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

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

Donald Wright (NPI 1760416036)

Field	Value
Entity Type	Individual
Organization	Donald Wright
Address	145 Kennedy Dr
City	Martin
State	TN
ZIP	38237
Taxonomy	Optometrist
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$18.5K
Medicaid	$0

Medicare: Complete Services Breakdown

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

5 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…	180	$60	$11K
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…	3,400	$1	$3.4K
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,…	80	$30	$2.6K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	1,440	$1	$1.4K
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…	20	$40	$980

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 5 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Tennessee Distribution

Donald Wright — 2 of 5 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. state median

5 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	20	450	170	$120	$89.5K
66821	6	230	60	$120	$20.8K
92014	308	810	120	$80	$19.2K
99213	9,233	11,030	80	$50	$8K
99212	427	2,140	30	$30	$2K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Martin Health	TN	General Acute Care Hospital	$0	$3.9M
Martin Children's Clinic, LLC	TN	Rural Health Clinic/Center	$0	$3.9M
Northwest Tennessee Human Resource Agency	TN	Non-emergency Medical Transport (VAN)	$0	$2.9M
Air Evac Ems Inc	TN	Air Ambulance	$997.3K	$285.5K
City Of Martin Tennessee	TN	Land Ambulance	$320.2K	$338.9K
Michael Chua	TN	Physical Therapist	$235.1K	$0
Kendell Kessler	TN	Physical Medicine & Rehabilitation Physician	$194.1K	$0
Anna Hopla	TN	Nephrology Physician	$179.9K	$0
Kenneth Carr	TN	Family Medicine Physician	$162.7K	$0
Seth Coleman	TN	Physician Assistant	$161.5K	$0

Donald Wright — Billing Profile & Reimbursement Data

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Donald Wright — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References