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.

Kennedy Eyecare LLC (NPI 1821343617)

Field	Value
Entity Type	Organization
Organization	Kennedy Eyecare LLC
Address	1400 Wade Watts Ave
City	Mcalester
State	OK
ZIP	74501
Taxonomy	Optometrist
NPI Enumerated	July 17, 2012

Payer Source	Total Paid
Medicaid	$2.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

12 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…	8,600	$100	$894.4K
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.	3,970	$120	$488.8K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	10,250	$30	$286.9K
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.	12,280	$20	$221.1K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	7,310	$30	$212K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	2,730	$80	$207.8K
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,…	5,800	$30	$179.6K
V2020	Frames, purchases	9,870	$10	$98.7K
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…	450	$60	$25.4K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	150	$30	$4.3K

Showing 1–10 of 12

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

Kennedy Eyecare LLC — 8 of 11 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

12 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…	1,056	1,750	870	$70	$254.4K
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…	8	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.	8	310	230	$120	$85.3K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	5	100	120	$90	$67.6K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	16	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.	10	380	830	$20	$36.2K
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,…	4	70	150	$30	$27.9K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	4	270	330	$30	$27.5K
V2020	Frames, purchases	10	360	730	$10	$18.3K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	4	20	30	$30	$4.3K

Showing 1–10 of 12

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kennedy Eyecare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Craig Kennedy	OK	Optometrist	$73.7K	$0

Nearby Providers

Other providers in the same ZIP code as Kennedy Eyecare LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Choctaw Nation Of Oklahoma	OK	Primary Care Clinic/Center	$0	$38M
State Of Oklahoma	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$13.2M
Caring Hands Healthcare Centers, Inc	OK	Federally Qualified Health Center (FQHC)	$0	$10.9M
Mcalester Regional Health Center Authority	OK	Rural Acute Care Hospital	$0	$10.1M
Southern Oklahoma Treatment Services, Inc.	OK	Community/Behavioral Health Agency	$0	$5M
Completecare Private Services, LLC	OK	Home Health Agency	$0	$4.5M
Ergonomic Consultants, LLC	OK	Multi-Specialty Clinic/Center	$0	$3.7M
Mcalester Children's Dental Clinic	OK	Dental Clinic/Center	$0	$3.3M
Mcalester Medical Services, LLC	OK	Internal Medicine Physician	$0	$2.9M
Kathleen Ward	OK	Clinical Psychologist	$0	$2.6M

Kennedy Eyecare LLC — Billing Profile & Reimbursement Data

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Kennedy Eyecare LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References