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.

Academy Kids Vision Center LLC (NPI 1639339930)

Field	Value
Entity Type	Organization
Organization	Academy Kids Vision Center LLC
Address	2436 S Academy Blvd
City	Colorado Springs
State	CO
ZIP	80916
Taxonomy	Clinic/Center
NPI Enumerated	June 11, 2008

Payer Source	Total Paid
Medicaid	$19M
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
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	40,410	$140	$5.7M
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…	35,600	$100	$3.5M
V2020	Frames, purchases	66,010	$40	$2.6M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	39,060	$40	$1.6M
V2784	Lens, polycarbonate or equal, any index, per lens	60,380	$20	$1.4M
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.	10,240	$120	$1.2M
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	64,440	$20	$1.1M
V2750	Anti-reflective coating, per lens	18,770	$30	$506.8K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	10,850	$50	$499.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	13,020	$40	$481.8K

Showing 1–10 of 19

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

Academy Kids Vision Center LLC — 12 of 19 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

19 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	1	200	530	$140	$439.1K
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…	709	2,520	330	$100	$352K
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…	1	410	370	$90	$187.5K
V2020	Frames, purchases	1	320	440	$40	$122.9K
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.	7	450	250	$100	$120.7K
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,…	93	690	140	$90	$118.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1	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	4	90	350	$50	$93.6K
V2784	Lens, polycarbonate or equal, any index, per lens	2	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	1	290	560	$20	$67.4K

Showing 1–10 of 19

Nearby Providers

Other providers in the same ZIP code as Academy Kids Vision Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Academy Kids Dental Center PC	CO	General Practice Dentistry	$0	$20.7M
Peak Vista Community Health Centers	CO	Federally Qualified Health Center (FQHC)	$0	$14.3M
Diversus Health Inc	CO	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.4M
Rehab For All LLC	CO	Occupational Therapist	$0	$7.6M
Assisted Living At Spring, LLC	CO	Assisted Living Facility	$0	$4.9M
Roth Medical Inc	CO	Durable Medical Equipment & Medical Supplies	$0	$4.5M
Reach Air Medical Services LLC	CO	Air Ambulance	$233.5K	$220.2K
Uch-mhs	CO	Ambulance	$55K	$58.9K

Academy Kids Vision Center LLC — Billing Profile & Reimbursement Data

Sign up for Academy Kids Vision Center LLC — Billing Profile & Reimbursement Data policy alerts

Academy Kids Vision Center LLC — Billing Profile & Reimbursement Data

Sign up for Academy Kids Vision Center LLC — 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