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

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

Amber Carlson (NPI 1538494414)

Field	Value
Entity Type	Individual
Organization	Amber Carlson
Address	2400 Lancaster Dr Ne
City	Salem
State	OR
ZIP	97305
Taxonomy	Optometrist
NPI Enumerated	October 9, 2009

Payer Source	Total Paid
Medicare	$660
Medicaid	$0

Key Findings

This provider's Medicare activity is very limited in scale: total Medicare revenue is $663 with 15 Medicare claims reported and an average paid per claim of $44. The top-paying Medicare procedure in the file is 92014 with $660 revenue, which alone accounts for 100.0% of this provider's total Medicare revenue, indicating almost all Medicare income comes from a single service line.

Revenue concentration is extreme: the precomputed top-3 Medicare codes account for 100.0% of Medicare revenue, and in the available data that revenue is effectively all derived from code 92014. This indicates the provider's billed Medicare services are narrowly focused rather than diversified across multiple procedure codes.

Service-line implication based on the dominant code 92014 (comprehensive established patient eye exam) is that the Medicare-billed activity reflects routine comprehensive eye exams for established patients. The code mix suggests the practitioner’s Medicare billings are primarily clinical, exam-based optometry work rather than procedure- or surgery-oriented ophthalmology services.

Payer mix is effectively single-payer with respect to public programs: Medicaid billing is absent (no Medicaid billing on file), so Medicare constitutes the only recorded public payer revenue stream. This profile implies no observed Medicaid participation and very limited Medicare engagement in the available claims.

Competitive standing for the principal Medicare code is modest: 92014 revenue ranks #33591 of 35415 providers nationally (4th percentile) and is described in the data as "typical, unremarkable volume for this code." That placement indicates the provider is a minor national participant for this CPT and not a high-volume or dominant claimant in Medicare.

Tenure-wise, the NPI has been enumerated since 2009-10-09 (~17 years ago), showing long-standing enrollment in the provider registry despite minimal Medicare billing activity. The gap between long tenure and low Medicare revenue suggests either a low Medicare patient mix, primary care of non-Medicare populations, or limited Medicare billing activity during the enrollment period.

The absolute dollar amounts are very small in Medicare terms: total Medicare revenue $663 and reported $660 for 92014. These low figures, combined with the single-code concentration, indicate that Medicare is not a primary revenue driver for this provider and that any analytic or network decisions should treat this entity as a low-volume Medicare biller.

Given the absence of Medicaid claims and the concentrated Medicare billing pattern, competitive or market-impact conclusions should be cautious: the provider is unlikely to influence payer networks or utilization metrics materially for either public program based on the presented data. Analysts should treat this profile as that of a narrowly focused, low-volume optometry biller to Medicare rather than a broad-based or high-volume practice.

Medicare: Complete Services Breakdown

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

1 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…	20	$40	$660

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Oregon Distribution

Amber Carlson — 0 of 1 code billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. state median

1 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92014	1	440	110	$80	$16K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chemawa Indian Health Center Dhhs Ihs Western Oregon Serv Unit	OR	Multi-Specialty Clinic/Center	$0	$15.8M
Christina Alba	OR	Hand Physical Therapist	$13K	$0
Susan Sligh	OR	Family Nurse Practitioner	$9.7K	$0
Megan Larson	OR	Audiologist-Hearing Aid Fitter	$1.1K	$0

Amber Carlson — Billing Profile & Reimbursement Data

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Amber Carlson — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References