Loading...
NPI 1619347408 · Manassas, VA · Physiological Laboratory
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Notal Vision Inc is a physiological laboratory provider located in Manassas, Virginia. This profile covers 1 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Notal Vision Inc |
| Address | 7717 Coppermine Dr |
| City | Manassas |
| State | VA |
| ZIP | 20109 |
| Taxonomy | Physiological Laboratory |
| NPI Enumerated | October 6, 2015 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $3M |
| Medicaid | $1.9K |
NOTAL VISION INC is a highly specialized physiological laboratory operation focused almost exclusively on remote visual field monitoring, as evidenced by the single dominant procedure code 0379T described for extended patient-initiated visual field data transmission and remote surveillance. The code description implies a tech-enabled service model with real-time data analysis, accessible data storage, and ongoing technical support/monitoring of patients for up to 30 days, indicating a narrow, device- or service-centric business line rather than a general ophthalmology practice.
Revenue is extremely concentrated in Medicare: Total Medicare revenue is $3M and the precomputed top-3 Medicare codes account for 100.0% of the provider’s Medicare revenue, with 0379T alone listed as producing $3M (100.0%). This concentration shows the provider’s Medicare business is effectively mono-coded and reliant on the single remote visual field monitoring service.
Medicaid billing is minimal in absolute terms relative to Medicare: Total Medicaid revenue is $1.9K while Medicare is $3M, so the provider functions effectively as a Medicare-focused (single-payer dominant) entity. The precomputed top-3 Medicaid codes also account for 100.0% of Medicaid revenue, with 0379T reported as $2.3K (100.0%), underscoring the same single-service specialization across payers but at a much smaller Medicaid scale.
Competitive standing for Medicare shows the provider ranks #1 of 1 providers nationally for 0379T and is listed at the 0th percentile with no national peer volume comparison available; this suggests there are no directly comparable high-volume peers in the national Medicare dataset, positioning NOTAL VISION INC as the sole reported source of Medicare billing for this code rather than as a high-volume peer among many. For Medicaid, the provider similarly ranks #1 of 1 in-state for 0379T at the 0th percentile with no state peer volume comparison available, indicating it is the only reporting in-state provider for this code in the dataset.
The claim and payment patterns differ markedly by payer: Medicare shows 53.2K claims at $57 avg paid/claim generating $3M total Medicare revenue, whereas Medicaid shows 1.2K claims at $2 avg paid/claim generating $2.3K; these figures reflect a large difference in per-claim reimbursement and overall scale between the two programs for the same service code. This gap suggests the provider’s revenue exposure and operational focus are overwhelmingly tied to Medicare reimbursement rates and volume.
Tenure is substantial: the provider’s NPI was enumerated on 2015-10-06 (~11 years ago), indicating several years of presence in Medicare/Medicaid billing records and sufficient time to establish the concentrated service pattern observed. The duration supports that the mono-service billing profile is not a short-term artifact but a persistent operating model.
Across both payers the top-3 code concentration metric (100.0% for Medicare and 100.0% for Medicaid) highlights an elevated business risk from single-service dependency; any changes to coverage, reimbursement, or clinical guidelines for 0379T would likely have an outsized impact on the provider’s financial performance. Analysts should therefore treat revenue forecasts and comparative analyses with caution given the absence of diversification.
The dataset flags this provider as a statistical outlier in the sense that it is the sole listed reporter for 0379T in both national Medicare and in-state Medicaid comparisons (rank #1 of 1 and 0th percentile notes), which means benchmarking against typical multi-code labs or broader ophthalmic service lines may be misleading. Competitive or utilization comparisons should instead be constrained to the specific remote visual field monitoring service and interpreted with the limited peer context provided.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0379T | In this procedure, the provider performs examination of the visual field of each eye of a patient. Report this code if there is concurrent real time data analysis and accessible data storage with a… | 53,210 | $60 | $3M |
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
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| 0379T | 1 | 10 | 53,210 | $60 | $3M |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 0379T | In this procedure, the provider performs examination of the visual field of each eye of a patient. Report this code if there is concurrent real time data analysis and accessible data storage with a… | 1,150 | $1 | $2.3K |
How this provider's Medicaid billing volume and revenue compare to other Virginia providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Virginia median
1 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 0379T | In this procedure, the provider performs examination of the visual field of each eye of a patient. Report this code if there is concurrent real time data analysis and accessible data storage with a… | 1 | 10 | 1,150 | $1 | $1.9K |
Other providers in the same ZIP code as Notal Vision Inc, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.