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

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

Look Optical, PC (NPI 1801820469)

Field	Value
Entity Type	Organization
Organization	Look Optical, PC
Address	5790 W 44th Ave
City	Denver
State	CO
ZIP	80212
Taxonomy	Optometrist
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	17,740	$120	$2.1M
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…	18,620	$80	$1.4M
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.	13,140	$90	$1.2M
V2020	Frames, purchases	25,760	$30	$798.5K
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.	22,660	$30	$634.5K
V2750	Anti-reflective coating, per lens	27,610	$20	$552.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	16,570	$30	$546.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	26,330	$10	$368.6K
V2784	Lens, polycarbonate or equal, any index, per lens	24,730	$10	$321.4K
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,…	8,070	$30	$258.1K

Showing 1–10 of 22

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Look Optical, PC — 13 of 21 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2523	Contact lens, hydrophilic, extended wear, per lens	3	10	160	$250	$577.3K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	13	200	530	$140	$439.1K
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…	11	410	370	$90	$187.5K
V2025	Deluxe frame	24	70	470	$90	$167.7K
V2020	Frames, purchases	11	320	440	$40	$122.9K
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.	4	450	250	$100	$120.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	11	210	540	$40	$115.1K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	15	90	350	$50	$93.6K
V2784	Lens, polycarbonate or equal, any index, per lens	14	320	510	$30	$87.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	13	290	560	$20	$67.4K

Showing 1–10 of 22

Nearby Providers

Other providers in the same ZIP code as Look Optical, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dungarvin Colorado, LLC - Denver	CO	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$63.5M
Primary Dental LLC	CO	General Practice Dentistry	$0	$6.1M
National Mental Health Management, LLC	CO	Addiction Psychiatry Physician	$0	$6M
Altitude Anesthesia Group	CO	Dentist	$0	$5.6M
Strock Medical Group LLC	CO	Adult Health Nurse Practitioner	$0	$3.5M
Kelly Lindauer	CO	Diagnostic Radiology Physician	$180.5K	$0

Look Optical, PC — Billing Profile & Reimbursement Data

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Look Optical, PC — 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