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

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

Sunrise Eye Care PA (NPI 1366757593)

Field	Value
Entity Type	Organization
Organization	Sunrise Eye Care PA
Address	4 Park St
City	Calais
State	ME
ZIP	04619
Taxonomy	Optometrist
NPI Enumerated	August 12, 2010

Payer Source	Total Paid
Medicaid	$409K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	3,260	$60	$182.7K
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,…	4,510	$30	$117.2K
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.	1,350	$70	$93.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	920	$20	$15.7K
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.	600	$0	$0
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	390	$0	$0
G8732	No documentation of pain assessment, reason not given	320	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Sunrise Eye Care PA — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

7 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…	21	120	680	$50	$84.3K
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.	21	90	540	$70	$75.9K
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,…	3	40	370	$20	$29.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	18	50	460	$20	$16.2K
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.	51	100	600	$1	$1.7K
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	4	10	90	$0	$0
G8732	No documentation of pain assessment, reason not given	2	10	320	$0	$0

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carina Orcutt	ME	Optometrist	$44K	$0
Jennifer Kehrer	ME	Optometrist	$42.7K	$0
Lauren Shaffer	MI	Optometrist	$18.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Calais	ME	Local Education Agency (LEA)	$0	$7M
Discovery House Wc, Inc.	ME	Methadone Clinic	$109.5K	$5.7M
Sunrise Opportunities	ME	Developmentally Disabled Services Day Training Agency	$0	$3.6M
Calais Community Hospital	ME	Rural Health Clinic/Center	$0	$3.1M
Calais Community Hospital	ME	Critical Access Hospital	$0	$1.8M
City Of Calais	ME	Land Ambulance	$235.6K	$1M
St Croix Regional Family Health Center	ME	Federally Qualified Health Center (FQHC)	$0	$921.1K
Wal-mart Stores East LP	ME	Community/Retail Pharmacy	$108.6K	$700

Sunrise Eye Care PA — Billing Profile & Reimbursement Data

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Sunrise Eye Care PA — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References