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

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

Eyecare Professionals - Mountain Eyewear (NPI 1487627030)

Field	Value
Entity Type	Organization
Organization	Eyecare Professionals - Mountain Eyewear
Address	305 W Park St
City	Livingston
State	MT
ZIP	59047
Taxonomy	Eyewear Supplier
NPI Enumerated	February 13, 2006

Payer Source	Total Paid
Medicaid	$652.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	4,810	$80	$404K
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.	6,430	$20	$96.4K
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.	830	$110	$90K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2,300	$30	$59.7K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	660	$1	$2.6K
V2760	Scratch resistant coating, per lens	10	$0	$0
V2784	Lens, polycarbonate or equal, any index, per lens	30	$0	$0

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Eyecare Professionals - Mountain Eyewear — 0 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	11	130	600	$90	$120.9K
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.	40	120	440	$110	$96K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	31	120	760	$20	$40.9K
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.	14	130	1,300	$20	$37K
99072	The provider uses items, supplies materials, or requires clinical staff time in excess of what is normally used or provided for an office visit or other nonfacility encounter. These additional items…	15	30	560	$10	$10.8K
V2784	Lens, polycarbonate or equal, any index, per lens	2	10	20	$1	$100
V2760	Scratch resistant coating, per lens	2	10	10	$0	$0

Nearby Providers

Other providers in the same ZIP code as Eyecare Professionals - Mountain Eyewear, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Counterpoint, Inc.	MT	Adult Care Home Facility	$0	$5.7M
Livingston School District 1 & 4	MT	Local Education Agency (LEA)	$0	$5.6M
L Esprit PC	MT	Community/Behavioral Health Agency	$0	$4.9M
Southwest Chemical Dependency Program	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.8M
Livingston Healthcare	MT	Critical Access Hospital	$0	$1.2M
City Of Livingston	MT	Ambulance	$448.2K	$281.4K
Alexandria Saunders	MT	Addiction (Substance Use Disorder) Counselor	$0	$709.2K
Debra Mcgrath	MT	Professional Counselor	$0	$549.6K
Livingston Healthcare Urgent Care	MT	Urgent Care Clinic/Center	$0	$513.6K
Sara Gentry	MT	Clinical Social Worker	$0	$372.1K

Eyecare Professionals - Mountain Eyewear — Billing Profile & Reimbursement Data

Sign up for Eyecare Professionals - Mountain Eyewear — Billing Profile & Reimbursement Data policy alerts

Eyecare Professionals - Mountain Eyewear — Billing Profile & Reimbursement Data

Sign up for Eyecare Professionals - Mountain Eyewear — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References