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

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

Ronald Avenia (NPI 1528048311)

Field	Value
Entity Type	Individual
Organization	Ronald Avenia
Address	410 Glenn Ave
City	Bloomsburg
State	PA
ZIP	17815
Taxonomy	Ophthalmology Physician
NPI Enumerated	January 18, 2006

Payer Source	Total Paid
Medicare	$23.8K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 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…	170	$80	$12.8K
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.	80	$90	$7.2K
92082	The provider performs visual field testing at an intermediate level, for example, at least 2 isopters on a Goldmann perimeter. This code includes test interpretation and report generation.	70	$30	$2.2K
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…	30	$50	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Pennsylvania Distribution

Ronald Avenia — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Pennsylvania

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	669	1,570	130	$80	$21K
92012	697	930	80	$60	$14K
92004	191	1,060	30	$100	$5K
92082	10	60	30	$30	$1.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ronald Avenia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Crystal Vision Center, Inc.	PA	Eyewear Supplier	$0	$5.7M

Nearby Providers

Other providers in the same ZIP code as Ronald Avenia, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Health Care, Inc.	PA	Home Health Agency	$0	$14.6M
Geisinger Bloomsburg Hospital	PA	General Acute Care Hospital	$0	$7.2M
Family Care Home Health Agency LLC	PA	Home Health Agency	$0	$6.3M
Chris O'neil	PA	Family Medicine Physician	$615.3K	$8K
Lori Masteller	PA	Family Medicine Physician	$484.1K	$11.8K
Steve Karp	PA	Radiation Oncology Physician	$460.7K	$0
Susquehanna Surgery Center Inc	PA	Ambulatory Surgical Clinic/Center	$404.7K	$0
David Portonova	PA	Foot & Ankle Surgery Podiatrist	$181.1K	$0
Peter Wei	PA	Diagnostic Radiology Physician	$117.5K	$2.1K
Shane Hess	PA	Physical Therapist	$106.6K	$0

Ronald Avenia — Billing Profile & Reimbursement Data

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Ronald Avenia — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References