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

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

Maine Eye Care Associates (NPI 1710953336)

Maine Eye Care Associates is a ophthalmology physician provider located in Waterville, Maine. This profile covers 0 Medicare and 21 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	Maine Eye Care Associates
Address	325a Kennedy Memorial Dr
City	Waterville
State	ME
ZIP	04901
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 24, 2006

Payer Source	Total Paid
Medicaid	$4.1M
Medicare	$0

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,780	$470	$1.8M
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…	15,030	$50	$706.4K
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.	8,920	$70	$606.7K
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.	6,260	$30	$181.4K
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…	6,270	$30	$175.6K
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…	1,020	$120	$124.3K
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…	4,470	$30	$120.6K
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.	8,780	$10	$105.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,860	$20	$93.7K
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…	2,150	$30	$73.2K

Showing 1–10 of 21

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maine Distribution

Maine Eye Care Associates — 4 of 20 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. Maine median

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	2	10	1,710	$620	$1.2M
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…	181	460	1,240	$30	$190K
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…	8	30	220	$280	$186.7K
J2777	Injection, faricimab‑svoa, 0.1 mg	3	10	120	$830	$159.9K
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.	4	20	3,500	$40	$135.8K
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…	114	480	1,030	$20	$128.9K
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	120	680	$50	$84.3K
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.	2	90	540	$70	$75.9K
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…	4	50	340	$40	$55.4K
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…	71	150	150	$60	$37.6K

Showing 1–10 of 21

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kennebec Valley Mental Health Center	ME	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$143M
Jmpb Inc.	ME	Community/Behavioral Health Agency	$0	$40.2M
Discovery House Of Central Maine, Inc.	ME	Methadone Clinic	$398.8K	$24.5M
Care & Comfort	ME	Mental Health Counselor	$0	$24.8M
Eastern Maine Healthcare Systems Inland Hospital	ME	General Acute Care Hospital	$0	$18.3M
Blue Sky Counseling P.C.	ME	Community/Behavioral Health Agency	$0	$11.6M
Maine General Community Care	ME	Case Management Agency	$0	$11.4M
Delta Ambulance Corp.	ME	Land Ambulance	$985.5K	$9.8M
Paramount Behavioral Services, Inc	ME	Community/Behavioral Health Agency	$0	$9.3M
Waters Edge Therapy, Inc	ME	Community/Behavioral Health Agency	$0	$5.2M

Maine Eye Care Associates — Billing Profile & Reimbursement Data

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Maine Eye Care Associates — 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
Andre Witkin	MA	Retina Specialist (Ophthalmology) Physician	$2.9M	$0
Deborah Witkin	ME	Ophthalmology Physician	$1.6M	$0
Maine Eye Care Associates	ME	Ambulatory Surgical Clinic/Center	$479K	$980.4K
Lawrence Piazza	ME	Ophthalmology Physician	$374.6K	$0
Steve Witkin	ME	Ophthalmology Physician	$339K	$0
Peter Kohler	ME	Ophthalmology Physician	$163.5K	$0
Linda Schumacher-feero	ME	Ophthalmology Physician	$88.9K	$0
Ian Jones	ME	Optometrist	$80K	$0
Helen Bell Necevski	ME	Optometrist	$73.9K	$0
Nour Maya Haddad	ME	Ophthalmology Physician	$65.9K	$0