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

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

Balian Eye Center, LLC (NPI 1386671824)

Field	Value
Entity Type	Organization
Organization	Balian Eye Center, LLC
Address	432 W. University Dr.
City	Rochester
State	MI
ZIP	48307
Taxonomy	Ophthalmologic Surgery Clinic/Center
NPI Enumerated	June 28, 2006

Payer Source	Total Paid
Medicare	$269.2K
Medicaid	$0

Medicare: Complete Services Breakdown

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

3 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…	250	$820	$203.4K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	50	$820	$37.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	140	$200	$28K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Michigan Distribution

Balian Eye Center, LLC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	72	480	70	$470	$69.5K
66982	24	130	30	$630	$22.2K
66821	24	310	40	$230	$13.4K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Efthemios Raphtis	MI	Ophthalmology Physician	$307.2K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Henry Ford Health Rochester Hospital	MI	General Acute Care Hospital	$0	$12M
Pediatric Consultants Of Troy, P.C.	MI	Pediatrics Physician	$0	$6.1M
Osi, LLC	MI	Ambulatory Surgical Clinic/Center	$1.8M	$0
Rochester Endoscopy & Surgery Center, L.L.C.	MI	Ambulatory Surgical Clinic/Center	$1.2M	$1.4K
Ayad Abrou	MI	MOHS-Micrographic Surgery Physician	$1.1M	$0
David Byrd	MI	MOHS-Micrographic Surgery Physician	$829.3K	$0
Delfin Santos	MI	Rheumatology Physician	$743K	$0
Zakwan Mahjoub	MI	Interventional Cardiology Physician	$687K	$0
Mukesh Shah	MI	Hematology & Oncology Physician	$619.3K	$0
Farah Dawood-farah	MI	Endocrinology, Diabetes & Metabolism Physician	$533.3K	$0

Balian Eye Center, LLC — Billing Profile & Reimbursement Data

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Balian Eye Center, LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References