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

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

Duncan Family Eye Care Inc (NPI 1750613626)

Field	Value
Entity Type	Organization
Organization	Duncan Family Eye Care Inc
Address	3590 N Highway 81
City	Duncan
State	OK
ZIP	73533
Taxonomy	Optometrist
NPI Enumerated	February 3, 2010

Payer Source	Total Paid
Medicaid	$1.9M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 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…	7,990	$100	$830.4K
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.	2,620	$120	$322K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	8,230	$30	$246.9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	8,660	$30	$242.5K
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.	10,360	$20	$186.4K
V2020	Frames, purchases	8,490	$10	$84.8K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	250	$20	$5.4K
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.	120	$30	$3.3K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	50	$50	$2.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	50	$30	$1.5K

Showing 1–10 of 13

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Duncan Family Eye Care Inc — 5 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

13 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…	1,626	1,750	870	$70	$254.4K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	8	10	110	$70	$183.9K
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…	10	350	530	$100	$143.4K
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.	18	310	230	$120	$85.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	13	340	760	$30	$56.3K
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.	12	380	830	$20	$36.2K
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.	6	10	100	$30	$32.1K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	53	70	150	$30	$27.9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	6	270	330	$30	$27.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	148	250	340	$30	$27.2K

Showing 1–10 of 13

Nearby Providers

Other providers in the same ZIP code as Duncan Family Eye Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Duncan Regional Hospital, Inc.	OK	Rural Acute Care Hospital	$0	$17.8M
Association South Central Oklahoma Governments	OK	Case Management Agency	$0	$5.9M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$4.7M
Duncan Regional Hospital, Inc	OK	Rural Health Clinic/Center	$0	$4.2M
Urgent Med LLC	OK	Urgent Care Clinic/Center	$0	$3.9M
Duncan Regional Hospital, Inc	OK	Rural Health Clinic/Center	$0	$3.6M
Chisholm Trail Retirement Community	OK	Assisted Living Facility	$0	$3.5M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$3.4M
Sooner Mobile X-ray, Inc.	OK	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$1.1M	$1.4M
Duncan Regional Hospital, Inc.	OK	Rural Health Clinic/Center	$0	$2.3M

Duncan Family Eye Care Inc — Billing Profile & Reimbursement Data

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Duncan Family Eye Care Inc — 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