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

Why is the Medicaid comparison limited to North Carolina 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. North Carolina (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.

North Carolina Correction Enterprises Optical (NPI 1376576777)

Field	Value
Entity Type	Organization
Organization	North Carolina Correction Enterprises Optical
Address	2869 Us Highway 64a
City	Nashville
State	NC
ZIP	27856
Taxonomy	Eyewear Supplier
NPI Enumerated	July 9, 2006

Payer Source	Total Paid
Medicaid	$35.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	1,721,870	$10	$15.5M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,155,630	$10	$9.2M
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	242,280	$10	$2.7M
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	221,200	$10	$1.8M
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	189,930	$10	$1.7M
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	138,210	$10	$967.5K
V2710	Slab off prism, glass or plastic, per lens	16,200	$40	$599.3K
V2780	Oversize lens, per lens	238,380	$1	$476.8K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	52,290	$10	$470.6K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	18,490	$20	$406.8K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Carolina Distribution

North Carolina Correction Enterprises Optical — 4 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Carolina

Full comparison — all codes billed, vs. North Carolina median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	1	10	189,930	$10	$1.6M
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1	10	121,150	$10	$1.3M
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	1	10	138,210	$10	$1M
V2710	Slab off prism, glass or plastic, per lens	1	10	16,200	$40	$606.5K
V2780	Oversize lens, per lens	1	10	238,380	$1	$595.6K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	1	10	52,290	$10	$480.1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1	10	120	$10	$438.1K
V2730	Special base curve, glass or plastic, per lens	1	10	26,570	$20	$404.8K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	1	10	18,490	$20	$397.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1	30	40	$10	$376K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as North Carolina Correction Enterprises Optical, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Timnecia Richardson	NC	Family Nurse Practitioner	$212.9K	$0
Godfried Arthur	NC	Family Medicine Physician	$80K	$0

North Carolina Correction Enterprises Optical — Billing Profile & Reimbursement Data

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North Carolina Correction Enterprises Optical — Billing Profile & Reimbursement Data

Sign up for North Carolina Correction Enterprises Optical — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References