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

Why is the Medicaid comparison limited to South Dakota 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. South Dakota (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.

Michael Eide (NPI 1710152061)

Field	Value
Entity Type	Individual
Organization	Michael Eide
Address	6601 S Minnesota Ave
City	Sioux Falls
State	SD
ZIP	57108
Taxonomy	Ophthalmology Physician
NPI Enumerated	April 28, 2008

Payer Source	Total Paid
Medicare	$330K
Medicaid	$0

Key Findings

MICHAEL EIDE (Ophthalmology Physician) is an established Medicare provider enumerated 2008-04-28 (~18 years ago) in Sioux Falls, SD, and has recorded $330K in lifetime Medicare revenue. There is no Medicaid billing on file, indicating virtually all billed public-payer activity for this NPI is through Medicare rather than state Medicaid programs.

This profile is effectively single‑payer in public programs: the provider reports $330K in Medicare revenue and "none below" for Medicaid, so payer exposure and revenue concentration are driven by Medicare beneficiaries rather than a mix of Medicare and Medicaid. That payer mix implies contracting, utilization, and quality review should be focused on Medicare patterns.

Revenue concentration in Medicare is high: the precomputed top three codes (66984, 66821, 99213) account for 63.4% of total Medicare revenue. Specifically, 66984 accounts for $148.7K (45.1%), 66821 for $35.7K (10.8%), and 99213 for $24.6K (7.5%), signaling that a small set of cataract/surgical and routine E/M services produce the majority of payments.

The code mix indicates a cataract-focused surgical practice with associated diagnostic and follow-up services. High utilization of 66984 (469 claims, $317 avg paid/claim) and concurrent use of 66821 (129 claims) and biometry 92136 (431 claims) point to primary activity in cataract extraction and intraocular lens workups, supplemented by routine ophthalmology office visits represented by 99213 and higher‑level E/M codes.

Competitive standing versus national peers is consistent with a solid, above‑median regional participant rather than a national center of excellence. For the primary surgical code 66984 the provider ranks #3056 of 15965 (81st percentile; typical, unremarkable volume for this code), and for 66821 ranks #1706 of 10087 (83rd percentile; typical, unremarkable volume), while 99213 ranks #37603 of 457151 (92nd percentile; typical, unremarkable volume) — collectively suggesting stronger-than-median but not dominant national positions for core services.

There are notable statistical signals to examine: 99204 (219 claims, $23.7K) is flagged as an "extreme outlier, far above typical national volume for this code," which merits review of new‑patient moderate complexity visit patterns. Several diagnostic/ancillary codes also sit in high percentiles (for example, 92136 at the 90th percentile and 76514 at the 95th percentile, both described as typical/unremarkable in source language), indicating concentrated use of pre/op measurements and imaging relative to peers.

Clinical-service implications for payers and network managers include expecting a workflow centered on elective cataract surgery plus routine follow-up and diagnostic testing: common revenue drivers (66984, 66821, 92136) are consistent with a surgical ophthalmology practice that performs procedures and the associated preoperative measurements and postoperative laser capsulotomy. Network contracting or utilization management should consider volumes of these specific cataract-related codes when assessing capacity and reimbursement arrangements.

From a compliance and utilization-review perspective, the combination of concentrated revenue in a few surgical codes (top three = 63.4% of Medicare revenue) and an extreme outlier signal for 99204 suggests targeted chart-review or peer-comparison on case mix and new-patient visit intensity may be informative. Overall, the dataset shows an experienced, surgery‑oriented ophthalmologist whose Medicare footprint is concentrated and whose outlier E/M pattern warrants focused operational or clinical review.

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

19 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…	470	$320	$148.7K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	130	$280	$35.7K
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…	410	$60	$24.6K
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…	220	$110	$23.7K
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…	250	$90	$21.5K
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…	170	$80	$13.8K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	30	$470	$13.7K
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…	430	$30	$13.4K
65756	During this procedure, the provider performs a complete corneal transplant to replace a damaged corneal endothelium.	20	$880	$13.2K
66986	The provider removes a previously placed intraocular lens and places a new one.	10	$660	$7.2K

Showing 1–10 of 19

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 19 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. South Dakota Distribution

Michael Eide — 2 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Dakota

Full comparison — all codes billed, vs. state median

19 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	14	130	40	$410	$67.7K
65756	8	10	20	$1,070	$38.6K
66821	13	30	100	$230	$35.6K
66982	14	20	40	$580	$25K
92014	96	200	170	$80	$17.1K
99214	349	1,660	90	$70	$11.4K
92136	9	30	210	$30	$9.2K
66986	3	10	10	$630	$7.5K
99213	85	1,710	80	$50	$6.4K
92134	48	160	60	$30	$5.8K

Showing 1–10 of 19

Related Providers

Other providers that share a Tax Identification Number (TIN) with Michael Eide, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chad Laurich	SD	Vascular Surgery Physician	$3.2M	$0
NPI 1588636484	—	—	$3.2M	$0
Ryan Geraets	SD	Ophthalmology Physician	$3M	$0
John Bormes	SD	Ophthalmology Physician	$2.6M	$0
Ophthalmology Ltd Eye Surgery Center L L C	SD	Ambulatory Surgical Clinic/Center	$1.8M	$16.2K
Elizabeth Atchison	SD	Ophthalmology Physician	$1.7M	$0
Ashar Luqman	IA	Nephrology Physician	$1.4M	$0
Taylor Slingsby	SD	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Ty Hanson	SD	Dermatology Physician	$1.2M	$0
Alexander Ringeisen	MN	Retina Specialist (Ophthalmology) Physician	$1.1M	$0

Nearby Providers

Other providers in the same ZIP code as Michael Eide, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Avera Mckennan	SD	Psychiatry Physician	$0	$9.1M
Vance Thompson Vision Surgery Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$4.5M	$22.7K
Siouxland Oral Surgery	SD	Oral and Maxillofacial Surgery (Dentist)	$0	$3.9M
Avera Home Medical Equipment, LLC	SD	Durable Medical Equipment & Medical Supplies	$0	$3.4M
Anderson-smith Speech Therapy, LLC	SD	Speech-Language Pathologist	$0	$1.9M
Dakota Vision Center, LLC	SD	Optometrist	$0	$1.2M
Usc Ambulatory Surgical Center Prof LLC	SD	Ambulatory Surgical Clinic/Center	$1.1M	$44.2K
Avera Mckennan	SD	Physical Therapist	$0	$1M
Encompass Mental Health, LLC	SD	Mental Health Counselor	$0	$908.7K
Avera Mckennan	SD	Infectious Disease Physician	$0	$852.9K

Michael Eide — Billing Profile & Reimbursement Data

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Key Findings

Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References