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

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

Pandya-lipman Eye Specialist, PLLC (NPI 1528261815)

Field	Value
Entity Type	Organization
Organization	Pandya-lipman Eye Specialist, PLLC
Address	60 Physicians Ln
City	Southaven
State	MS
ZIP	38671
Taxonomy	Pediatric Optometrist
NPI Enumerated	June 6, 2007

Payer Source	Total Paid
Medicaid	$1.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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…	4,570	$70	$333.2K
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.	3,190	$100	$306.6K
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.	8,800	$30	$237.7K
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…	4,270	$40	$153.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	4,060	$30	$101.6K
V2784	Lens, polycarbonate or equal, any index, per lens	2,470	$20	$46.9K
V2020	Frames, purchases	1,730	$20	$27.6K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	370	$50	$18.7K
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…	310	$50	$14.8K
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…	280	$40	$10.2K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Pandya-lipman Eye Specialist, PLLC — 2 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,253	1,910	930	$60	$278.7K
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…	1,266	1,670	720	$50	$196.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	23	30	390	$70	$128.7K
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…	26	420	510	$70	$92.2K
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…	2	10	940	$40	$90.7K
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.	13	350	180	$90	$53.3K
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.	18	500	910	$20	$39.1K
V2020	Frames, purchases	124	450	740	$30	$37.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	39	390	740	$20	$25.9K
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…	139	310	240	$50	$25.4K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Pandya-lipman Eye Specialist, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rashmi Pandya-lipman	MS	Ophthalmology Physician	$6.7K	$154.7K

Nearby Providers

Other providers in the same ZIP code as Pandya-lipman Eye Specialist, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital-desoto, Inc,	MS	General Acute Care Hospital	$0	$41.6M
Sidhu Pediatrics, LLC	MS	Pediatrics Physician	$0	$10.8M
Desoto Pediatric Extended Care LLC	MS	Pediatric Skilled Nursing Facility	$0	$8.2M
Spectra Laboratories Inc	MS	Clinical Medical Laboratory	$1.8M	$6.2M
Desoto Family Counseling Center PLLC	MS	Community/Behavioral Health Agency	$0	$5.6M
Simple Strokestherapy Consultants, PA	MS	Physical Therapist	$0	$5.1M
John Acosta	MS	Pediatric Dentistry	$0	$4.7M
Rcg Southaven, LLC	MS	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.9M
Roberts & Garza Orthodontics Services PLLC	MS	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$3.4M
Genesis Healthcare LLC	MS	Home Health Agency	$0	$2.9M

Pandya-lipman Eye Specialist, PLLC — Billing Profile & Reimbursement Data

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Pandya-lipman Eye Specialist, 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