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

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

Abroms Dougherty Vision Asc LLC (NPI 1790384303)

Field	Value
Entity Type	Organization
Organization	Abroms Dougherty Vision Asc LLC
Address	4472 Broad St Ste 150
City	San Luis Obispo
State	CA
ZIP	93401
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	October 23, 2020

Payer Source	Total Paid
Medicare	$972.6K
Medicaid	$0

Medicare: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	450	$1,000	$454.8K
33228	The provider removes a previously placed pacemaker pulse generator from the patient and replaces it with a new one. The provider performs this procedure primarily for artificial regulation of heart…	20	$6,950	$159.8K
66991	The provider inserts an intraocular lens prosthesis during the same session as extracapsular cataract extraction. The provider also inserts one or more anterior segment aqueous drainage devices in…	30	$3,010	$87.3K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	350	$250	$86.6K
33208	The provider inserts or replaces a permanent pacemaker and implants electrodes into the right atrium and right ventricle.	10	$7,110	$85.4K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	70	$1,010	$69.8K
66174	The provider expands the aqueous outflow (drainage) canal of the eye to help relieve pressure in the eye. The procedure does not include leaving a device or stent in place.	30	$910	$29K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. California Distribution

Abroms Dougherty Vision Asc LLC — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — California

Full comparison — all codes billed, vs. state median

7 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	112	1,250	90	$690	$122.8K
66991	83	180	30	$1,940	$77.7K
66174	60	140	30	$860	$37.1K
66982	66	510	30	$800	$32K
33228	9	70	20	$1,570	$25.1K
33208	223	260	20	$870	$20K
66821	15	950	40	$270	$18.4K

Nearby Providers

Other providers in the same ZIP code as Abroms Dougherty Vision Asc LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
County Of San Luis Obispo	CA	Community/Behavioral Health Agency	$0	$66.8M
Pacific Point Laboratories, Inc.	CA	Clinical Medical Laboratory	$8.5M	$38.8M
Community Health Centers Of The Central Coast Inc	CA	Federally Qualified Health Center (FQHC)	$0	$25.3M
San Luis Ambulance Service, Inc.	CA	Land Ambulance	$4.3M	$7.8M
Brian Dicarlo	CA	Hematology & Oncology Physician	$4.7M	$0
San Luis Obispo Surgery Center A California Limited Partnership	CA	Ambulatory Surgical Clinic/Center	$2.9M	$0
Daniel Agarwal	CA	Ophthalmology Physician	$2.3M	$0
Erin Chamberlain	CA	Hematology & Oncology Physician	$1.9M	$0
California Medical Surgery Center LLC	CA	Ambulatory Surgical Clinic/Center	$1.7M	$0
Steven Johnson	CA	Ophthalmology Physician	$1.5M	$0

Abroms Dougherty Vision Asc LLC — Billing Profile & Reimbursement Data

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Abroms Dougherty Vision Asc LLC — 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