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

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

Millsboro Eye Care LLC (NPI 1366550600)

Field	Value
Entity Type	Organization
Organization	Millsboro Eye Care LLC
Address	28322 Lewes Georgetown Hwy
City	Milton
State	DE
ZIP	19968
Taxonomy	Ophthalmology Physician
NPI Enumerated	August 28, 2006

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	6,620	$80	$516.7K
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…	2,560	$110	$273.8K
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…	1,950	$40	$83.7K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	2,630	$30	$71.1K
V2020	Frames, purchases	1,320	$40	$54.3K
V2784	Lens, polycarbonate or equal, any index, per lens	2,430	$20	$36.5K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,530	$20	$29K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	900	$20	$14.4K
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.	560	$20	$9.6K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	40	$40	$1.8K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Millsboro Eye Care LLC — 2 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

13 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…	3	40	330	$50	$172.4K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	8	20	1,530	$20	$170.6K
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…	20	180	220	$90	$101.5K
V2020	Frames, purchases	22	60	530	$30	$46.3K
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…	5	20	230	$30	$36.8K
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.	16	40	460	$10	$22.4K
V2784	Lens, polycarbonate or equal, any index, per lens	2	30	280	$30	$17.6K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	8	10	390	$30	$16.9K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	2	20	360	$20	$14.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	10	40	360	$20	$13.5K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Millsboro Eye Care LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Edward Jaoude	DE	Ophthalmology Physician	$871.1K	$0
Timothy Smith	DE	Optometrist	$385.3K	$4K
Amanda Smith	DE	Optometrist	$278.2K	$0
Laurie Conti	DE	Optometrist	$203.8K	$44.9K
Karen Rudo	DE	Ophthalmology Physician	$146.4K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lowell F Scott Jr Md PA	DE	Pediatrics Physician	$0	$974.3K
Jimmy Moon	DE	Home Modifications Contractor	$0	$964.8K
Susan Corey	DE	Psychiatric/Mental Health Nurse Practitioner	$134K	$347.4K
Jonathan Patterson	DE	Diagnostic Radiology Physician	$399.5K	$0
Grace Visitation Services	DE	In Home Supportive Care Agency	$0	$389.7K
Fellowship Health Resources, Inc.	DE	Psychiatric Residential Treatment Facility	$0	$319.8K
Thomas Kelly	DE	Internal Medicine Physician	$282.9K	$0
Milton Fire Department Inc	DE	Land Ambulance	$210.3K	$14.7K
Mercer Dental Associates	DE	Dentist	$0	$212.3K
Uday Jani	DE	Internal Medicine Physician	$172.2K	$0

Millsboro Eye Care LLC — Billing Profile & Reimbursement Data

Sign up for Millsboro Eye Care LLC — Billing Profile & Reimbursement Data policy alerts

Millsboro Eye Care LLC — Billing Profile & Reimbursement Data

Sign up for Millsboro Eye Care LLC — 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