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

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

Eye Clinic Of Great Falls, P.C. (NPI 1770543779)

Field	Value
Entity Type	Organization
Organization	Eye Clinic Of Great Falls, P.C.
Address	509 2nd Ave N
City	Great Falls
State	MT
ZIP	59401
Taxonomy	Optometrist
NPI Enumerated	March 24, 2006

Payer Source	Total Paid
Medicaid	$708.2K
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…	3,470	$100	$336.4K
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.	1,580	$120	$190.1K
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.	6,420	$20	$96.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3,160	$30	$85.4K
1036F	N/A	1,750	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	1,180	$0	$0
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	2,670	$0	$0
G8756	No documentation of blood pressure measurement, reason not given	60	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	610	$0	$0
G8785	Blood pressure reading not documented, reason not given	170	$0	$0

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Eye Clinic Of Great Falls, P.C. — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	14	130	600	$90	$120.9K
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.	26	120	440	$110	$96K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	21	120	760	$20	$40.9K
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.	15	130	1,300	$20	$37K
1036F	N/A	5	30	290	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	8	30	240	$0	$0
G8476	Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg	1	10	1,350	$0	$0
G8756	No documentation of blood pressure measurement, reason not given	2	10	60	$0	$0
G8783	Normal blood pressure reading documented, follow-up not required	1	10	40	$0	$0
G8785	Blood pressure reading not documented, reason not given	11	20	280	$0	$0

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as Eye Clinic Of Great Falls, P.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Mental Health	MT	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$55.2M
Bottom Line Incontinence Supply Inc	MT	Durable Medical Equipment & Medical Supplies	$0	$5.6M
Rainbow Assited Living	MT	Assisted Living Facility	$0	$5.1M
Ideal Option, PLLC	MT	Addiction Medicine (Family Medicine) Physician	$0	$3.3M
Gateway Community Services	MT	Addiction (Substance Use Disorder) Counselor	$0	$2M
Seeking Recovery LLC	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$1.4M
Rocky Front Counseling Services, LLC	MT	Mental Health Counselor	$0	$1.3M
Enlightening Minds, LLC	MT	Mental Health Counselor	$0	$1M
Rainbow Senior Living	MT	Assisted Living Facility	$0	$993.5K
Adlera Laboratory LLC	MT	Clinical Medical Laboratory	$37.8K	$635K

Eye Clinic Of Great Falls, P.C. — Billing Profile & Reimbursement Data

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Eye Clinic Of Great Falls, P.C. — 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