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

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

Maine Optometry PA (NPI 1437182383)

Field	Value
Entity Type	Organization
Organization	Maine Optometry PA
Address	14 Vista Dr Ste 200
City	Gorham
State	ME
ZIP	04038
Taxonomy	Optometrist
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$497K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 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…	5,220	$50	$266.1K
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.	3,350	$60	$207.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1,380	$20	$22.1K
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…	50	$20	$1K
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.	12,510	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	10	$0	$0
V2020	Frames, purchases	520	$0	$0
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	170	$0	$0
V2784	Lens, polycarbonate or equal, any index, per lens	550	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Maine Optometry PA — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	11	120	680	$50	$84.3K
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.	9	90	540	$70	$75.9K
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…	33	50	340	$40	$55.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	11	50	460	$20	$16.2K
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.	4	100	600	$1	$1.7K
V2020	Frames, purchases	1	10	30	$1	$180
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1	10	10	$1	$90
V2784	Lens, polycarbonate or equal, any index, per lens	1	10	50	$1	$10
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	43	40	190	$1	$1

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Ryan Carr	ME	Optometrist	$45.8K	$0
Sasha Bishop	ME	Optometrist	$44K	$0
William Gove	ME	Optometrist	$27.1K	$0
Todd Hamilton	ME	Optometrist	$23.8K	$0

Nearby Providers

Other providers in the same ZIP code as Maine Optometry PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bridge Support Services, LLC	ME	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$56.7M
Maine Family Services LLC	ME	Assisted Living Facility	$0	$22.5M
Paradise Residential Services LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$14.1M
Golden Group Home Services, LLC	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$12.2M
In Home Senior Services, Inc.	ME	In Home Supportive Care Agency	$0	$10.5M
Back In Motion Physical Therapy, LLC	ME	Physical Therapist	$0	$2.5M
Integrated Life LLC	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Town Of Gorham Office Of Treasurer	ME	Land Ambulance	$154.9K	$599.6K
Shima Care LLC	ME	Chore Provider	$0	$454.6K
Community Pharmacies LLC.	ME	Community/Retail Pharmacy	$120.2K	$98K

Maine Optometry PA — Billing Profile & Reimbursement Data

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Maine Optometry PA — 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