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

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

Nikalous Tolman (NPI 1487107280)

Field	Value
Entity Type	Individual
Organization	Nikalous Tolman
Address	418 S 5th St
City	Laramie
State	WY
ZIP	82070
Taxonomy	Optometrist
NPI Enumerated	July 27, 2016

Payer Source	Total Paid
Medicare	$36.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	190	$90	$16.5K
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…	110	$60	$6.8K
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…	80	$80	$6.5K
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…	150	$30	$4.2K
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.	20	$70	$1.6K
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,…	50	$30	$1.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Wyoming Distribution

Nikalous Tolman — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	73	80	190	$80	$21.5K
99214	238	780	100	$80	$14.8K
99213	396	850	110	$60	$9.9K
92004	57	80	40	$80	$3.9K
92250	42	80	50	$20	$2.8K
92133	8	70	40	$20	$1.9K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care United Medical Center Of Laramie, LLC	WY	Multi-Specialty Clinic/Center	$0	$3.2M
Quality Home Health Care Inc	WY	Home Health Agency	$0	$2.6M
Gem City Bone & Joint PC	WY	Ambulatory Surgical Clinic/Center	$1.3M	$0
Elite Medical Supplies, LLC	WY	Durable Medical Equipment & Medical Supplies	$0	$1.3M
James A Boucher & Sue E Lowe Ptr	WY	Optometrist	$0	$444.4K
Martha Nesslinger	WY	Counselor	$0	$415.2K
Step-by-step Family Therapy A Professional Corporation	WY	Multi-Specialty Clinic/Center	$0	$333.8K
John Horberg	WY	Orthopaedic Trauma Physician	$301.5K	$270
Grand Avenue Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$264.3K
Eric Harris	WY	Orthopaedic Surgery of the Spine Physician	$207.3K	$0

Nikalous Tolman — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References