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

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

A & E Eyecare Inc (NPI 1538613849)

Field	Value
Entity Type	Organization
Organization	A & E Eyecare Inc
Address	1201 O St
City	Lincoln
State	NE
ZIP	68508
Taxonomy	Optometrist
NPI Enumerated	August 4, 2016

Payer Source	Total Paid
Medicaid	$249K
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	1,930	$40	$77.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1,420	$50	$75.4K
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.	1,670	$10	$21.8K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	690	$30	$17.9K
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…	330	$50	$17.8K
V2784	Lens, polycarbonate or equal, any index, per lens	710	$20	$12.1K
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.	150	$50	$7.6K
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…	210	$40	$7.3K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	160	$50	$7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	90	$30	$2.4K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

A & E Eyecare Inc — 0 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	35	140	390	$50	$70.3K
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…	63	140	220	$50	$45K
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.	76	130	250	$60	$44.3K
V2020	Frames, purchases	46	180	520	$30	$39.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	66	100	220	$30	$29K
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.	63	210	660	$10	$25.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	35	110	290	$20	$18.4K
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…	50	110	180	$30	$16.8K
V2784	Lens, polycarbonate or equal, any index, per lens	21	100	180	$20	$12.4K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	26	30	60	$50	$11.8K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as A & E Eyecare Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of Lancaster	NE	Psychiatry Physician	$0	$4.4M
Houses Of Hope Of Ne Inc	NE	Substance Abuse Rehabilitation Facility	$0	$4.2M
The Bridge Behavioral Health, Inc.	NE	Mental Illness Community Based Residential Treatment Facility	$0	$3.3M
Bright Smile Dental	NE	Dentist	$0	$3.2M
Turningpoint Psychotherapy, P.C.	NE	Mental Health Counselor	$0	$434.6K
Bloom Counseling	NE	Mental Health Counselor	$0	$418.5K
Parallels, Inc	NE	Cognitive & Behavioral Psychologist	$0	$299.1K

A & E Eyecare Inc — Billing Profile & Reimbursement Data

Sign up for A & E Eyecare Inc — Billing Profile & Reimbursement Data policy alerts

A & E Eyecare Inc — Billing Profile & Reimbursement Data

Sign up for A & E Eyecare Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References