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

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

Beth Ballinger (NPI 1366583965)

Field	Value
Entity Type	Individual
Organization	Beth Ballinger
Address	901 Dover Dr
City	Newport Beach
State	CA
ZIP	92660
Taxonomy	Vision Therapy Optometrist
NPI Enumerated	February 8, 2007

Payer Source	Total Paid
Medicare	$43.5K
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
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…	350	$70	$25.4K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	190	$40	$6.5K
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…	50	$110	$5.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	60	$30	$1.9K
92081	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 a limited…	60	$30	$1.6K
92284	The provider performs a diagnostic test to evaluate how the patient's eyes adjust to changes in light and darkness. This test measures the function of retinal photoreceptors and may include…	40	$40	$1.5K
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.	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. California Distribution

Beth Ballinger — 0 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	1,978	2,890	110	$100	$28.7K
92012	503	1,620	150	$70	$23.6K
92004	1,769	1,950	50	$110	$9.7K
92065	6	10	190	$30	$9.6K
92250	1,129	2,170	70	$30	$4.8K
92284	20	30	50	$40	$4.5K
92081	34	110	40	$30	$1.7K

Nearby Providers

Other providers in the same ZIP code as Beth Ballinger, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Coast Bio Lab LLC	CA	Clinical Medical Laboratory	$1.4M	$2.1M
Leonid Lerner	CA	Ophthalmology Physician	$3.4M	$0
Lynn Dimino	CA	Dermatology Physician	$1.9M	$0
Newport Coast Surgery Center, LP	CA	Ambulatory Surgical Clinic/Center	$1.8M	$0
Bryan Doonan	CA	Family Medicine Physician	$1M	$579.3K
Gregory Henderson	CA	MOHS-Micrographic Surgery Physician	$1.5M	$0
George Semeniuk	CA	Hematology & Oncology Physician	$1.5M	$0
The Surgery Center Of Newport Coast, LLC	CA	Ambulatory Surgical Clinic/Center	$1.3M	$0
Adam Rotunda	CA	MOHS-Micrographic Surgery Physician	$1.1M	$0
Orthopedic Surgery Center Of Oc LLC	CA	Ambulatory Surgical Clinic/Center	$1.1M	$0

Beth Ballinger — Billing Profile & Reimbursement Data

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Beth Ballinger — 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