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

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

Kearney Eye Institute, P.C. (NPI 1437218476)

Field	Value
Entity Type	Organization
Organization	Kearney Eye Institute, P.C.
Address	411 W 39th St.
City	Kearney
State	NE
ZIP	68845
Taxonomy	Ophthalmology Physician
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$587.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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…	2,960	$50	$136.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2,750	$40	$115.6K
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.	6,890	$10	$96.4K
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.	1,460	$70	$95K
V2020	Frames, purchases	2,030	$20	$44.7K
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…	100	$460	$43.3K
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…	850	$20	$16.2K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	300	$40	$12.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	520	$20	$9.4K
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…	260	$30	$8.7K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Kearney Eye Institute, P.C. — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

16 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…	512	700	660	$70	$305.1K
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…	576	600	610	$70	$251.4K
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…	7	10	100	$560	$114.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	21	140	390	$50	$70.3K
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	140	220	$50	$45K
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.	18	130	250	$60	$44.3K
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…	111	130	130	$90	$43.8K
V2020	Frames, purchases	43	180	520	$30	$39.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	77	100	220	$30	$29K
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	210	660	$10	$25.5K

Showing 1–10 of 16

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Thomas Clinch	NE	Ophthalmology Physician	$594.4K	$0
Krista Tonniges	NE	Optometrist	$64.3K	$465K
Frank Williams	NE	Optometrist	$160.2K	$2.7K
Elyse Bower	NE	Optometrist	$49.8K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kearney Pediatric Dentistry, L.L.C.	NE	Pediatric Dentistry	$0	$4.5M
Family Physical Therapy & Sports Center	NE	Physical Therapist	$0	$3.9M
Family Practice Associates P.C.	NE	Family Medicine Physician	$0	$2M
Kearney Regional Medical Center LLC	NE	General Acute Care Hospital	$0	$1.8M
Midwest Encouragement & Counseling Center LLC	NE	Community/Behavioral Health Agency	$0	$1.6M
Bryan Hospital Kearney	NE	General Acute Care Hospital	$0	$1.4M
Kearney Eye Surgical Center, Inc.	NE	Ambulatory Surgical Clinic/Center	$1.3M	$0
Center For Psychological Services PC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$1.1M
Bryan Hospital Kearney	NE	Family Medicine Physician	$0	$1M
Kearney Ambulatory Surgical Center, LLC	NE	Ambulatory Surgical Clinic/Center	$879.1K	$80.5K

Kearney Eye Institute, P.C. — Billing Profile & Reimbursement Data

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Kearney Eye Institute, P.C. — 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