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

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

Lagreca Eye Clinic, P.C. (NPI 1427183664)

Field	Value
Entity Type	Organization
Organization	Lagreca Eye Clinic, P.C.
Address	1150 Main St
City	Lander
State	WY
ZIP	82520
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicare	$237.7K
Medicaid	$0

Key Findings

LAGRECA EYE CLINIC, P.C. presents as a procedurally focused ambulatory surgical clinic concentrated on cataract care and related laser posterior capsulotomy services. Its Medicare billing is dominated by cataract extraction with intraocular lens insertion (66984 and 66982) and laser capsulotomy (66821), which together account for the clinic's surgical service mix and clinical identity.

Medicare revenue is highly concentrated: the precomputed top-3 codes account for 100.0% of this provider's total Medicare revenue. In dollar terms the clinic reports total Medicare revenue of $237.7K with $176.4K (74.2%) coming from 66984, $35.4K (14.9%) from 66982, and $25.8K (10.9%) from 66821, indicating near-total dependence on these three procedural codes for payer income.

The payer mix is effectively single-payer at the claim level: Medicare revenue is $237.7K while there is no Medicaid billing on file. This means the clinic operates without Medicaid-derived revenue in the dataset and is materially exposed to Medicare rate and volume changes.

Competitive standing across national Medicare peers is modest rather than dominant. For 66984 the clinic ranks #5104 of 15965 providers (68th percentile), for 66982 it ranks #1211 of 4580 providers (73th percentile), and for 66821 it ranks #1349 of 10087 providers (87th percentile); each code is described in the source as having "typical, unremarkable volume for this code," positioning the clinic as a typical regional participant rather than a national leader.

Procedure-level economics are visible in allowed amounts per claim: 66984 averages $809 paid/claim (218 claims), 66982 averages $787 paid/claim (45 claims), and 66821 averages $170 paid/claim (152 claims). These per-claim payments and claim volumes reinforce a business model driven by higher-payment surgical lens procedures with supplemental lower-priced laser follow-up care.

The clinic's operational profile shows concentrated procedural throughput: 218 claims for 66984, 152 claims for 66821, and 45 claims for 66982 signal routine volume in standard cataract extraction and frequent use of laser capsulotomy postoperatively. This pattern is consistent with an ambulatory surgical center that performs a steady stream of cataract cases plus subsequent YAG capsulotomies rather than a broad multispecialty practice.

Longevity in Medicare enrollment may support an established local presence: the NPI was enumerated on 2007-02-21 (~19 years ago). That tenure, combined with the concentrated, repeatable procedural mix, suggests an ongoing, stable surgical practice focused on cataract care.

From a risk and strategic perspective, the clinic's near-total reliance on three CPT codes creates revenue vulnerability to shifts in cataract procedural volume, reimbursement policy, or competitive entry. Given that the three codes together make up 100.0% of Medicare revenue, any material change in utilization or payment for 66984, 66982, or 66821 would have outsized impact on the clinic's Medicare revenue stream.

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…	220	$810	$176.4K
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	$790	$35.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	150	$170	$25.8K

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. Wyoming Distribution

Lagreca Eye Clinic, P.C. — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

3 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	10	80	50	$410	$39.9K
66982	5	10	40	$600	$30.5K
66821	4	30	40	$220	$14.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lagreca Eye Clinic, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oswald Rondon	WA	Ophthalmology Physician	$707.9K	$0
Brian Lagreca	MT	Ophthalmology Physician	$381.6K	$0
Lagreca Eye Clinic PC	MT	Ambulatory Surgical Clinic/Center	$263K	$22.7K
Kristin Pope	MT	Optometrist	$58.2K	$0

Nearby Providers

Other providers in the same ZIP code as Lagreca Eye Clinic, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Riverton Memorial Hospital LLC	WY	Rural Acute Care Hospital	$0	$4.7M
Community Health Center Of Central Wyoming Inc	WY	Federally Qualified Health Center (FQHC)	$0	$2.8M
Frontier Wyoming, L.L.C.	WY	Home Health Agency	$0	$2.5M
Lander Medical Clinic, PC	WY	Family Medicine Physician	$0	$2.1M
Eh Health Home Health Of The Northwest, LLC	WY	Home Health Agency	$0	$2M
Gregory P Clifford Md PC	WY	Personal Emergency Response Attendant	$0	$1.8M
Guardian Flight LLC	WY	Air Ambulance	$699K	$586.5K
Jessica West	WY	Case Manager/Care Coordinator	$0	$964.6K
Knell Access Management	WY	In Home Supportive Care Agency	$0	$893.6K
Wyoming Path Behavioral Health, LLC	WY	Community/Behavioral Health Agency	$0	$836.8K

Lagreca Eye Clinic, P.C. — Billing Profile & Reimbursement Data

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Lagreca Eye Clinic, P.C. — 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