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

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

Tri County Eye Clinic, PLLC (NPI 1700859881)

Field	Value
Entity Type	Organization
Organization	Tri County Eye Clinic, PLLC
Address	431 Bertucci Blvd
City	Biloxi
State	MS
ZIP	39531
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 9, 2006

Payer Source	Total Paid
Medicaid	$1.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

19 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.	5,230	$100	$528.2K
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…	5,320	$70	$388.3K
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.	11,860	$20	$201.6K
V2020	Frames, purchases	6,770	$30	$189.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	10,320	$20	$175.4K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	3,190	$40	$111.7K
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…	1,020	$40	$41.8K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1,460	$20	$30.6K
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…	920	$30	$25.8K
V2784	Lens, polycarbonate or equal, any index, per lens	2,910	$10	$17.4K

Showing 1–10 of 19

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Mississippi Distribution

Tri County Eye Clinic, PLLC — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Mississippi

Full comparison — all codes billed, vs. Mississippi median

19 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…	1,266	1,910	930	$60	$278.7K
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…	765	1,670	720	$50	$196.4K
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…	22	420	510	$70	$92.2K
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…	223	270	130	$60	$57.4K
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.	4	350	180	$90	$53.3K
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…	334	490	90	$70	$49.9K
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.	6	500	910	$20	$39.1K
V2020	Frames, purchases	14	450	740	$30	$37.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3	390	740	$20	$25.9K
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…	50	310	240	$50	$25.4K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Tri County Eye Clinic, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cameron Griffith	MS	Ophthalmology Physician	$243.3K	$0
Philip Bertucci	MS	Ophthalmology Physician	$120.6K	$58.1K
Edward Langlow	LA	Ophthalmology Physician	$99K	$0

Nearby Providers

Other providers in the same ZIP code as Tri County Eye Clinic, PLLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hattiesburg Road Dental, P.C.	MS	General Practice Dentistry	$0	$16.2M
Painstop Spine Clinic, LLC	MS	Interventional Pain Medicine Physician	$0	$4.6M
Gulf Shores Adult Day Care	MS	Adult Day Care Clinic/Center	$0	$3.7M
Mitchell Gruich	MS	Pediatrics Physician	$0	$2.3M
Anne Baranano	MS	Retina Specialist (Ophthalmology) Physician	$1.7M	$530
Tara Sykes	MS	Family Nurse Practitioner	$1.6M	$0
Building Behaviors Counseling Services, LLC	MS	Mental Health Counselor	$0	$1.6M
Children's International, LLC	MS	Rural Health Clinic/Center	$0	$1.5M
Evelyn Collier	MS	General Practice Dentistry	$0	$1.4M
Gulf Coast Outpatient Surgery Center, LLC	MS	Ambulatory Surgical Clinic/Center	$732.4K	$409K

Tri County Eye Clinic, PLLC — Billing Profile & Reimbursement Data

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Tri County Eye Clinic, PLLC — 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