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

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

F & M Family Eyecare, LLC (NPI 1841220944)

Field	Value
Entity Type	Organization
Organization	F & M Family Eyecare, LLC
Address	7583 Highway 85
City	Riverdale
State	GA
ZIP	30274
Taxonomy	Optometrist
NPI Enumerated	July 4, 2006

Payer Source	Total Paid
Medicaid	$373.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2020	Frames, purchases	3,630	$20	$83.4K
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…	1,690	$40	$62.4K
S0621	Routine ophthalmological examination including refraction; established patient	1,250	$40	$49.9K
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.	1,220	$40	$49.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2,110	$20	$37.9K
S0620	Routine ophthalmological examination including refraction; new patient	790	$40	$31.5K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	1,760	$20	$26.4K
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.	3,030	$10	$18.2K
V2784	Lens, polycarbonate or equal, any index, per lens	400	$20	$7.2K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	790	$10	$5.5K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Georgia Distribution

F & M Family Eyecare, LLC — 0 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Georgia

Full comparison — all codes billed, vs. Georgia median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S0621	Routine ophthalmological examination including refraction; established patient	6	20	110	$40	$86.2K
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…	9	70	240	$40	$68.1K
V2020	Frames, purchases	9	90	650	$20	$68K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	35	80	630	$20	$54.4K
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.	11	70	80	$50	$47.8K
S0620	Routine ophthalmological examination including refraction; new patient	4	20	140	$40	$39.9K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	4	10	80	$20	$30.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	8	50	370	$20	$21.7K
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.	6	70	330	$10	$18.9K
V2784	Lens, polycarbonate or equal, any index, per lens	33	70	400	$10	$12.1K

Showing 1–10 of 14

Nearby Providers

Other providers in the same ZIP code as F & M Family Eyecare, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Prime Healthcare Foundation - Southern Regional, LLC	GA	General Acute Care Hospital	$0	$25.9M
John Miller	GA	Ophthalmology Physician	$1.9M	$0
Premier Womens Obgyn, LLC	GA	Obstetrics & Gynecology Physician	$0	$1.4M
Georgia Urology PA	GA	Urology Physician	$0	$1M
Clayton County Dialysis, LLC	GA	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$965.3K
South Atlanta Radiology Associates, P.C.	GA	Diagnostic Radiology Physician	$0	$642.6K
Education System Management, Inc	GA	Clinical Medical Laboratory	$0	$577.6K
La'cuana Sherman	GA	Professional Counselor	$0	$312.9K
Rajinikanth Seshan	GA	Nephrology Physician	$289.2K	$0
Alpesh Patel	GA	Hospitalist Physician	$272.6K	$0

F & M Family Eyecare, LLC — Billing Profile & Reimbursement Data

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F & M Family 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

Nearby Providers

Frequently Asked Questions

References