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

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

Eye Surgeons Of Indiana, PC (NPI 1457399834)

Eye Surgeons Of Indiana, PC is a ophthalmology physician provider located in Indianapolis, Indiana. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Eye Surgeons Of Indiana, PC
Address	9202 N Meridian St Ste 100
City	Indianapolis
State	IN
ZIP	46260
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 4, 2006

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,980	$460	$1.4M
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…	3,500	$160	$567.2K
67028	The 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.	5,430	$30	$151.9K
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…	2,570	$60	$151.9K
J9035	Injection, bevacizumab, 10 mg	3,180	$40	$117.6K
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…	2,840	$30	$93.6K
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…	1,010	$40	$44.5K
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…	2,660	$20	$42.5K
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.	3,590	$10	$32.3K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	580	$20	$12.1K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Eye Surgeons Of Indiana, PC — 2 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	3	20	470	$610	$598.3K
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…	1,009	2,120	870	$60	$450.6K
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…	747	2,380	920	$50	$376.8K
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…	3	60	350	$270	$229.7K
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…	530	690	360	$70	$110.9K
67028	The 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.	9	60	1,260	$50	$108.4K
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.	485	560	310	$90	$106.9K
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…	67	790	150	$90	$99.4K
99203	The provider sees a new 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 provider…	808	890	160	$60	$76.8K
J9035	Injection, bevacizumab, 10 mg	3	30	700	$40	$46.4K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St. Vincent Hospital & Health Care Center, Inc.	IN	General Acute Care Hospital	$0	$58.9M
Cep America LLC	IN	Emergency Medicine Physician	$0	$28.6M
St Vincent Pediatric Subspecialties	IN	Pediatrics Physician	$0	$20.8M
St Vincent Physician Services Hospital And Health Care Center	IN	Family Medicine Physician	$0	$14M
Imaging Associates Of Indiana, PC	IN	Diagnostic Radiology Physician	$0	$9.7M
Rebecca Bolon	IN	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$9M
Shadeland Anesthesia & Pain Associates Inc.	IN	Interventional Pain Medicine Physician	$0	$7.1M
Singh Bullard Pediatric Dentistry, P.C.	IN	Pediatric Dentistry	$0	$7M
Alta Healthcare	IN	Home Health Agency	$0	$6.6M
Indiana Hemophilia & Thrombosis Center, Inc.	IN	Hematology & Oncology Physician	$0	$5.6M

Eye Surgeons Of Indiana, PC — Billing Profile & Reimbursement Data

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Eye Surgeons Of Indiana, PC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Janet Hummer	IN	Ophthalmology Physician	$2.8M	$0
Patrick Hopen	IN	Ophthalmology Physician	$581.5K	$0
Anthony Lombardo	IN	Ophthalmology Physician	$456.3K	$0
Paul Cacchillo	IN	Ophthalmology Physician	$429.8K	$0
Michael Orr	IN	Ophthalmology Physician	$429.3K	$0
Stephen Kimmell	IN	Optometrist	$353K	$460
Joseph Carr	IN	Ophthalmology Physician	$342.9K	$0
Ahmar Sajjad	IN	Ophthalmology Physician	$329.8K	$4.2K
Michael Hodkin	IN	Ophthalmology Physician	$295.7K	$0
Shaun Swindler	FL	Ophthalmology Physician	$202.9K	$100