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

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

Vision Care Of Maine-aroostook LLC (NPI 1588763189)

Field	Value
Entity Type	Organization
Organization	Vision Care Of Maine-aroostook LLC
Address	173 Academy St
City	Presque Isle
State	ME
ZIP	04769
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$2.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	2,720	$530	$1.4M
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…	3,590	$40	$154.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	4,400	$30	$132K
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…	4,050	$30	$129.6K
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.	1,260	$70	$86.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	5,670	$10	$68K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1,080	$10	$14K
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…	470	$20	$10.4K
J2403	Chloroprocaine hcl ophthalmic, 3% gel, 1 mg	310	$30	$10.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	250	$30	$7.9K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Vision Care Of Maine-aroostook LLC — 1 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	5	10	1,710	$620	$1.2M
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…	134	460	1,240	$30	$190K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	24	30	220	$280	$186.7K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	8	20	3,500	$40	$135.8K
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…	299	480	1,030	$20	$128.9K
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…	19	120	680	$50	$84.3K
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.	22	90	540	$70	$75.9K
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…	29	50	340	$40	$55.4K
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…	145	150	150	$60	$37.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	8	30	1,490	$10	$34.8K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Vision Care Of Maine-aroostook LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oscar Batlle	ME	Ophthalmology Physician	$1.7M	$0
George Peters	MA	Ophthalmology Physician	$1.6M	$0
Curt Young	ME	Ophthalmology Physician	$1.2M	$0
Tracey Clark	ME	Ophthalmology Physician	$853.8K	$0
Vision Care Of Maine-aroostook LLC	ME	Ambulatory Surgical Clinic/Center	$131.6K	$60.9K
Jeremy Valentine	ME	Ophthalmology Physician	$125.3K	$0
Julie Goldman	ME	Cornea and External Diseases Specialist Physician	$63.2K	$10.7K
Bradley Trask	ME	Optometrist	$55.7K	$0
Luke Gamble	ME	Optometrist	$50.9K	$0

Nearby Providers

Other providers in the same ZIP code as Vision Care Of Maine-aroostook LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Aroostook Mental Health Services, Inc.	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$53.2M
The Aroostook Medical Center	ME	General Acute Care Hospital	$0	$38.5M
Central Aroostook Association	ME	Local Education Agency (LEA)	$0	$36.5M
Personal Services Of Aroostook	ME	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$10.7M
Life By Design, PA	ME	Clinical Social Worker	$0	$9.9M
Aroostook Agency On Aging	ME	In Home Supportive Care Agency	$0	$7.9M
Discovery House Wc, Inc.	ME	Methadone Clinic	$0	$4M
Pines Health Services	ME	Federally Qualified Health Center (FQHC)	$0	$3.7M
Northern Maine Oral & Facial Surgery PA	ME	Oral and Maxillofacial Surgery (Dentist)	$0	$3.5M
Dunrovin Enterprises, Inc.	ME	In Home Supportive Care Agency	$0	$3.1M

Vision Care Of Maine-aroostook LLC — Billing Profile & Reimbursement Data

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Vision Care Of Maine-aroostook LLC — 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

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Frequently Asked Questions

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