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    OpenPayerNPI Medicare & MedicaidVistar Eye Center, Inc
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    Vistar Eye Center, Inc — Billing Profile & Reimbursement Data

    NPI 1457323545 · Roanoke, VA · Specialist

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    Vistar Eye Center, Inc is a specialist provider located in Roanoke, Virginia. This profile covers 0 Medicare and 37 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVistar Eye Center, Inc
    Address707 S Jefferson St
    CityRoanoke
    StateVA
    ZIP24016
    TaxonomySpecialist
    NPI EnumeratedFebruary 3, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$11.4M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    37 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0178Injection, aflibercept, 1 mg3,300$1,280$4.2M
    92014An 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…25,140$70$1.7M
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.6,590$100$679K
    J2778Injection, ranibizumab, 0.1 mg1,110$560$621K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.11,500$50$598.2K
    J2777Injection, faricimab‑svoa, 0.1 mg360$1,420$503K
    92060The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…9,170$50$458.6K
    92134The 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.19,000$20$380K
    99214The 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…5,980$60$376.8K
    92012For 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…6,070$60$346.2K

    Showing 1–10 of 37

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Virginia median

    37 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J0178Injection, aflibercept, 1 mg320650$1,010$1.3M
    J2778Injection, ranibizumab, 0.1 mg1101,030$490$360.1K
    66984The 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…1050200$350$282.9K
    99214The 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…4153,520370$70$280.7K
    67028The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.3301,850$70$238.6K
    99213The 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…5984,010290$50$199.8K
    J2777Injection, faricimab‑svoa, 0.1 mg11030$1,360$182.2K
    J9035Injection, bevacizumab, 10 mg920270$100$179.2K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…234400370$30$162.2K
    92014An 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…3450300$60$89.6K

    Showing 1–10 of 37

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vistar Eye Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Michael McclintockVARetina Specialist (Ophthalmology) Physician$5.4M$0
    Timothy ByrnesVARetina Specialist (Ophthalmology) Physician$4.7M$0
    Vishak JohnNCOphthalmology Physician$4.3M$0
    Romulo AlbuquerqueKYRetina Specialist (Ophthalmology) Physician$3.8M$0
    Anna MackinVARetina Specialist (Ophthalmology) Physician$3.1M$0
    Craig HartranftVAOphthalmology Physician$2.8M$0
    Frank CotterVAOphthalmology Physician$683.7K$0
    Chad AlbrightVAOphthalmology Physician$560.3K$0
    Will GriffethVAOphthalmology Physician$484.5K$0
    Tad SchoedelVAOphthalmology Physician$478.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Vistar Eye Center, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Blue Ridge Behavioral HealthcareVAMental Health Clinic/Center (Including Community Mental Health Center)$0$75.7M
    Mainstream Mental Health ServicesVACommunity/Behavioral Health Agency$0$32.9M
    Ehs Support Services, LLCVACommunity/Behavioral Health Agency$0$28.4M
    Anderson & Associates, LLCVASubstance Abuse Rehabilitation Facility$0$17.9M
    Hall Community Services IncVAMental Health Counselor$0$16.6M
    Professional Therapies Of Roanoke, Inc.VARehabilitation Clinic/Center$0$10.5M
    It's About Time, IncVADevelopmentally Disabled Services Day Training Agency$0$9.4M
    Roanoke Resource LLCVACommunity/Behavioral Health Agency$0$8.3M
    Carilion Medical CenterVAHome Health Agency$0$7.3M
    City Of RoanokeVALand Ambulance$1.2M$5.8M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Virginia Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Virginia Distribution
    Vistar Eye Center, Inc — 11 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Virginia