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

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

Vrf Eye Specialty Group, Plc (NPI 1699729806)

Vrf Eye Specialty Group, Plc is a ophthalmology physician provider located in Memphis, Tennessee. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Vrf Eye Specialty Group, Plc
Address	825 Ridge Lake Blvd
City	Memphis
State	TN
ZIP	38120
Taxonomy	Ophthalmology Physician
NPI Enumerated	May 20, 2006

Payer Source	Total Paid
Medicaid	$2.5M
Medicare	$0

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	6,190	$80	$488.7K
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.	6,800	$50	$319.6K
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…	7,570	$40	$280K
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…	15,620	$10	$218.6K
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.	12,740	$10	$140.1K
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…	6,820	$20	$129.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,700	$20	$125.3K
J9035	Injection, bevacizumab, 10 mg	4,120	$30	$123.5K
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.	2,120	$50	$99.7K
92136	The provider uses a noninvasive method to measure the patient’s eye or eyes to get information that the provider then uses to calculate the appropriate power for an intraocular lens (IOL). Selecting…	9,260	$10	$74.1K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Vrf Eye Specialty Group, Plc — 9 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	3	10	40	$570	$363.4K
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…	446	3,760	610	$40	$202.3K
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.	6	40	760	$50	$193K
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…	259	4,050	620	$30	$183.9K
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…	2	70	250	$110	$96.9K
99204	The provider sees a new 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 provider…	175	1,080	120	$80	$90.7K
J9035	Injection, bevacizumab, 10 mg	6	30	780	$20	$65.7K
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…	19	710	340	$50	$60K
99203	The provider sees a new 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 provider…	358	1,240	120	$60	$53.1K
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.	35	580	160	$70	$41.5K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Fingerhut	TN	Retina Specialist (Ophthalmology) Physician	$2.8M	$0
Calvin Brown	MS	Ophthalmology Physician	$1.2M	$0
Brian Smith	TN	Ophthalmology Physician	$490.6K	$0
Andrew Crothers	TN	Ophthalmology Physician	$452.9K	$0
Luke Peterson	NC	Ophthalmology Physician	$379K	$0
John Linn	TN	Ophthalmology Physician	$287.5K	$0
Subba Gollamudi	TN	Ophthalmology Physician	$278.8K	$0
Osemelu Aburime	GA	Ophthalmology Physician	$260.8K	$0
Charley Chu	AR	Optometrist	$27.5K	$188.9K
David Carrico	TN	Optometrist	$215.7K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Baptist Memorial Hospital	TN	General Acute Care Hospital	$0	$51.4M
East Memphis Neonatology Associates P.C	TN	Neonatal-Perinatal Medicine Physician	$0	$20.7M
Semmes-murphey Clinic PC	TN	Ambulatory Surgical Clinic/Center	$4.1M	$11K
Lebonheur East Surgery Center Ii LP	TN	Ambulatory Surgical Clinic/Center	$0	$3M
Ridge Lake Asc, LLC	TN	Ophthalmologic Surgery Clinic/Center	$2.4M	$390.5K
Gastrointestinal Specialists Foundation, Inc	TN	Gastroenterology Physician	$0	$2.5M
George Woodman	TN	Surgery Physician	$1.1K	$2.3M
Otolaryngology Consultants Of Memphis, P.C.	TN	Specialist	$0	$2.1M
Obgyn Consultants Of Memphis	TN	Obstetrics & Gynecology Physician	$0	$2.1M
Mays & Schnapp Pain Clinic & Rehabilitation Center	TN	Ambulatory Surgical Clinic/Center	$1.5M	$0

Vrf Eye Specialty Group, Plc — Billing Profile & Reimbursement Data

Sign up for Vrf Eye Specialty Group, Plc — Billing Profile & Reimbursement Data policy alerts

Vrf Eye Specialty Group, Plc — Billing Profile & Reimbursement Data

Sign up for Vrf Eye Specialty Group, Plc — 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