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.

Johnson City Eye Clinic PC (NPI 1700827961)

Field	Value
Entity Type	Organization
Organization	Johnson City Eye Clinic PC
Address	110 Med Tech Pkwy
City	Johnson City
State	TN
ZIP	37604
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 9, 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.

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	12,950	$50	$634.6K
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.	13,680	$20	$328.3K
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.	3,620	$80	$282.4K
V2784	Lens, polycarbonate or equal, any index, per lens	6,420	$30	$179.6K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	4,500	$40	$157.3K
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…	4,000	$40	$148K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,330	$30	$138.7K
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…	1,940	$50	$89.4K
V2020	Frames, purchases	5,380	$20	$80.8K
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…	1,180	$50	$56.8K

Showing 1–10 of 26

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

Johnson City Eye Clinic PC — 6 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

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	1,430	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.	34	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…	787	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…	41	70	250	$110	$96.9K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	8	40	660	$40	$92.1K
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…	531	1,080	120	$80	$90.7K
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…	8	710	340	$50	$60K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	337	660	190	$60	$53.3K
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.	13	580	160	$70	$41.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	32	520	580	$20	$35.4K

Showing 1–10 of 26

Related Providers

Other providers that share a Tax Identification Number (TIN) with Johnson City Eye Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lauren Rushing	TN	Ophthalmology Physician	$874.3K	$0
Jeffrey Carlsen	TN	Ophthalmology Physician	$310.5K	$3.4K
Jennifer Oakley	TN	Ophthalmology Physician	$305.5K	$0
James Battle	TN	Ophthalmology Physician	$299.8K	$0
Joshua Busscher	TN	Ophthalmology Physician	$246.5K	$0
Scott Cole	NC	Ophthalmology Physician	$171.7K	$0
Amy Young	TN	Ophthalmology Physician	$129.8K	$0

Nearby Providers

Other providers in the same ZIP code as Johnson City Eye Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cura Partners, LLC	TN	In Home Supportive Care Agency	$0	$49.3M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$31.3M
Medical Education Assistance Corporation	TN	Internal Medicine Physician	$0	$31.1M
Tri-cities Regional Emergency Physicians, PC	TN	Emergency Medicine Physician	$0	$24.7M
Catalyst Health Solutions,llc	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$18.7M
Mountain States Health Alliance	TN	General Acute Care Hospital	$0	$8.1M
Juhn And Stark LLC	TN	Pediatric Dentistry	$0	$8.1M
First Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$4.7M
Mountain Empire Radiology Inc PC	TN	Diagnostic Radiology Physician	$0	$4.5M
Tri-city Pediactric Cardiology P C	TN	Pediatric Cardiology Physician	$0	$4.5M

Johnson City Eye Clinic PC — Billing Profile & Reimbursement Data

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Johnson City Eye Clinic PC — 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