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 District of Columbia for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to District of Columbia 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. District of Columbia (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.

Hero Vision Of Dc PLLC (NPI 1669010989)

Field	Value
Entity Type	Organization
Organization	Hero Vision Of Dc PLLC
Address	1060 Brentwood Rd Ne Ste B-8
City	Washington
State	DC
ZIP	20018
Taxonomy	Optometrist
NPI Enumerated	December 17, 2019

Payer Source	Total Paid
Medicaid	$1.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 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.	4,270	$90	$367.4K
V2784	Lens, polycarbonate or equal, any index, per lens	5,590	$40	$234.7K
V2020	Frames, purchases	6,300	$30	$176.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,830	$40	$141.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,990	$20	$101.7K
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…	1,330	$80	$101.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1,080	$30	$36.5K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	790	$30	$27K
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.	1,480	$10	$16.2K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	100	$90	$9.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. District of Columbia Distribution

Hero Vision Of Dc PLLC — 3 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — District of Columbia

Full comparison — all codes billed, vs. District of Columbia median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	17	20	520	$70	$84.2K
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.	4	50	440	$80	$82.7K
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…	14	50	720	$60	$80.7K
V2784	Lens, polycarbonate or equal, any index, per lens	3	30	910	$40	$79.2K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	14	20	800	$30	$44.8K
V2020	Frames, purchases	2	30	410	$30	$38.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2	20	1,900	$20	$37.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2	20	950	$30	$36.5K
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.	14	40	580	$10	$23.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	5	20	180	$20	$12.9K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Hero Vision Of Dc PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
T & N Reliable Nursing Care,llc	DC	In Home Supportive Care Agency	$0	$103.2M
Immaculate Health Care Services,inc	DC	Respite Care	$0	$82.1M
Innovative Life Solutions, Inc.	DC	Developmental Disabilities Clinic/Center	$0	$73.3M
Nya Health Services Inc	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$39.6M
Life Stride, Inc.	DC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$19.4M
Hero Dental Of Washington Dc PC	DC	General Practice Dentistry	$0	$19.3M
Goshen Healthcare & Management Services	DC	Community/Behavioral Health Agency	$0	$18.1M
P&g Behavioral Health Services LLC	DC	Adult Mental Health Clinic/Center	$0	$14.1M
Psychiatric Center Chartered,inc	DC	Psychiatry Physician	$0	$11.4M
Metropolitan Educational Solutions, LLC	DC	Case Management Agency	$0	$8.3M

Hero Vision Of Dc PLLC — Billing Profile & Reimbursement Data

Sign up for Hero Vision Of Dc PLLC — Billing Profile & Reimbursement Data policy alerts

Hero Vision Of Dc PLLC — Billing Profile & Reimbursement Data

Sign up for Hero Vision Of Dc PLLC — 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