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

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

Visionfirst Eye Center, Inc (NPI 1629118286)

Field	Value
Entity Type	Organization
Organization	Visionfirst Eye Center, Inc
Address	3240 Edwards Lake Pkwy
City	Birmingham
State	AL
ZIP	35235
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$904.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	4,560	$70	$333K
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…	5,940	$60	$332.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7,380	$20	$118.1K
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.	12,030	$10	$84.2K
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…	380	$50	$19.6K
S0621	Routine ophthalmological examination including refraction; established patient	470	$30	$11.7K
S0620	Routine ophthalmological examination including refraction; new patient	160	$30	$5.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	10	$30	$370

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Visionfirst Eye Center, Inc — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,124	1,990	560	$40	$185.6K
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…	16	330	720	$50	$85.5K
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.	11	320	400	$70	$70.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	486	500	120	$60	$42.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	25	320	1,310	$20	$38.9K
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.	12	380	1,370	$10	$20.2K
S0620	Routine ophthalmological examination including refraction; new patient	3	40	30	$30	$2.7K
S0621	Routine ophthalmological examination including refraction; established patient	3	80	40	$30	$2.5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Visionfirst Eye Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mark Bearman	AL	Ophthalmology Physician	$150.2K	$0
Bret Fisher	AL	Ophthalmology Physician	$105.4K	$0

Nearby Providers

Other providers in the same ZIP code as Visionfirst Eye Center, Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New Beacon Healthcare Group, LLC	AL	Community Based Hospice Care Agency	$0	$5.6M
St. Vincent's East	AL	General Acute Care Hospital	$0	$3M
Tots 'n' Teens Pediatrics, P.C.	AL	Pediatrics Physician	$0	$2.9M
Preferred Pain Associates Of Alabama, P.C.	AL	Pain Medicine (Anesthesiology) Physician	$0	$2.8M
Small Steps Pediatrics, PC	AL	Pediatrics Physician	$0	$1.6M
Dr. Michael Vann & Associates, Inc	AL	Pediatric Dentistry	$0	$1.4M
Outpatient Services East	AL	Ambulatory Surgical Clinic/Center	$1.1M	$230
Mario Maruthur	AL	Dermatology Physician	$1.1M	$0
Oasis Healthcare, Inc.	AL	Community Based Hospice Care Agency	$0	$975.6K
Pathway Healthcare Alabama LLC	AL	Addiction Medicine (Family Medicine) Physician	$0	$865.3K

Visionfirst Eye Center, Inc — Billing Profile & Reimbursement Data

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Visionfirst Eye Center, Inc — 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

Nearby Providers

Frequently Asked Questions

References