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

Why is the Medicaid comparison limited to New Jersey 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. New Jersey (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.

Midatlantic Eye Center Inc (NPI 1366414633)

Field	Value
Entity Type	Organization
Organization	Midatlantic Eye Center Inc
Address	70 E Front St
City	Red Bank
State	NJ
ZIP	07701
Taxonomy	Ophthalmologic Surgery Clinic/Center
NPI Enumerated	February 2, 2006

Payer Source	Total Paid
Medicare	$282.6K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	220	$890	$197.4K
67036	The provider removes vitreous fluid from the eye to access the posterior segment of the eye and introduce surgical instruments through incisions in the pars plana.	30	$1,120	$29.1K
67041	In this procedure, the provider removes scar tissue from the retinal membrane that obscures vision. He removes vitreous humor, the gelatinous material that gives shape to the eye, using a mechanical…	10	$1,600	$22.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	90	$210	$19K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	70	$110	$7K
66710	The provider destroys a portion of ciliary body using a laser beam. This procedure decreases the fluid production in the eye, thereby decreasing intraocular pressure.	20	$370	$6.7K
67141	The provider prevents the detachment of the retina in the presence of small tears or thinning of the edges (lattice degeneration) by using extreme cold or heat to create scar tissue to strengthen the…	10	$100	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. New Jersey Distribution

Midatlantic Eye Center Inc — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Jersey

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	88	370	100	$670	$141.2K
67041	7	10	20	$1,150	$25.3K
67036	7	20	20	$950	$19.9K
66821	53	290	40	$270	$16.7K
66710	5	10	20	$440	$11.4K
65855	24	100	40	$180	$9.4K
67141	1	10	10	$140	$1.7K

Nearby Providers

Other providers in the same ZIP code as Midatlantic Eye Center Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cpc Integrated Health, Inc.	NJ	Community/Behavioral Health Agency	$0	$80.7M
Hackensack Meridian Health Medical Group - Specialty Care PC	NJ	Surgical Critical Care Physician	$0	$50.1M
Hmh Hospitals Corporation	NJ	General Acute Care Hospital	$0	$26.4M
Caring With Compassion	NJ	Developmentally Disabled Services Day Training Agency	$0	$23.7M
Hackensack Meridian Health Medical Group - Primary Care PC	NJ	Family Medicine Physician	$0	$21.9M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$16M
Hackensack Meridian Health Medical Group - Complex Care PC	NJ	Internal Medicine Physician	$0	$11.6M
Cpc Integrated Health, Inc.	NJ	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.8M
Meridian Medical Group - Specialty Care, PC	NJ	Specialist	$0	$8.2M
Middletown Medical, LLC	NJ	Methadone Clinic	$454.8K	$7.8M

Midatlantic Eye Center Inc — Billing Profile & Reimbursement Data

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Midatlantic Eye Center Inc — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References