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

Why is the Medicaid comparison limited to New Hampshire 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. New Hampshire (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.

Nh Eye Associates PLLC (NPI 1518044213)

Nh Eye Associates PLLC is a ophthalmology physician provider located in Manchester, New Hampshire. This profile covers 0 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Nh Eye Associates PLLC
Address	764 2nd St
City	Manchester
State	NH
ZIP	03102
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 1, 2006

Payer Source	Total Paid
Medicaid	$739K
Medicare	$0

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
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…	2,000	$130	$259.7K
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…	1,980	$90	$174.2K
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.	5,530	$20	$105.1K
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…	530	$150	$78.4K
99203	The provider sees a new 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 provider…	380	$110	$42.2K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	1,820	$10	$21.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	210	$100	$20.7K
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.	110	$120	$13.1K
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…	250	$50	$11.9K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	390	$20	$7K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. New Hampshire Distribution

Nh Eye Associates PLLC — 1 of 15 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	127	420	480	$50	$223.9K
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…	121	400	350	$30	$140.6K
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…	55	100	480	$50	$53.8K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	3	10	40	$20	$46K
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.	59	90	210	$70	$35K
V2020	Frames, purchases	51	80	440	$20	$32K
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…	25	110	90	$80	$31.3K
99203	The provider sees a new 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 provider…	38	110	120	$40	$30.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	45	80	290	$30	$29.7K
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	130	700	$20	$28.6K

Showing 1–10 of 15

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Moore Center Services, Inc.	NH	Early Intervention Provider Agency	$0	$373.9M
Catholic Medical Center	NH	General Acute Care Hospital	$0	$19.8M
Manchester School District	NH	Local Education Agency (LEA)	$0	$4M
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$3.1M
Metro Treatment Of New Hampshire LP	NH	Methadone Clinic	$148.8K	$1.6M
Home For Butterflies, LLC	NH	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$1.4M
Catholic Medical Center	NH	Cardiovascular Disease Physician	$0	$489.4K
Amoskeag Health	NH	Federally Qualified Health Center (FQHC)	$0	$480.4K
Catholic Medical Center	NH	General Acute Care Hospital	$0	$472.3K
Cpte - Manchester, Inc.	NH	Physical Therapist	$0	$426.1K

Nh Eye Associates PLLC — Billing Profile & Reimbursement Data

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Nh Eye Associates PLLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paul Degregorio	NH	Retina Specialist (Ophthalmology) Physician	$1.9M	$0
Anthony Correnti	NH	Ophthalmology Physician	$1.5M	$0
Nancy Efferson-bonachea	NH	Ophthalmology Physician	$790.7K	$0
Yu Cheng Zhao	MI	Ophthalmology Physician	$618.5K	$0
Kimberly Licciardi	NH	Ophthalmology Physician	$331.8K	$0
Vasilios Lazos	NH	Ophthalmology Physician	$251.5K	$0
Alison Loranger	NH	Optometrist	$197.8K	$0
Christiana Munroe	NH	Ophthalmology Physician	$131.9K	$0
Lia Sprague	NH	Optometrist	$80.2K	$0
Asja Pinkham	NH	Optometrist	$72.6K	$0