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

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

Urban Eyes PC (NPI 1831478338)

Field	Value
Entity Type	Organization
Organization	Urban Eyes PC
Address	3906 Twin Creek Dr
City	Bellevue
State	NE
ZIP	68123
Taxonomy	Optometrist
NPI Enumerated	August 15, 2011

Payer Source	Total Paid
Medicaid	$246.7K
Medicare	$0

Medicaid: Complete Services Breakdown

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2,260	$40	$88.1K
V2020	Frames, purchases	1,550	$40	$57.4K
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.	1,960	$20	$29.3K
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…	600	$40	$21K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	700	$30	$19.6K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	350	$40	$14.6K
V2784	Lens, polycarbonate or equal, any index, per lens	400	$20	$7.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	120	$30	$3.4K
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…	70	$40	$3.1K
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.	30	$50	$1.7K

Showing 1–10 of 11

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Nebraska Distribution

Urban Eyes PC — 0 of 11 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Nebraska

Full comparison — all codes billed, vs. Nebraska median

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	27	140	390	$50	$70.3K
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…	94	140	220	$50	$45K
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.	105	130	250	$60	$44.3K
V2020	Frames, purchases	54	180	520	$30	$39.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	63	100	220	$30	$29K
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.	55	210	660	$10	$25.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	34	110	290	$20	$18.4K
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…	27	110	180	$30	$16.8K
V2784	Lens, polycarbonate or equal, any index, per lens	34	100	180	$20	$12.4K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	24	110	90	$40	$10.8K

Showing 1–10 of 11

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bellevue Medical Center LLC	NE	General Acute Care Hospital	$0	$7.2M
Bellevue Primary Healthcare PC	NE	Family Medicine Physician	$0	$1.5M
Angeli Thakker	NE	Pediatric Dentistry	$0	$888.7K
May Medical, Inc.	NE	Durable Medical Equipment & Medical Supplies	$0	$795.7K
Shoptikal LLC	NE	Eyewear Supplier	$0	$668.2K
Michelle Hinze	NE	Foot & Ankle Surgery Podiatrist	$538.3K	$0
Schlueter Optometric Corporation	NE	Optometrist	$0	$450.3K
John Cimino	NE	Cardiovascular Disease Physician	$247.6K	$0
John Harris	NE	Internal Medicine Physician	$214.5K	$0
Your Choice Counseling, LLC	NE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$214.1K

Urban Eyes PC — Billing Profile & Reimbursement Data

Sign up for Urban Eyes PC — Billing Profile & Reimbursement Data policy alerts

Urban Eyes PC — Billing Profile & Reimbursement Data

Sign up for Urban Eyes PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References