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

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

Children's Eye Physicians PC (NPI 1629403076)

Field	Value
Entity Type	Organization
Organization	Children's Eye Physicians PC
Address	4875 Ward Rd
City	Wheat Ridge
State	CO
ZIP	80033
Taxonomy	Eyewear Supplier
NPI Enumerated	September 4, 2013

Payer Source	Total Paid
Medicaid	$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.

15 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	19,690	$150	$3M
V2020	Frames, purchases	17,310	$40	$709.8K
V2784	Lens, polycarbonate or equal, any index, per lens	20,430	$30	$633.3K
V2750	Anti-reflective coating, per lens	20,440	$30	$551.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	21,220	$20	$403.1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	8,420	$40	$353.5K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	3,100	$50	$152.1K
V2025	Deluxe frame	1,220	$90	$107.1K
V2755	U-v lens, per lens	1,310	$30	$36.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	600	$40	$26K

Showing 1–10 of 15

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Children's Eye Physicians PC — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

15 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	12	200	530	$140	$439.1K
V2025	Deluxe frame	18	70	470	$90	$167.7K
V2020	Frames, purchases	16	320	440	$40	$122.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	26	210	540	$40	$115.1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	23	90	350	$50	$93.6K
V2784	Lens, polycarbonate or equal, any index, per lens	16	320	510	$30	$87.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	16	290	560	$20	$67.4K
V2750	Anti-reflective coating, per lens	4	200	450	$20	$60.2K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	27	40	260	$60	$57.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	56	170	150	$40	$41.1K

Showing 1–10 of 15

Nearby Providers

Other providers in the same ZIP code as Children's Eye Physicians PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Real Care, Inc.	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$59.7M
Jefferson Center For Mental Health	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36.1M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$23.6M
Peak Pediatrics PLLC	CO	Clinic/Center	$0	$11.4M
Emergency Service Physicians, Inc.	CO	Emergency Medicine Physician	$0	$11.3M
A Brighter Community LLC	CO	Developmentally Disabled Services Day Training Agency	$0	$10M
Lighthouse Residenital	CO	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$8.9M
My Second Home	CO	Child Intellectual and/or Developmental Disabilities Respite Care	$0	$8M
Metro Community Provider Network Inc	CO	Federally Qualified Health Center (FQHC)	$0	$5.7M
Ariel Clinical Services	CO	Case Management Agency	$0	$4.8M

Children's Eye Physicians PC — Billing Profile & Reimbursement Data

Sign up for Children's Eye Physicians PC — Billing Profile & Reimbursement Data policy alerts

Children's Eye Physicians PC — Billing Profile & Reimbursement Data

Sign up for Children's Eye Physicians PC — 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