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

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

Family Eye Center PA (NPI 1477704310)

Field	Value
Entity Type	Organization
Organization	Family Eye Center PA
Address	1257 Sw 4th Ave
City	Ontario
State	OR
ZIP	97914
Taxonomy	Optometrist
NPI Enumerated	October 9, 2008

Payer Source	Total Paid
Medicaid	$3.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

15 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…	17,090	$90	$1.5M
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	15,210	$60	$882.4K
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.	4,460	$110	$482K
V2025	Deluxe frame	8,650	$50	$424K
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.	19,180	$10	$191.8K
V2784	Lens, polycarbonate or equal, any index, per lens	8,240	$10	$90.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	7,920	$10	$87.1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1,340	$10	$17.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,190	$10	$11.8K
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…	80	$60	$4.4K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Family Eye Center PA — 6 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,227	1,590	590	$50	$236.5K
V2025	Deluxe frame	3	10	200	$50	$212.9K
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…	3	250	460	$80	$121.3K
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.	9	260	200	$100	$72.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3	210	450	$50	$68.8K
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…	335	530	80	$120	$68.5K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	3	10	480	$20	$65.6K
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…	31	50	120	$60	$62.9K
V2020	Frames, purchases	100	140	460	$20	$58K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	3	20	60	$20	$46.4K

Showing 1–10 of 15

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Randy Norris	OR	Optometrist	$65.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lifeways, Inc	OR	Community/Behavioral Health Agency	$0	$5.1M
Saint Alphonsus Medical Center- Ontario Inc	OR	General Acute Care Hospital	$0	$3.7M
Tvp Inc	OR	Ambulance	$462.9K	$1.8M
Norco, Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$2.3M
Cep America LLC	OR	Emergency Medicine Physician	$0	$1.6M
J C Pitts Enterprises Inc	OR	Ambulatory Surgical Clinic/Center	$148.4K	$3.2K
Paul Gering	OR	Family Medicine Physician	$105.1K	$0
Glenn Dodge	OR	Physical Therapist	$80.8K	$0
James Heyrend	OR	Certified Registered Nurse Anesthetist	$73.8K	$0
Daniel Chudleigh	OR	Physical Therapist	$72.1K	$0

Family Eye Center PA — Billing Profile & Reimbursement Data

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Family Eye Center PA — 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