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

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

Midwest Eye Consultants, P.C. (NPI 1578526182)

Field	Value
Entity Type	Organization
Organization	Midwest Eye Consultants, P.C.
Address	431 W Coliseum Blvd
City	Fort Wayne
State	IN
ZIP	46805
Taxonomy	Optometrist
NPI Enumerated	April 7, 2006

Payer Source	Total Paid
Medicaid	$3.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

21 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…	11,350	$90	$998.8K
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.	6,560	$100	$649K
V2020	Frames, purchases	17,870	$30	$589.8K
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.	21,410	$10	$299.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	10,580	$30	$296.2K
V2784	Lens, polycarbonate or equal, any index, per lens	4,660	$50	$246.9K
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…	1,860	$70	$128.1K
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	2,710	$40	$119.3K
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…	1,130	$60	$71.3K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,870	$30	$52.3K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Midwest Eye Consultants, P.C. — 8 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	797	2,120	870	$60	$450.6K
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…	1,105	2,380	920	$50	$376.8K
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…	11	690	360	$70	$110.9K
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.	18	560	310	$90	$106.9K
99204	The provider sees a new 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 provider…	570	790	150	$90	$99.4K
99203	The provider sees a new 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 provider…	726	890	160	$60	$76.8K
V2020	Frames, purchases	13	710	490	$30	$72.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	12	450	260	$40	$52.9K
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	1	10	110	$50	$31.9K
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.	13	840	390	$10	$30.7K

Showing 1–10 of 21

Related Providers

Other providers that share a Tax Identification Number (TIN) with Midwest Eye Consultants, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Daniel Whipple	IN	Ophthalmology Physician	$1.9M	$0
Midwest Eye Consultants, P.C.	IN	Ambulatory Surgical Clinic/Center	$840.8K	$749.4K
Midwest Eye Consultants, P.C.	IN	Ambulatory Surgical Clinic/Center	$907K	$515.6K
Thucanh Multerer	PA	Retina Specialist (Ophthalmology) Physician	$862.9K	$139.4K
Kuumba Long	IN	Ophthalmology Physician	$668.1K	$0
Midwest Eye Consultants, P.C.	IN	Ambulatory Surgical Clinic/Center	$317K	$85.2K
Michael Coleman	MI	Ophthalmology Physician	$399.7K	$0
Randal Hughes	IN	Ophthalmology Physician	$365.1K	$0
Stephen Kimmell	IN	Optometrist	$353K	$460
William Keeling	IN	Ophthalmology Physician	$263.5K	$0

Nearby Providers

Other providers in the same ZIP code as Midwest Eye Consultants, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Park Center, Inc.	IN	Community/Behavioral Health Agency	$0	$49.9M
Professional Emergency Physicians PC	IN	Emergency Medicine Physician	$0	$39.1M
Park Center Inc	IN	Psychiatric Hospital	$0	$26.7M
Park Center Inc	IN	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$26.6M
Am Home Health Care, Inc	IN	Home Health Agency	$0	$14.8M
Center For Behavioral Health Indiana LLC	IN	Methadone Clinic	$252.3K	$12.3M
Crossroad Child & Family Services, Inc.	IN	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$11.6M
Anthony Medical Associates P C	IN	Family Medicine Physician	$0	$3.9M
Parkview Hospital, Inc.	IN	Air Ambulance	$0	$3.8M
Transcend Orthotics & Prosthetics, LLC	IN	Prosthetic/Orthotic Supplier	$0	$3M

Midwest Eye Consultants, P.C. — Billing Profile & Reimbursement Data

Sign up for Midwest Eye Consultants, P.C. — Billing Profile & Reimbursement Data policy alerts

Midwest Eye Consultants, P.C. — Billing Profile & Reimbursement Data

Sign up for Midwest Eye Consultants, P.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References