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 U.S. Virgin Islands for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to U.S. Virgin Islands 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. U.S. Virgin Islands (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.

Plessen Optical, LLC (NPI 1689057580)

Field	Value
Entity Type	Organization
Organization	Plessen Optical, LLC
Address	6 Orange Grove
City	Christiansted
State	VI
ZIP	00820
Taxonomy	Eyewear Supplier
NPI Enumerated	July 9, 2015

Payer Source	Total Paid
Medicaid	$81.3K
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports Total Medicaid revenue: $81.3K, so its public payor footprint is effectively single-payer Medicaid in the available data. Analysts should treat Medicare comparisons as not applicable when evaluating scale or market reach.

Revenue concentration is extremely high: the precomputed top three Medicaid codes account for 95.9% of the provider's Medicaid revenue, indicating that a very small set of eyewear products and services drive almost all reported Medicaid receipts. That concentration suggests limited service-line diversity within the Medicaid population.

The code mix is consistent with a retail eyewear supplier focused on frame sales and basic lens provisioning: V2020 (Frames) generates $54.5K in revenue (67.0%) from 746 claims at $73 avg paid/claim, V2200 (Sphere, bifocal lens) contributes $18.3K (22.5%) from 213 claims at $86 avg paid/claim, and V2744 (Tint, photochromatic) adds $5.2K (6.4%) from 246 claims at $21 avg paid/claim. This pattern indicates primary business activity is selling frames and standard lenses with smaller accessory or lens-treatment sales.

Competitive standing within the state appears modest: V2020 ranks #4 of 4 providers in-state and V2200 ranks #3 of 3 providers in-state, both annotated as 0th percentile with "typical, unremarkable volume," which signals this provider is not a dominant market participant for those common eyewear codes. V2744 is listed as #1 of 1 with a 0th percentile label and "no state peer volume comparison available," so that code shows local exclusivity in reporting but not necessarily large scale.

Claim-level details reinforce a small-scale, retail operation: the largest volume item, V2020, has 746 claims at $73 avg paid/claim, while the high unit-price lens code V2200 has 213 claims at $86 avg paid/claim, and V2744 shows 246 claims at $21 avg paid/claim. These counts and averages suggest revenue is driven more by frame volume than high-margin specialty lens services within the Medicaid population.

There are indications of possible reimbursement or reporting anomalies: V2025 (Deluxe frame) is listed with 37 claims but $0 avg paid/claim and $0 revenue while ranking #1 of 1 providers in-state, which may reflect zero-paid denials, non-covered items, or reporting artifacts rather than material revenue contribution. Analysts should flag this pattern for follow-up in claims detail or remittance data before drawing operational conclusions.

The provider has been enumerated since 2015-07-09 (~11 years ago), indicating an established presence in the market despite modest Medicaid revenue, which may reflect a small single-location retail operation rather than a recently created billing entity. Tenure combined with concentrated Medicaid revenue suggests an ongoing, narrow scope of Medicaid-facing services.

From a strategic perspective, the absence of Medicare billing coupled with concentrated Medicaid revenue ($81.3K) limits this provider's exposure to older beneficiary markets; any meaningful growth in public-payer revenue would require either diversification of codes within Medicaid, onboarding Medicare billing, or scaling non-Medicaid commercial or self-pay sales. These conclusions are supported directly by the current code mix and payer data available.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	750	$70	$54.5K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	210	$90	$18.3K
V2744	Tint, photochromatic, per lens	250	$20	$5.2K
V2755	U-v lens, per lens	270	$10	$1.9K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	40	$30	$1.2K
V2781	Progressive lens, per lens	20	$10	$240
V2025	Deluxe frame	40	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other U.S. Virgin Islands providers billing the same CPT/HCPCS codes.

Claims Volume vs. U.S. Virgin Islands Distribution

Plessen Optical, LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — U.S. Virgin Islands

Full comparison — all codes billed, vs. U.S. Virgin Islands median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2020	Frames, purchases	4	10	3,020	$50	$347.7K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	3	10	1,770	$100	$332.1K
V2755	U-v lens, per lens	4	10	3,040	$20	$122K
V2744	Tint, photochromatic, per lens	1	10	250	$20	$5.1K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1	10	40	$30	$1.2K
V2781	Progressive lens, per lens	1	10	20	$10	$240
V2025	Deluxe frame	1	10	40	$0	$0

Nearby Providers

Other providers in the same ZIP code as Plessen Optical, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
St Croix Vision Center Inc	VI	Optometrist	$0	$3.6M
One Dental Practice LLC	VI	Dentist	$0	$3.2M
Governor Juan F. Luis Hospital & Medical Center	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3M
Js Therapies, LLC	VI	Occupational Therapist	$0	$2.9M
Healthquest, LLC.	VI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.4M
Department Of Health, Ems Stx	VI	Land Ambulance	$0	$2.2M
Lindsy Wagner LLC	VI	Clinical Social Worker	$0	$2.2M
Ophthalmology Consultants, PC	VI	Ophthalmology Physician	$0	$2.1M
Acute Alternative Medical Group	VI	Emergency Medical Services (Emergency Medicine) Physician	$0	$1.9M
Pediatric Care Center LLC	VI	Pediatrics Physician	$0	$1.7M

Plessen Optical, LLC — Billing Profile & Reimbursement Data

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Plessen Optical, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References