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

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

Gary Crowell Od PC (NPI 1720127798)

Field	Value
Entity Type	Organization
Organization	Gary Crowell Od PC
Address	1291 N Hwy 99 W
City	Mcminnville
State	OR
ZIP	97128
Taxonomy	Optometrist
NPI Enumerated	February 6, 2007

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 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…	3,860	$80	$313K
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.	2,370	$100	$232.6K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	6,510	$30	$221.4K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	5,150	$30	$144.1K
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.	4,960	$10	$59.5K
T1013	Sign language or oral interpretive services, per 15 minutes	840	$60	$49.3K
V2784	Lens, polycarbonate or equal, any index, per lens	1,160	$30	$34.8K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1,340	$20	$29.5K
V2020	Frames, purchases	2,200	$10	$26.3K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	570	$20	$12.6K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Gary Crowell Od PC — 2 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

14 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	1,500	650	$70	$312.4K
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…	1,272	1,590	590	$50	$236.5K
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…	25	250	460	$80	$121.3K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2	10	4,260	$20	$86K
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.	18	260	200	$100	$72.7K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	1	10	850	$40	$68.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	190	210	450	$50	$68.8K
V2020	Frames, purchases	20	140	460	$20	$58K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	3	10	1,690	$20	$46.1K
V2784	Lens, polycarbonate or equal, any index, per lens	30	110	520	$10	$42.6K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Gary Crowell Od PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Willamette Valley Medical Center LLC	OR	General Acute Care Hospital	$0	$17.3M
Yamhill County	OR	Community/Behavioral Health Agency	$0	$10.3M
Parkside Living Rtf	OR	Mental Illness Community Based Residential Treatment Facility	$0	$9.2M
Emergency Medical Associates Of Mcminnville	OR	Emergency Medicine Physician	$0	$6M
Physicians Medical Center P C	OR	General Practice Physician	$0	$3.5M
City Of Mcminnville	OR	Land Ambulance	$622K	$2.6M
Virginia Garcia Memorial Health Center	OR	Federally Qualified Health Center (FQHC)	$0	$2.9M
Life Strategies Counseling	OR	Community/Behavioral Health Agency	$0	$2.5M
Yamhill County Hhs Public Health-mch	OR	Case Management Agency	$0	$2.4M
Willamette Valley Clinics LLC	OR	Family Medicine Physician	$0	$2.2M

Gary Crowell Od PC — Billing Profile & Reimbursement Data

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Gary Crowell Od 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

Nearby Providers

Frequently Asked Questions

References