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

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

Casey Claypool (NPI 1447480579)

Field	Value
Entity Type	Individual
Organization	Casey Claypool
Address	16010 E Indiana Ave
City	Spokane Valley
State	WA
ZIP	99216
Taxonomy	Optometrist
NPI Enumerated	July 23, 2009

Payer Source	Total Paid
Medicare	$223.3K
Medicaid	$0

Medicare: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	90	$1,100	$101.4K
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…	450	$90	$40.2K
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…	610	$60	$39K
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…	100	$120	$11.5K
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.	370	$30	$10K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	420	$20	$7.2K
83861	The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.	150	$20	$3.3K
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…	60	$50	$2.7K
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…	90	$30	$2.4K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	20	$110	$2.4K

Showing 1–10 of 13

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 13 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Washington Distribution

Casey Claypool — 3 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. state median

13 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	1	10	30	$1,140	$38.8K
99214	802	10,860	100	$80	$13.6K
92134	109	700	70	$30	$7.6K
99213	203	9,690	60	$60	$6.5K
99204	508	4,750	30	$110	$5.2K
68761	36	50	30	$120	$5.2K
92083	276	640	50	$40	$3.8K
99203	2,989	3,140	30	$70	$3.3K
83861	11	40	80	$20	$3K
92133	212	630	60	$20	$2.4K

Showing 1–10 of 13

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sight Partners	WA	Ambulatory Surgical Clinic/Center	$4.9M	$342.1K
Real Life Counseling PLLC	WA	Clinical Social Worker	$0	$2.9M
Paul Griggs	WA	Ophthalmology Physician	$2.2M	$0
Philip Brunetti	AK	Ophthalmology Physician	$1.1M	$0
Kristi Bailey	WA	Ophthalmology Physician	$937.7K	$0
Sight Partners Physicians, P.C.	WA	Ambulatory Surgical Clinic/Center	$325.2K	$126.8K
Jack Tian	WA	Ophthalmology Physician	$403.9K	$0
Aaron Kuzin	WA	Ophthalmology Physician	$381.9K	$0
Maximilian Psolka	UT	Ophthalmology Physician	$352.1K	$0
Laura Kearsley	AK	Ophthalmology Physician	$331.9K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services - Washington	WA	Home Infusion Therapy Pharmacy	$27.8K	$41.8M
Incyte Pathology, PLLC	WA	Anatomic Pathology & Clinical Pathology Physician	$0	$27.5M
Multicare Health System	WA	General Acute Care Hospital	$0	$24.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$18.1M
American Behavioral Health Systems, Inc.	WA	Substance Abuse Rehabilitation Facility	$0	$9.5M
Peaks And Plains Medical, Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$6.4M
Kirk Fuhriman PLLC	WA	Dentist	$0	$5.7M
Community Health Association Of Spokane	WA	Federally Qualified Health Center (FQHC)	$0	$3.4M
Incyte Pathology, PLLC	WA	Clinical Medical Laboratory	$3.2M	$159.4K
Lincare Inc.	WA	Durable Medical Equipment & Medical Supplies	$0	$3.1M

Casey Claypool — Billing Profile & Reimbursement Data

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Casey Claypool — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References