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

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

West Georgia Eye Care Center, PA (NPI 1699868265)

West Georgia Eye Care Center, PA is a ophthalmology physician provider located in Columbus, Georgia. This profile covers 0 Medicare and 18 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	West Georgia Eye Care Center, PA
Address	2616 Warm Springs Rd
City	Columbus
State	GA
ZIP	31904
Taxonomy	Ophthalmology Physician
NPI Enumerated	October 2, 2006

Payer Source	Total Paid
Medicaid	$326K
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	1,480	$60	$90K
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…	2,850	$20	$54.2K
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…	2,490	$20	$37.3K
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.	2,200	$10	$26.4K
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…	1,240	$20	$21K
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…	910	$20	$19.1K
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.	460	$40	$16.1K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	1,290	$10	$15.5K
S0621	Routine ophthalmological examination including refraction; established patient	370	$40	$14.7K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	860	$10	$9.5K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

West Georgia Eye Care Center, PA — 3 of 18 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	230	920	370	$60	$360.6K
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…	305	820	390	$70	$245K
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,…	340	360	370	$50	$153.6K
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…	188	310	90	$90	$136.3K
S0621	Routine ophthalmological examination including refraction; established patient	8	20	110	$40	$86.2K
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	70	240	$40	$68.1K
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.	20	70	80	$50	$47.8K
S0620	Routine ophthalmological examination including refraction; new patient	17	20	140	$40	$39.9K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	11	20	240	$50	$28K
J9035	Injection, bevacizumab, 10 mg	3	10	30	$650	$22.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Panvelkar And Panvelkar, LLC	GA	Pediatrics Physician	$0	$2.3M
The Allergy Center At Brookstone PC	GA	Allergy & Immunology Physician	$0	$1.9M
Eye Surgery Center Of West Georgia LLC	GA	Ambulatory Surgical Clinic/Center	$1.4M	$0
Candler Road Dental, PC	GA	General Practice Dentistry	$0	$932.8K
Hiren Shah	GA	Cardiovascular Disease Physician	$757.1K	$0
Hunter Champion	GA	Cardiovascular Disease Physician	$744.8K	$0
Shane Darrah	GA	Interventional Cardiology Physician	$700K	$0
Gregory Parker	GA	Family Medicine Physician	$699.8K	$0
I Basilio Md, PC	GA	Pediatric Adolescent Medicine Physician	$0	$697K
William Harper	GA	Specialist	$678.4K	$0

West Georgia Eye Care Center, PA — Billing Profile & Reimbursement Data

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West Georgia Eye Care Center, PA — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Nicholas Mayfield	GA	Ophthalmology Physician	$2.6M	$0
Finny John	KS	Ophthalmology Physician	$395.3K	$0
Bret Crumpton	GA	Ophthalmology Physician	$306.5K	$0
Sterling Cannon	GA	Ophthalmology Physician	$292.5K	$0
Malcolm Moore	GA	Ophthalmology Physician	$276.7K	$0
John Ervin	GA	Ophthalmology Physician	$167.4K	$0