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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill (NPI 1386812634)

S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill is a ophthalmology physician provider located in Washington, District of Columbia. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill
Address	650 Pennsylvania Ave Se
City	Washington
State	DC
ZIP	20003
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 20, 2008

Payer Source	Total Paid
Medicaid	$21.1K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,420	$10	$7.1K
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…	420	$10	$5.1K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	20	$200	$3.9K
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…	380	$10	$3.4K
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,…	170	$10	$1.2K
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	130	$1	$400
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…	490	$0	$0
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.	240	$0	$0
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	20	$0	$0
92286	In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then…	50	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	111	320	620	$50	$313.6K
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…	16	30	490	$60	$81.8K
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…	12	20	740	$30	$58.7K
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,…	16	20	510	$30	$50.2K
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.	26	40	580	$10	$23.7K
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…	10	20	340	$20	$11.6K
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	10	20	240	$10	$11.6K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	1	10	20	$200	$3.9K
92025	The provider measures the curvature of one or both corneas, interprets the findings, and prepares a report.	3	10	60	$20	$3.2K
92286	In this procedure, the provider examines the structures in the anterior, or front, segment of the eye. He identifies abnormalities in the vasculature, such as those associated with neoplasia. He then…	2	10	50	$20	$910

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Universal Home Healthcare Inc.	DC	Home Health Agency	$0	$69.8M
Community Connections Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$69.4M
Iya Homes And Community Solutions, LLC	DC	Community/Behavioral Health Agency	$0	$11.3M
Psi Services 111 Inc.	DC	Developmentally Disabled Services Day Training Agency	$0	$5.4M
Husband Therapeutics	DC	Home Health Agency	$0	$2.7M
Juanita Bryant	DC	Retina Specialist (Ophthalmology) Physician	$1.9M	$239.4K
Accent On Health, LLC	DC	Internal Medicine Physician	$0	$1.3M
Grubbs Pharmacy Of Dc Inc	DC	Community/Retail Pharmacy	$106.5K	$935.3K
Alfred Burris	DC	Cardiovascular Disease Physician	$469.2K	$356.3K
Christopher Burris	DC	Ophthalmology Physician	$127.7K	$642.6K

S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill — Billing Profile & Reimbursement Data

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S.i. Butrus, M.d., P.C. Eye Center On Capitol Hill — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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