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

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

Middletown Eye Care PA (NPI 1518998103)

Field	Value
Entity Type	Organization
Organization	Middletown Eye Care PA
Address	228 Dove Run Centre Dr
City	Middletown
State	DE
ZIP	19709
Taxonomy	Optometrist
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$224.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S0621	Routine ophthalmological examination including refraction; established patient	1,660	$50	$83K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	950	$60	$53.1K
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…	680	$40	$29.2K
V2020	Frames, purchases	1,720	$20	$29.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	390	$40	$15.9K
V2784	Lens, polycarbonate or equal, any index, per lens	190	$30	$5.8K
S0620	Routine ophthalmological examination including refraction; new patient	70	$50	$3.7K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	60	$50	$2.7K
V2025	Deluxe frame	80	$10	$980
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	$50	$720

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Middletown Eye Care PA — 0 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

10 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…	16	40	330	$50	$172.4K
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.	28	30	150	$70	$55.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	17	50	540	$40	$53.9K
V2020	Frames, purchases	18	60	530	$30	$46.3K
S0621	Routine ophthalmological examination including refraction; established patient	8	40	420	$40	$42.2K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	18	20	230	$30	$36.8K
S0620	Routine ophthalmological examination including refraction; new patient	30	40	170	$40	$18.2K
V2784	Lens, polycarbonate or equal, any index, per lens	15	30	280	$30	$17.6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	16	40	360	$20	$13.5K
V2025	Deluxe frame	7	10	120	$10	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Middletown Eye Care PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Brian Landrum	OH	Optometrist	$886.1K	$11.1K
Jeffrey Filandro	DE	Optometrist	$2.3K	$193.9K
Elizabeth Cluff	DE	Optometrist	$6.9K	$68.3K

Nearby Providers

Other providers in the same ZIP code as Middletown Eye Care PA, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Interventional Pain Spine LLC	DE	Interventional Pain Medicine Physician	$0	$17.6M
Lieske E2e Home Health Care Inc	DE	Home Health Agency	$0	$9.2M
Tobola Health Care Services Inc.	DE	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.3M
Delaware Smile Center	DE	General Practice Dentistry	$0	$3.1M
Premier Physical Therapy And Sports Performance Limited Partnership	DE	Physical Therapist	$0	$2.3M
Thrive Real Life Independence, LLC	DE	Developmentally Disabled Services Day Training Agency	$0	$1.2M
Myeyedr Optometry Of Delaware PA	DE	Optometrist	$0	$961.5K
Scy Dental	DE	Dental Clinic/Center	$0	$776.9K
Middletown Familycare Associates LLC	DE	Family Medicine Physician	$0	$719K
Mccormick & Associates Of Middletown, LLC	DE	Psychiatric/Mental Health Clinical Nurse Specialist	$0	$590.7K

Middletown Eye Care PA — Billing Profile & Reimbursement Data

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Middletown Eye Care PA — 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