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.

The Eyecare Place, Inc. (NPI 1679548044)

Field	Value
Entity Type	Organization
Organization	The Eyecare Place, Inc.
Address	1627 Center Point Pkwy
City	Center Point
State	AL
ZIP	35215
Taxonomy	Optometrist
NPI Enumerated	February 21, 2006

Payer Source	Total Paid
Medicaid	$2.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 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.	8,930	$90	$758.7K
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…	6,190	$70	$420.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	13,280	$20	$225.7K
V2784	Lens, polycarbonate or equal, any index, per lens	24,500	$10	$196K
V2020	Frames, purchases	13,710	$10	$191.9K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	7,820	$20	$164.2K
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.	15,100	$10	$135.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	17,760	$10	$106.6K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	4,620	$10	$23.1K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2,360	$10	$14.1K

Showing 1–10 of 16

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

The Eyecare Place, Inc. — 9 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	1	10	2,530	$40	$97.7K
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…	15	330	720	$50	$85.5K
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	320	400	$70	$70.3K
V2784	Lens, polycarbonate or equal, any index, per lens	4	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,…	301	500	120	$60	$42.2K
V2020	Frames, purchases	5	200	870	$10	$41.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	6	320	1,310	$20	$38.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4	130	790	$10	$28.6K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	4	10	50	$20	$24.5K
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.	7	380	1,370	$10	$20.2K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with The Eyecare Place, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maria Nelsen	GA	Optometrist	$0	$164.4K
Melonie Clemmons	GA	Optometrist	$47.4K	$9.2K
Andre Baron	GA	Optometrist	$35K	$0

Nearby Providers

Other providers in the same ZIP code as The Eyecare Place, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vital Smiles Alabama, P.C.	AL	General Practice Dentistry	$0	$1.6M
Center Point Fire District	AL	Land Ambulance	$231.6K	$801.3K
Joshua Wilson	AL	Family Medicine Physician	$299.7K	$0
James Sullivan	AL	Internal Medicine Physician	$48.1K	$0

The Eyecare Place, Inc. — Billing Profile & Reimbursement Data

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The Eyecare Place, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References