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

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

Juli Larson (NPI 1396796710)

Field	Value
Entity Type	Individual
Organization	Juli Larson
Address	1100 Hinesburg Rd
City	South Burlington
State	VT
ZIP	05403
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 12, 2006

Payer Source	Total Paid
Medicare	$161.8K
Medicaid	$0

Key Findings

JULI LARSON’s Medicare billing is concentrated: total Medicare revenue on file is $161.8K and the precomputed top‑three Medicare codes account for 74.7% of that total. The largest single-line driver is 66984, which generated $99.4K (61.4% of Medicare revenue) across 246 claims, indicating a practice highly oriented toward cataract extraction with intraocular lens placement.

Clinical/service-line profile aligns with a cataract-focused ophthalmology practice: the top codes are 66984 (extracapsular cataract extraction with IOL), 66821 (laser capsulotomy), and 66982 (complex IOL insertion), and ancillary codes such as 92136 (biometry) and 92014/92004 (comprehensive exams for established and new patients) appear among the top procedures. This mix—high surgical revenue from 66984 plus significant counts in preoperative measurement (92136: 243 claims) and postoperative laser care (66821: 43 claims)—is consistent with a surgeon who performs frequent cataract cases and manages perioperative ophthalmic care.

Revenue concentration risk is notable: one code, 66984, represents 61.4% of Medicare revenue ($99.4K) and together the top three codes make up 74.7% of Medicare receipts. That level of concentration implies the provider’s financial performance on Medicare is heavily dependent on ongoing surgical volume for cataract procedures rather than diversified medical ophthalmology services.

Payer mix is effectively single‑payer Medicare: Medicare revenue is $161.8K while there is no Medicaid billing on file (none below). Because Medicaid activity is absent, Medicaid-based comparisons and in‑state competitive positioning cannot be assessed and the provider should be considered Medicare‑centric in the available claims window.

Competitive standing on Medicare is modest and not dominant: 66984 ranks #4663 of 15965 nationally (71th percentile; typical, unremarkable volume for this code), 66821 ranks #5397 of 10087 (46th percentile; typical, unremarkable volume), and 66982 ranks #3450 of 4580 (20th percentile; typical, unremarkable volume). These rankings indicate the provider performs cataract surgery at volumes that are respectable but not among high‑volume national leaders, with particularly lower relative volume for complex IOL cases (66982).

Operational mix between office visits and procedures shows both surgical throughput and clinic evaluation: 99204 contributed $9.8K (91 claims) and ranks #31143 of 227068 (86th percentile; typical, unremarkable volume), while established patient exam 92014 contributed $8.4K (104 claims) and ranks #19485 of 35415 (45th percentile; typical, unremarkable volume). This pattern suggests the practice sees a steady stream of new and returning patients that feed into the surgical caseload rather than operating only as a procedure center.

Service-level detail supports routine cataract workflow: high claim counts for 92136 (243 claims, $7K, 4.4% of revenue; ranks #2383 of 8731, 73th percentile; typical, unremarkable volume) alongside substantial 66984 volume indicate repeated preoperative biometric measurements tied to IOL selection and frequent postoperative interventions (66821). In combination, these codes point to a practice model that captures the full episodic cataract care pathway—evaluation, measurement, surgery, and posterior capsulotomy—within the provider’s scope of services.

Provider tenure is long enough to reflect established practice patterns: the NPI was enumerated 2006-05-12 (~20 years ago), which provides a multi-year window for building and sustaining a surgical cataract practice; the current Medicare revenue profile therefore likely reflects an ongoing, stable clinical focus rather than a transient billing pattern.

Medicare: Complete Services Breakdown

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

12 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	$400	$99.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	40	$250	$10.8K
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…	20	$590	$10.5K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	90	$110	$9.8K
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…	100	$80	$8.4K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	240	$30	$7K
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.	50	$100	$5.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	60	$80	$4.9K
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…	50	$60	$2.9K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	50	$30	$1.5K

Showing 1–10 of 12

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 12 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Juli Larson — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. state median

12 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	8	20	180	$210	$121.4K
66982	11	10	30	$630	$21.3K
92014	72	100	200	$80	$19.6K
66821	10	20	50	$250	$13.2K
99214	606	960	90	$70	$10.6K
99213	612	910	80	$50	$6.7K
92004	38	90	50	$90	$5.9K
92136	6	20	180	$30	$5.6K
92134	46	90	50	$20	$4.3K
99204	32	330	30	$100	$4.1K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Juli Larson, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vermont Eye Surgery & Laser Center	VT	Ambulatory Surgical Clinic/Center	$1.8M	$2.7K
Joshua Hardin	VA	Ophthalmology Physician	$413.3K	$0
Praveen Keshava	VT	Ophthalmology Physician	$331.9K	$0
Gregory Mccormick	VT	Ophthalmology Physician	$282.6K	$0
Katherine Lane	VT	Ophthalmology Physician	$201.9K	$0
Jillian Kaplita	CT	Ophthalmology Physician	$140K	$0
David Diaz	VT	Ophthalmology Physician	$134.1K	$0
Jonathan Manhard	VT	Ophthalmology Physician	$114.9K	$0
Lisa Eriksson	VT	Optometrist	$58.2K	$0
Jennifer Devita	VT	Optometrist	$43.6K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nfi Vermont, Inc	VT	Clinic/Center	$0	$33.6M
Bla Partners, LLC	VT	Clinical Medical Laboratory	$0	$15.2M
Timberlane Dental Group	VT	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$7.5M
Tms Vt, LLC	VT	Durable Medical Equipment & Medical Supplies	$0	$2.9M
Michelle Young	VT	Ophthalmology Physician	$2.1M	$0
Howard Center Inc	VT	Psychiatry Physician	$0	$2M
David Weissgold	VT	Ophthalmology Physician	$1.7M	$0
Surgi-care Inc	VT	Prosthetic/Orthotic Supplier	$0	$1.7M
City Of So Burlington	VT	Ambulance	$400.9K	$1M
Green Mountain Pediatric Dentistry, PLLC	VT	Pediatric Dentistry	$0	$1.3M

Juli Larson — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References