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.

Larry Eklund (NPI 1831151414)

Larry Eklund is a corneal and contact management optometrist provider located in Wellington, Colorado. This profile covers 16 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Provider details (source: NPPES NPI Registry)

Medicare: Complete Services Breakdown

Field	Value
Entity Type	Individual
Organization	Larry Eklund
Address	8251 Wellington Blvd
City	Wellington
State	CO
ZIP	80549
Taxonomy	Corneal and Contact Management Optometrist
NPI Enumerated	April 6, 2006

Payer Source	Total Paid
Medicare	$122.3K
Medicaid	$0

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	520	$70	$34K
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…	300	$90	$26K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	280	$50	$12.9K
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,…	310	$30	$8.4K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	40	$200	$8.3K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	30	$150	$5K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	20	$280	$4.4K
92020	The provider examines the angle of the anterior chamber of the eye (the angle where the iris and cornea meet) using a special lens (goniolens) and slit–lamp or operating microscope to diagnose and…	220	$20	$4.4K
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…	180	$30	$4.4K
68801	In this procedure, the provider dilates the lacrimal punctum, an opening that drains tears from the conjunctival sac into the lacrimal duct in the eye. He may or may not perform an irrigation of the…	50	$90	$4.3K

Showing 1–10 of 16

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66821	156	180	40	$240	$15.5K
92014	129	670	100	$80	$15.2K
68761	19	50	30	$130	$9.1K
92134	150	440	60	$30	$7.8K
92012	6	210	50	$60	$6.8K
65855	13	40	30	$150	$6.1K
92004	296	480	30	$90	$4.4K
68801	2	10	50	$90	$4.2K
92083	13	370	40	$40	$2.7K
92250	36	480	60	$30	$2.6K

Larry Eklund — Billing Profile & Reimbursement Data

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Larry Eklund — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Frequently Asked Questions

References