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.

Alabama Eye Clinic PC (NPI 1639351372)

Field	Value
Entity Type	Organization
Organization	Alabama Eye Clinic PC
Address	109 Coosa Street East
City	Talladega
State	AL
ZIP	35160
Taxonomy	Optometrist
NPI Enumerated	December 5, 2007

Payer Source	Total Paid
Medicaid	$894.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,200	$60	$260.6K
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.	1,670	$80	$135.6K
V2750	Anti-reflective coating, per lens	1,070	$90	$97.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,540	$20	$94.1K
V2020	Frames, purchases	5,350	$10	$69.5K
V2784	Lens, polycarbonate or equal, any index, per lens	5,140	$10	$66.9K
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.	6,100	$10	$48.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	4,760	$10	$47.6K
V2499	Variable sphericity lens, other type	320	$70	$20.5K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	300	$60	$18.2K

Showing 1–10 of 18

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

Alabama Eye Clinic PC — 0 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,271	1,990	680	$60	$201.7K
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…	1,110	1,990	560	$40	$185.6K
V2750	Anti-reflective coating, per lens	16	70	470	$80	$92.1K
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…	37	330	720	$50	$85.5K
V2499	Variable sphericity lens, other type	32	40	600	$60	$79.2K
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.	58	320	400	$70	$70.3K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	15	30	380	$60	$47.8K
V2784	Lens, polycarbonate or equal, any index, per lens	14	140	1,130	$10	$47.6K
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,…	334	500	120	$60	$42.2K
V2020	Frames, purchases	21	200	870	$10	$41.3K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alabama Eye Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Schnorbus	AL	Optometrist	$38.9K	$0

Nearby Providers

Other providers in the same ZIP code as Alabama Eye Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alteon Health Alabama, LLC	AL	Emergency Medicine Physician	$0	$8.4M
Kids Clinic Pediatric And Adolescent Medicine	AL	Pediatric Adolescent Medicine Physician	$0	$7.3M
Baptist Health Centers LLC	AL	Specialist	$0	$7M
Quality Of Life Health Services, Inc	AL	Primary Care Clinic/Center	$0	$3.2M
Bbh Cbmc, LLC	AL	General Acute Care Hospital	$0	$2.9M
Baptist Health Centers LLC	AL	Internal Medicine Physician	$0	$2M
Northstar Ems Inc	AL	Land Ambulance	$379.4K	$910.2K
Smart Care, LLC	AL	Pediatrics Physician	$0	$1.2M
Walgreen Co	AL	Pharmacy	$76.6K	$8.3K
Pramod Bhatia	AL	Otolaryngology Physician	$31.9K	$21.5K

Alabama Eye Clinic PC — Billing Profile & Reimbursement Data

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Alabama Eye Clinic PC — Billing Profile & Reimbursement Data

Sign up for Alabama Eye Clinic PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References