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

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

Ky Doctors Of Optometry, PLLC (NPI 1407930712)

Field	Value
Entity Type	Organization
Organization	Ky Doctors Of Optometry, PLLC
Address	3695 Nicholasville Rd
City	Lexington
State	KY
ZIP	40503
Taxonomy	Eyewear Supplier
NPI Enumerated	October 24, 2006

Payer Source	Total Paid
Medicaid	$2.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 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…	13,700	$60	$767K
V2020	Frames, purchases	27,530	$20	$633.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	26,960	$20	$485.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	14,700	$20	$338.1K
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.	4,600	$50	$220.9K
V2784	Lens, polycarbonate or equal, any index, per lens	15,140	$10	$121.1K
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,…	2,330	$20	$41.9K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1,640	$20	$37.8K
V2750	Anti-reflective coating, per lens	4,880	$10	$24.4K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	1,300	$20	$20.8K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Ky Doctors Of Optometry, PLLC — 9 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

28 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…	2,091	3,340	1,020	$30	$296K
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…	2,131	2,460	580	$40	$245K
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…	12	710	790	$60	$98.4K
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	680	410	$80	$69.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7	590	730	$40	$62.5K
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…	498	1,020	120	$70	$62K
V2020	Frames, purchases	9	530	530	$20	$55.2K
99203	The provider sees a new 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 provider…	349	1,400	130	$50	$45.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8	360	270	$20	$33.2K
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…	89	90	240	$40	$24.1K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ky Doctors Of Optometry, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$4.3M
Tri-state Doctors Of	KY	Eyewear Supplier	$0	$4.1M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$3.8M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$3.6M
Dr. Mark Lynn & Associates, PLLC	TN	Optometrist	$0	$3.2M
Ky Doctors Of Optometry, PLLC	KY	Eyewear Supplier	$0	$2.9M
Ronald Fary	IL	Optometrist	$167.3K	$349.7K
Adam Mueller	KY	Optometrist	$141.5K	$277.7K
Joseph Summers	TN	Optometrist	$51.4K	$345.5K
Haleigh Shipp	KY	Optometrist	$91.1K	$257.1K

Nearby Providers

Other providers in the same ZIP code as Ky Doctors Of Optometry, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Healthcare System, Inc	KY	General Acute Care Hospital	$0	$98.1M
Encore Adhc, LLC	KY	Adult Day Care Clinic/Center	$0	$51.9M
Center For Comprehensive Services, Inc	KY	Rehabilitation Hospital	$0	$28.7M
Lhcg Lxx, LLC	KY	Home Health Agency	$0	$27.1M
P & C Labs, LLC	KY	Clinical Medical Laboratory	$427.3K	$18M
Healthfirst Bluegrass Inc	KY	Federally Qualified Health Center (FQHC)	$0	$18.1M
Ndt Care Services, LLC	KY	Community/Behavioral Health Agency	$0	$17.5M
Lexington Urgent Care PLLC	KY	Urgent Care Clinic/Center	$0	$16.7M
Ballard Wright, Md, Psc	KY	Interventional Pain Medicine Physician	$0	$12.4M
Big Smiles Kentucky Psc	KY	Dentist	$0	$12.3M

Ky Doctors Of Optometry, PLLC — Billing Profile & Reimbursement Data

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Ky Doctors Of Optometry, PLLC — 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