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

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

Intermountain Eye And Laser Centers PLLC (NPI 1730119611)

Intermountain Eye And Laser Centers PLLC is a ophthalmology physician provider located in Boise, Idaho. This profile covers 0 Medicare and 17 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	Intermountain Eye And Laser Centers PLLC
Address	999 N Curtis Rd Ste 205
City	Boise
State	ID
ZIP	83706
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$875.1K
Medicare	$0

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

17 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…	3,760	$80	$285.9K
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.	2,310	$100	$240.4K
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.	1,940	$50	$102.7K
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…	1,880	$50	$91.9K
J9035	Injection, bevacizumab, 10 mg	1,420	$60	$83.8K
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.	2,620	$20	$39.3K
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…	140	$70	$9.6K
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.	7,100	$1	$7.1K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	230	$20	$5.1K
T1013	Sign language or oral interpretive services, per 15 minutes	790	$10	$4K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Idaho Distribution

Intermountain Eye And Laser Centers PLLC — 1 of 13 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Idaho

Full comparison — all codes billed, vs. Idaho median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1013	Sign language or oral interpretive services, per 15 minutes	21	40	960	$70	$461.2K
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…	225	670	740	$40	$193.6K
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…	462	620	560	$60	$191.8K
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…	10	160	320	$90	$92.8K
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	10	990	$50	$87.9K
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	130	120	$110	$50.2K
J9035	Injection, bevacizumab, 10 mg	2	10	400	$60	$43.6K
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.	5	20	690	$20	$29.7K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	64	210	90	$20	$10.4K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	3	10	80	$40	$9.3K

Showing 1–10 of 17

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffrey Stevens	CA	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
James Tweeten	ID	Ophthalmology Physician	$304K	$0
Adam Reynolds	ID	Ophthalmology Physician	$294.6K	$0
Brent Betts	ID	Cornea and External Diseases Specialist Physician	$231.2K	$0
Jon Fishburn	ID	Ophthalmology Physician	$173.3K	$0
Luke Hopstad	ID	Optometrist	$133.8K	$0
Kathryn Fethke	ID	Ophthalmology Physician	$105.4K	$0
Majid Moshirfar	UT	Ophthalmology Physician	$105K	$0
Leo Harf	ID	Ophthalmology Physician	$82.2K	$0
Brandon Hicks	ID	Optometrist	$69.9K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Safeway Inc	ID	Community/Retail Pharmacy	$76.1M	$330
Albertsons LLC	ID	Community/Retail Pharmacy	$29M	$0
American Drug Stores LLC	ID	Community/Retail Pharmacy	$27.3M	$0
Vons Companies Inc	ID	Community/Retail Pharmacy	$12.7M	$0
Nai Saturn Eastern LLC	ID	Community/Retail Pharmacy	$12.6M	$0
Smiles 4 Kids	ID	Dentist	$0	$9.6M
Acme Markets Inc	ID	Community/Retail Pharmacy	$9.5M	$0
Randalls Food & Drugs LP	ID	Community/Retail Pharmacy	$6.7M	$0
Shaws Supermarkets Inc	ID	Community/Retail Pharmacy	$5.5M	$0
Saint Alphonsus Regional Medical Center Inc	ID	General Acute Care Hospital	$0	$5.1M

Intermountain Eye And Laser Centers PLLC — Billing Profile & Reimbursement Data

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Intermountain Eye And Laser Centers 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

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