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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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 Center Of Madison Prof LLC (NPI 1508117151)

Field	Value
Entity Type	Organization
Organization	Eyecare Center Of Madison Prof LLC
Address	302 N Harth Ave
City	Madison
State	SD
ZIP	57042
Taxonomy	Optometrist
NPI Enumerated	September 23, 2012

Payer Source	Total Paid
Medicaid	$244.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	1,410	$90	$124.3K
V2020	Frames, purchases	930	$60	$53.9K
V2199	Not otherwise classified, single vision lens	610	$60	$37.5K
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.	1,940	$10	$21.3K
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.	20	$130	$3K
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	$40	$1.9K
V2784	Lens, polycarbonate or equal, any index, per lens	30	$60	$1.9K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	10	$30	$370

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Dakota Distribution

Eyecare Center Of Madison Prof LLC — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. South Dakota median

8 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…	28	130	390	$90	$86.6K
V2020	Frames, purchases	47	110	550	$50	$82K
V2199	Not otherwise classified, single vision lens	44	100	410	$60	$75.3K
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.	89	110	180	$110	$72.7K
V2784	Lens, polycarbonate or equal, any index, per lens	40	50	190	$40	$25.5K
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.	35	120	1,090	$10	$19.3K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	8	10	220	$20	$6.1K
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,…	11	20	90	$40	$5.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Eyecare Center Of Madison Prof LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jodie Larson	SD	Optometrist	$36.3K	$0

Nearby Providers

Other providers in the same ZIP code as Eyecare Center Of Madison Prof LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Every Citizen Counts Organization	SD	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.7M
Madison Community Hospital	SD	Critical Access Hospital	$0	$1M
Inter-lakes Community Action Partnership	SD	Voluntary or Charitable Agency	$0	$192.5K
Sanford Medical Center	SD	Community/Retail Pharmacy	$119.8K	$290
Madison Central School District	SD	Local Education Agency (LEA)	$0	$87K
Kevin M. Donlin, D.m.d., P.C.	SD	General Practice Dentistry	$0	$82K
Jason Evans	SD	Neurology Chiropractor	$60.8K	$0
Madison Family Dental Prof LLC	SD	General Practice Dentistry	$0	$51.8K
Ben Liscano	SD	Family Medicine Physician	$42.7K	$0
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$41.4K

Eyecare Center Of Madison Prof LLC — Billing Profile & Reimbursement Data

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Eyecare Center Of Madison Prof LLC — 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