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

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

Troy A Norton Od, Inc. (NPI 1487733143)

Field	Value
Entity Type	Organization
Organization	Troy A Norton Od, Inc.
Address	112 Narrow Gauge Sq
City	Farmington
State	ME
ZIP	04938
Taxonomy	Optometrist
NPI Enumerated	November 3, 2006

Payer Source	Total Paid
Medicaid	$481.5K
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…	4,640	$60	$255.3K
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.	2,560	$70	$184.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2,620	$20	$41.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$20	$280
1036F	N/A	2,120	$0	$0
2022F	The ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s…	70	$0	$0
4004F	The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…	450	$0	$0
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.	7,300	$0	$0
G2102	Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed	20	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	2,020	$0	$0

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Troy A Norton Od, Inc. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

19 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…	15	120	680	$50	$84.3K
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.	11	90	540	$70	$75.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7	50	460	$20	$16.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	208	230	210	$10	$11.3K
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.	6	100	600	$1	$1.7K
1036F	N/A	3	40	140	$1	$10
2022F	The ophthalmology or optometry provider performs a dilated retinal eye exam in a diabetic patient with evidence of diabetic retinopathy. He interprets the findings and documents them in the patient’s…	3	10	40	$1	$1
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	5	40	190	$1	$1
G9744	Patient not eligible due to active diagnosis of hypertension	4	10	200	$1	$1
4004F	The provider screens a patient of 18 years of age or older for the use of tobacco. If he identifies the patient as a tobacco user, the provider offers cessation counseling or drugs or a combination…	1	10	70	$0	$0

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Troy A Norton Od, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mainehealth	ME	General Acute Care Hospital	$0	$22.7M
Mainehealth	ME	Rural Health Clinic/Center	$0	$16.7M
Work First, Inc.	ME	Developmentally Disabled Services Day Training Agency	$0	$7.2M
Mainehealth	ME	Rural Health Clinic/Center	$0	$2.4M
R.s.u. #9	ME	Local Education Agency (LEA)	$0	$2.3M
Mainehealth	ME	General Acute Care Hospital	$0	$1.4M
Wilson Stream Family Practice LLC PA	ME	Family Medicine Physician	$0	$1.2M
Farmington Oral & Facial Surgery P A	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$1.2M
Mainehealth	ME	Critical Access Hospital	$0	$433.3K
Maine Growth Opportunities, Inc.	ME	Specialist	$0	$351.7K

Troy A Norton Od, Inc. — Billing Profile & Reimbursement Data

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Troy A Norton Od, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References