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

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

Eye Care For Kids (NPI 1336294750)

Field	Value
Entity Type	Organization
Organization	Eye Care For Kids
Address	6911 S State St
City	Midvale
State	UT
ZIP	84047
Taxonomy	Optometrist
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$863.4K
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
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.	4,690	$120	$543.5K
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…	1,220	$120	$146.2K
V2020	Frames, purchases	3,740	$30	$97.3K
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.	6,210	$10	$37.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3,000	$1	$9K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	110	$70	$7.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,700	$1	$7.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	200	$40	$6.9K
V2784	Lens, polycarbonate or equal, any index, per lens	210	$30	$5.3K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	960	$1	$1.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Utah Distribution

Eye Care For Kids — 3 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Utah

Full comparison — all codes billed, vs. Utah median

12 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…	16	160	120	$100	$55.5K
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.	4	140	100	$90	$42.5K
V2020	Frames, purchases	5	80	180	$50	$36.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2	40	290	$60	$32K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3	40	150	$10	$6.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	9	30	50	$10	$6.2K
V2784	Lens, polycarbonate or equal, any index, per lens	5	10	210	$10	$4.8K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	3	10	20	$60	$3.6K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	3	10	180	$10	$3.4K
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.	3	210	170	$1	$2.7K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Eye Care For Kids, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Utah Autism Academy	UT	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Jordan School District	UT	Local Education Agency (LEA)	$0	$6.6M
Ihc Health Services Inc	UT	Specialty Pharmacy	$0	$6.5M
National Durable Medical Equipment Inc	UT	Prosthetic/Orthotic Supplier	$0	$3.7M
Next Level Recovery LLC	UT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$3.2M
Apria Healthcare LLC	UT	Durable Medical Equipment & Medical Supplies	$0	$2.1M
Community Health Centers, Inc.	UT	Federally Qualified Health Center (FQHC)	$0	$1.5M
Mg Cottonwood Heights Subtenant LLC	UT	Assisted Living Facility	$0	$1.4M
Canyon Creek Property Management LLC	UT	Assisted Living Facility	$0	$948.9K
Caregiving Services	UT	In Home Supportive Care Agency	$0	$808.6K

Eye Care For Kids — Billing Profile & Reimbursement Data

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Eye Care For Kids — 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