293.9K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	8	10	810	$60	$284.3K
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…	119	2,780	600	$50	$267K
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	120	170	$80	$257K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2	60	60	$20	$229.9K
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	90	380	$50	$192.2K

Showing 1–10 of 34

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nationwide Vision Center, LLC	AZ	Optician	$0	$42.6M
Paul Petelin	AZ	Ophthalmology Physician	$631.6K	$0
Alex Cohen	AZ	Ophthalmology Physician	$580.1K	$0
Joseph Gira	MO	Ophthalmology Physician	$306.5K	$0
David Rockwell	AZ	Optometrist	$250.2K	$0
Nils Ohlsen	WA	Optometrist	$20.5K	$160.5K
Lynn Polonski	AZ	Ophthalmology Physician	$174.4K	$0
Cody Frank	AZ	Optometrist	$164.5K	$0
Douglas Hassenpflug	TN	Optometrist	$154.4K	$0
Brett Balocca	AZ	Optometrist	$148K	$0

Nearby Providers

Other providers in the same ZIP code as Nationwide Optometry P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nextcare Arizona LLC	AZ	Urgent Care Clinic/Center	$0	$161.7M
Lema Clinic LLC	AZ	Community/Behavioral Health Agency	$0	$16.2M
Kimberlee Wilson	AZ	Psychiatry Physician	$137.2K	$0
Kelly Dunican	AZ	Diagnostic Radiology Physician	$84.8K	$0
Meredith Johnson	AZ	Psychiatric/Mental Health Nurse Practitioner	$48.1K	$0
Brandon Chuman	AZ	Clinical Neuropsychologist	$37.1K	$0
Marie Grace De Leon	AZ	Psychiatric/Mental Health Nurse Practitioner	$24.5K	$0
Salaheddine Tomeh	AZ	Specialist	$15.8K	$0

Nationwide Optometry P.C. — Billing Profile & Reimbursement Data

Sign up for Nationwide Optometry P.C. — Billing Profile & Reimbursement Data policy alerts

Nationwide Optometry P.C. — Billing Profile & Reimbursement Data

Sign up for Nationwide Optometry P.C. — 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