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

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

Abc Children's Eye Specialists PC (NPI 1457410623)

Field	Value
Entity Type	Organization
Organization	Abc Children's Eye Specialists PC
Address	14418 W Meeker Blvd
City	Sun City
State	AZ
ZIP	85375
Taxonomy	Eyewear Supplier
NPI Enumerated	December 6, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 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…	15,690	$120	$1.9M
92060	The 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…	25,490	$60	$1.5M
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	9,370	$150	$1.4M
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.	4,520	$140	$642.3K
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.	28,830	$20	$518.9K
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…	6,510	$60	$403.6K
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…	4,140	$90	$352.2K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	9,020	$20	$189.4K
V2784	Lens, polycarbonate or equal, any index, per lens	970	$90	$86.8K
V2020	Frames, purchases	640	$90	$56K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Abc Children's Eye Specialists PC — 4 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	520	3,040	750	$50	$343.9K
92060	The 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…	1	20	960	$60	$329.3K
V2020	Frames, purchases	23	100	240	$30	$298.6K
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…	9	150	250	$60	$293.9K
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.	14	120	170	$80	$257K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	27	60	60	$20	$229.9K
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…	16	90	380	$50	$192.2K
V2784	Lens, polycarbonate or equal, any index, per lens	14	40	360	$20	$180.6K
V2750	Anti-reflective coating, per lens	5	10	350	$30	$167.7K
V2744	Tint, photochromatic, per lens	4	10	520	$20	$160.5K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Abc Children's Eye Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brendan Cassidy	AZ	Ophthalmology Physician	$0	$6.8M
Emily Shortridge	AZ	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$26.6K	$0

Nearby Providers

Other providers in the same ZIP code as Abc Children's Eye Specialists PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Del E Webb Medical Center	AZ	General Acute Care Hospital	$0	$30.8M
Brea Emeritus LLC	AZ	Alzheimer Center (Dementia Center)	$0	$10.7M
North County Fire & Medical District	AZ	Land Ambulance	$889.2K	$3M
Banner Sun City West Surgery Center LLC	AZ	Ambulatory Surgical Clinic/Center	$2.8M	$335.6K
Mitchell Giangobbe	AZ	Surgery Physician	$869.2K	$0
Tarpan Patel	AZ	Interventional Cardiology Physician	$714.5K	$17.7K
Katharine Bermingham Cordova	AZ	MOHS-Micrographic Surgery Physician	$700.9K	$0
Arizona Eye Institute & Cosmetic Laser Center LLC	AZ	Ambulatory Surgical Clinic/Center	$684.3K	$0
Mandi Conway	AZ	Retina Specialist (Ophthalmology) Physician	$683.4K	$0
Ralph Bassett	AZ	Otolaryngology Physician	$562.6K	$0

Abc Children's Eye Specialists PC — Billing Profile & Reimbursement Data

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Abc Children's Eye Specialists 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