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.

Advantage Eye Care, PLLC (NPI 1437143849)

Field	Value
Entity Type	Organization
Organization	Advantage Eye Care, PLLC
Address	411 Park Plaza Dr
City	Owensboro
State	KY
ZIP	42301
Taxonomy	Optometrist
NPI Enumerated	August 31, 2005

Payer Source	Total Paid
Medicaid	$3.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 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…	14,560	$70	$961K
V2020	Frames, purchases	17,320	$30	$536.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	15,460	$30	$463.7K
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.	4,730	$90	$420.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	15,670	$20	$329.1K
V2784	Lens, polycarbonate or equal, any index, per lens	13,580	$10	$135.8K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	5,210	$30	$130.2K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	3,100	$30	$99.3K
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…	810	$40	$30.9K
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.	920	$30	$26.8K

Showing 1–10 of 21

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

Advantage Eye Care, PLLC — 8 of 21 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

21 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…	1,792	3,340	1,020	$30	$296K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	111	540	1,500	$50	$235.7K
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…	11	710	790	$60	$98.4K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	5	20	510	$30	$70.8K
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.	19	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	6	590	730	$40	$62.5K
V2020	Frames, purchases	16	530	530	$20	$55.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14	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…	47	90	240	$40	$24.1K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	24	60	170	$20	$18.1K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Advantage Eye Care, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eric Moreau	IN	Optometrist	$40.5K	$970

Nearby Providers

Other providers in the same ZIP code as Advantage Eye Care, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$98.6M
Green River Area Development District	KY	Supports Brokerage Agency	$0	$92.9M
Rivervalley Behavioral Health Inc	KY	Community Health Clinic/Center	$0	$28.6M
Behavioral Healthcare Services, Inc.	KY	Developmental Disabilities Clinic/Center	$0	$18.1M
Bridges Of Kentucky, Inc.	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16M
Allied Adult Day Care, LLC	KY	Adult Day Care Clinic/Center	$0	$14M
Owensboro Health Medical Group, Inc	KY	Family Medicine Physician	$0	$10.6M
Green River Regional Mental Health/mental Retardation Board, Inc.	KY	Adult Day Care Clinic/Center	$0	$8.7M
To The Max Behavior Therapy, LLC	KY	Behavior Technician	$0	$6.9M
Rivervalley Behavioral Health Inc	KY	Psychiatric Hospital	$0	$6.6M

Advantage Eye Care, PLLC — Billing Profile & Reimbursement Data

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Advantage Eye Care, 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