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

Why is the Medicaid comparison limited to Rhode Island 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. Rhode Island (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.

Charles Collins (NPI 1457452120)

Field	Value
Entity Type	Individual
Organization	Charles Collins
Address	939 W Main Rd
City	Middletown
State	RI
ZIP	02842
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicare	$296K
Medicaid	$0

Key Findings

This provider’s Medicare activity is modest in absolute scale with Total Medicare revenue of $296K and no Medicaid billing on file; the practice is effectively single‑payer (Medicare-only) in the available data, which concentrates financial exposure to Medicare payment policy and utilization trends.

Revenue concentration is high: the precomputed top three Medicare codes (92014, 66984, 99213) together account for 63.1% of this provider’s Medicare revenue, with 92014 accounting for $82.2K (27.7%), 66984 accounting for $71.1K (24.0%), and 99213 accounting for $33.8K (11.4%). This mix indicates a heavy reliance on comprehensive ophthalmologic exams, cataract surgery, and mid‑level E/M visits for revenue.

Business and service‑line implications: the code mix shows an ophthalmology practice that combines office‑based diagnostic and medical care with procedural cataract work. High revenue from 92014 (comprehensive established patient eye exams) and sizable revenue from 66984 (intraocular lens insertion after cataract removal) indicate both outpatient continuity care and surgical cataract services are core to the operation.

Competitive standing for key codes is mixed. For 92014 the provider ranks #1737 of 35415 nationally (95th percentile) and is described as notably above typical national volume, signaling a relatively large examiner volume for comprehensive established exams. By contrast, 66984 ranks #6153 of 15965 (61th percentile) and is labeled a typical, unremarkable volume for cataract surgery, indicating the provider performs surgery but not at unusually high national levels.

Clinical operations are supported by substantial diagnostic throughput: 92134 (retinal imaging) appears with 1K claims and $29.4K revenue and ranks #2144 of 26868 (92th percentile) with the data label indicating typical, unremarkable volume for that code, while visual field testing 92083 reports 323 claims and $15.2K revenue and ranks in the 94th percentile, noted as notably above typical national volume. These diagnostic code volumes suggest the practice performs routine retinal and visual field testing at a higher‑than‑typical rate for some modalities.

Evaluation & management footprint shows heavy established‑patient visit activity: 99213 has 528 claims and $33.8K revenue and is ranked in the 95th percentile (described as notably above typical national volume), while higher‑level E/M codes 99214 and 99215 appear but with smaller revenue shares ($11.2K and $11.3K respectively). This pattern points to steady, volume‑driven office follow‑up care rather than a predominant emphasis on high‑complexity E/M encounters.

Several secondary procedure codes reinforce a comprehensive ophthalmology practice profile: 66821 (YAG capsulotomy) generated $18.1K (6.1%) and ranks in the 66th percentile (typical, unremarkable), and intraocular measurement 92136 shows 173 claims and $5.2K (1.8%) with a 60th percentile rank. Together these codes imply routine post‑op and pre‑op services accompanying the cataract surgical component.

Provider tenure is long: the NPI was enumerated on 2006-09-26 (~20 years ago), indicating an established presence in the market that could support sustained referral relationships and steady Medicare volume over time.

Medicare: Complete Services Breakdown

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

14 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…	980	$80	$82.2K
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…	160	$440	$71.1K
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…	530	$60	$33.8K
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.	1,010	$30	$29.4K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	70	$250	$18.1K
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…	320	$50	$15.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	100	$110	$11.3K
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…	120	$90	$11.2K
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…	330	$30	$8.9K
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.	60	$90	$5.9K

Showing 1–10 of 14

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 14 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Rhode Island Distribution

Charles Collins — 5 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Rhode Island

Full comparison — all codes billed, vs. state median

14 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	26	40	370	$80	$71.1K
92014	4	190	120	$80	$16.3K
66821	7	30	40	$270	$14.8K
99214	809	1,950	100	$80	$11.7K
99213	69	1,950	70	$60	$7.4K
92134	10	120	50	$30	$6.6K
99215	61	460	30	$110	$5.7K
92136	14	30	170	$20	$5.6K
92004	19	120	30	$100	$4K
92083	4	130	30	$40	$2.8K

Showing 1–10 of 14

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Frederic Kelley	RI	Optometrist	$121.8K	$217.4K
Jorge Rivera	RI	Ophthalmology Physician	$235.3K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Newport County Community Mental Health Center, Inc	RI	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.9M
Child And Family Services Of Newport County	RI	Clinic/Center	$0	$4.3M
Royal Middletown Nursing Center LLC	RI	Skilled Nursing Facility	$0	$4.2M
Aquidneck Pediatrics LLC	RI	Pediatrics Physician	$0	$2.4M
Newport County Community Mental Health Center	RI	Community/Behavioral Health Agency	$0	$1.9M
Sarah Mcneill	RI	Occupational Therapist	$0	$1.6M
Visiting Nurse Services Of Newport And Bristol Counties	RI	Nursing Care Agency	$0	$1.1M
Jason Michaels	RI	MOHS-Micrographic Surgery Physician	$982.9K	$59.5K
Kenneth Kehew	RI	Dentist	$0	$709.5K
Town Of Middletown	RI	Land Ambulance	$324K	$162.5K

Charles Collins — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References