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

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

Alison Granier (NPI 1669709143)

Field	Value
Entity Type	Individual
Organization	Alison Granier
Address	1814 Lincoln Way
City	Coeur D Alene
State	ID
ZIP	83814
Taxonomy	Ophthalmology Physician
NPI Enumerated	November 4, 2009

Payer Source	Total Paid
Medicare	$842.5K
Medicaid	$0

Key Findings

This provider’s Medicare activity is concentrated in high-revenue ophthalmic drug administration: J0178 (aflibercept injection) accounts for $566.6K or 67.3% of the provider’s total Medicare revenue, and the precomputed top-three codes together represent 83.4% of lifetime Medicare revenue. That concentration indicates a service-line focused heavily on intravitreal anti-VEGF therapy rather than a broad mix of general ophthalmology procedures.

ALISON GRANIER reports $842.5K in total Medicare revenue and no Medicaid billing on file, making her effectively a single-payer (Medicare) provider in the available data. The absence of Medicaid claims suggests either limited participation in Medicaid, a payer mix skewed to Medicare-age populations, or billing arrangements not captured here; analysts should treat this profile as Medicare-dominant.

Procedure-level volumes show routine comprehensive and ancillary ophthalmology practice alongside injection services: 92014 (comprehensive established exam) and 92012 (intermediate established exam) are among the top codes, together supporting ongoing follow-up and disease management for the injected population. High counts for retinal imaging codes such as 92134 and biometric testing 92136 further support a clinic workflow that pairs intravitreal injections with diagnostic imaging and IOL planning.

Competitive standing by code is mixed: for the principal revenue driver J0178 the provider ranks #1486 of 3204 (54th percentile), which is a typical, unremarkable national volume for aflibercept injections rather than a dominant position. In contrast, 92014 (comprehensive established exam) ranks in the 93th percentile (#2393 of 35415), indicating notably above-typical national volume for comprehensive established eye exams and suggesting stronger-than-average clinic follow-up activity relative to peers.

Surgical cataract-related services are present but represent a smaller revenue stream: 66984 (intraocular lens insertion after cataract extraction) produces $73.5K (8.7% of Medicare revenue) and ranks at the 65th percentile (#5639 of 15965), consistent with a steady but not high-volume cataract surgery practice. Adjunct procedures such as 66821 (YAG capsulotomy) and 15823 (upper eyelid blepharoplasty) appear at low counts and revenues, indicating occasional surgical cases beyond injections and office-based care.

Service intensity and coding mix imply a clinic model that emphasizes recurring retina-focused treatments with associated diagnostics: high claim counts for J0178 (820 claims), 67028 (501 claims, intravitreal injection as isolated procedure), and imaging codes like 92134 (662 claims) align with a regimen of repeated injection visits accompanied by imaging and follow-up exams. This pattern is consistent with ongoing management of retinal diseases such as AMD or diabetic macular edema.

Tenure data show the NPI was enumerated on 2009-11-04 (~17 years ago), indicating long-standing Medicare enrollment; this longevity supports interpretation of observed volumes as established practice patterns rather than a recent practice shift. Analysts evaluating referral networks or capacity should consider the provider an experienced Medicare-participating ophthalmologist.

Several codes are labeled at/near typical national volumes while a few are notably higher: beyond J0178’s typical standing, codes such as 92014 and imaging codes (92134, 92136, 92133) fall in high percentiles (81–93th percentiles), which the supplied labels describe as “notably above typical” or high relative volume. This combination—typical injection volumes but higher-than-typical office and imaging activity—may reflect efficient in-house follow-up and diagnostics accompanying a moderate injection program.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	820	$690	$566.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	190	$390	$73.5K
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…	830	$80	$62.4K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	500	$80	$42.1K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	410	$60	$23K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	660	$30	$18.5K
J7999	Compounded drug, not otherwise classified	160	$70	$11.2K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	50	$240	$10.8K
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.	90	$90	$7.7K
15823	In this procedure, the provider surgically trims excessive skin that weighs down the upper eyelid, typically to improve the cosmetic appearance of the face and due to the interference of the tissue…	10	$610	$7.3K

Showing 1–10 of 18

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 18 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Idaho Distribution

Alison Granier — 1 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. state median

18 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	11	20	670	$690	$541.7K
66984	30	150	40	$520	$76K
67028	13	30	470	$90	$66.6K
J7999	12	20	200	$70	$18.9K
66821	39	60	60	$200	$18.3K
15823	17	20	40	$490	$18.1K
92014	10	230	120	$70	$15.5K
99214	2,147	2,690	90	$70	$10.4K
92012	11	70	100	$60	$10.2K
92134	17	190	60	$30	$5.9K

Showing 1–10 of 18

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alison Granier, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kootenai Health, Inc.	ID	General Acute Care Hospital	$0	$7M
Kootenai Health, Inc.	ID	Psychiatry Physician	$0	$6.7M
Kootenai Urgent Care LLC	ID	Family Medicine Physician	$0	$3.8M
Kootenai Health, Inc.	ID	Emergency Medicine Physician	$0	$2.6M
Golden Buckland	ID	Ophthalmology Physician	$1.2M	$0
Dustin Dinning	ID	Rheumatology Physician	$1.1M	$0
Drew Thomas	ID	Ophthalmology Physician	$774.2K	$0
David Dance	ID	Ophthalmology Physician	$711.8K	$0
North Idaho Eye Institute P A	ID	Ophthalmology Physician	$0	$644K
Sara Duke	ID	Ophthalmology Physician	$611.7K	$0

Nearby Providers

Other providers in the same ZIP code as Alison Granier, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Res-care Washington, Inc	ID	In Home Supportive Care Agency	$0	$31.9M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$13.6M
Coeur D'alene Pediatrics PA	ID	Pediatrics Physician	$0	$11.6M
Coeur D'alene School District #271	ID	Local Education Agency (LEA)	$0	$9.8M
Ambitions Of Idaho, Inc	ID	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.6M
Dirne Health Centers, Inc.	ID	Federally Qualified Health Center (FQHC)	$0	$7.1M
Family Support Services Of North Idaho	ID	Mental Health Counselor	$0	$6.9M
Dirne Health Centers, Inc	ID	Federally Qualified Health Center (FQHC)	$0	$6.7M
Collaborative Behavior Solutions, LLC	ID	Community/Behavioral Health Agency	$0	$5.9M
Kootenai County Emergency Medical Services System	ID	Land Ambulance	$1.7M	$3.6M

Alison Granier — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References