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.

Amy Gregory (NPI 1437193919)

Field	Value
Entity Type	Individual
Organization	Amy Gregory
Address	1330 Exchange Street
City	Middlebury
State	VT
ZIP	05753
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 15, 2006

Payer Source	Total Paid
Medicare	$306.6K
Medicaid	$0

Key Findings

This provider’s reimbursement footprint is effectively single‑payer: total Medicare revenue is $306.6K while there is no Medicaid billing on file. The lack of Medicaid activity indicates the practice derives its entire reported public-payer revenue from Medicare, concentrating payer exposure to the senior population and Medicare reimbursement rules.

Revenue is highly concentrated in a small set of ophthalmology services: the three highest-revenue Medicare codes account for 72.4% of total Medicare revenue. The top contributors are 92014 (35.3% of Medicare revenue, $108.2K), 66984 (26.4% of Medicare revenue, $80.8K), and 99213 (10.7% of Medicare revenue, $32.9K), which together dominate the practice’s billing profile.

Service‑line mix points to a cataract and routine ophthalmic care practice: 66984 (phacoemulsification with IOL insertion) is the single largest surgical procedure by revenue after 92014, and the presence of 66982, 66821 and related cataract codes indicates regular cataract surgery and follow‑up. This surgical code mix, combined with high-volume exam codes, suggests the provider performs both operative cataract care and perioperative/outpatient management.

Office and exam volume is a major revenue driver: 92014 (established patient comprehensive ophthalmological exam) contributes $108.2K (35.3% of Medicare revenue) and ranks #680 of 35415 providers nationally (98th percentile; extreme outlier, far above typical national volume for this code). High volume on 99213 ($32.9K, 10.7% of Medicare revenue) which ranks #22340 of 457151 providers (95th percentile; notably above typical national volume) further indicates a steady stream of routine outpatient visits.

Diagnostic testing and imaging are significant adjunct services: 92083 (visual field testing) generated $16.2K (5.3% of Medicare revenue) and ranks #987 of 25484 providers nationally (96th percentile; notably above typical national volume), while OCT and retinal imaging codes such as 92134 and 92133 appear in the top codes list, reflecting consistent use of imaging to manage retinal and optic nerve conditions. These patterns are consistent with a practice that pairs surgical care with objective diagnostic monitoring.

Competitive standing is mixed by code: the provider is a clear outlier on 92014 (98th percentile, described as an "extreme outlier"), and is notably above typical national volume on 99213 and 92083 (95th and 96th percentiles respectively), indicating regional or referral strength for office-based ophthalmology. By contrast, cataract procedure 66984 sits at the 66th percentile (ranks #5361 of 15965; described as "typical, unremarkable volume"), suggesting solid but not exceptional national standing for surgical volume.

Practice tenure supports a stable operating history: the NPI was enumerated on 2006-06-15 (~20 years ago), which is consistent with an established local practice that has sustained Medicare billing over multiple years. That longevity, combined with the concentrated code mix, suggests long‑standing referral relationships and a mature clinical workflow.

The high revenue concentration in the top three codes (72.4% of Medicare revenue) creates operational sensitivity: changes in referral patterns, Medicare reimbursement for 92014/66984/99213, or local competition could disproportionately impact total revenue. Additionally, having no Medicaid billed means the practice has limited coverage diversification across public payers, increasing dependence on Medicare patient volume and reimbursement stability.

Medicare: Complete Services Breakdown

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

15 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…	1,440	$80	$108.2K
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…	200	$400	$80.8K
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…	560	$60	$32.9K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	420	$40	$16.2K
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…	30	$550	$14.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	60	$240	$13.7K
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.	130	$90	$11.6K
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.	350	$30	$9.2K
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…	230	$30	$6.3K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	270	$20	$6.2K

Showing 1–10 of 15

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 15 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Vermont Distribution

Amy Gregory — 4 of 15 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

15 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	10	20	180	$210	$121.4K
66982	6	10	30	$630	$21.3K
92014	1	100	200	$80	$19.6K
66821	5	20	50	$250	$13.2K
99213	30	910	80	$50	$6.7K
92004	7	90	50	$90	$5.9K
92136	7	20	180	$30	$5.6K
92134	9	90	50	$20	$4.3K
65855	3	10	20	$170	$4.1K
92060	3	10	70	$40	$3.9K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Care Associates, PC	VT	Ophthalmology Physician	$0	$293.6K
Jillian Kaplita	CT	Ophthalmology Physician	$140K	$0
Todd Page	VT	Optometrist	$42.4K	$20.2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Specialized Community Care, Inc	VT	Community/Behavioral Health Agency	$0	$60.9M
Counseling Service Of Addison County	VT	Developmental Disabilities Clinic/Center	$0	$59.6M
Counseling Service Of Addison County, Inc	VT	Clinic/Center	$0	$22.1M
Middlebury Pediatric Dentistry, PLLC	VT	Pediatric Dentistry	$0	$2.9M
Rainbow Pediatrics	VT	Pediatric Adolescent Medicine Physician	$0	$1.8M
Middlebury Volunteer Ambulance Association, Inc	VT	Ambulance	$508.9K	$1.3M
Porter Hospital, Inc	VT	Family Medicine Physician	$0	$1.3M
Brian Collins	VT	Pediatric Dentistry	$0	$606.8K
Middlebury Family Health	VT	Health Maintenance Organization	$0	$547.3K
Elizabeth Keathley	VT	Clinical Psychologist	$0	$303.3K

Amy Gregory — Billing Profile & Reimbursement Data

Sign up for Amy Gregory — Billing Profile & Reimbursement Data policy alerts

Amy Gregory — Billing Profile & Reimbursement Data

Sign up for Amy Gregory — Billing Profile & Reimbursement Data policy alerts

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