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

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

Meriden Eye Care, LLC (NPI 1841674520)

Field	Value
Entity Type	Organization
Organization	Meriden Eye Care, LLC
Address	816 Broad St
City	Meriden
State	CT
ZIP	06450
Taxonomy	Optometrist
NPI Enumerated	July 13, 2015

Payer Source	Total Paid
Medicaid	$1.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	5,370	$30	$182.5K
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,…	4,150	$40	$153.4K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,240	$50	$112.1K
V2020	Frames, purchases	3,960	$30	$110.9K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	3,510	$20	$73.6K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,920	$20	$66.7K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	4,110	$20	$61.6K
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…	1,650	$30	$54.5K
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.	730	$60	$44.3K
83861	The lab analyst performs microfluidic analysis to test the tear osmolarity of the patient. This is usually done in patients with symptoms of dry eye.	3,060	$10	$36.7K

Showing 1–10 of 36

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Meriden Eye Care, LLC — 1 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

36 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	509	1,590	740	$50	$331.8K
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…	632	1,710	750	$30	$243.3K
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.	88	440	1,200	$30	$118.2K
99203	The provider sees a new 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 provider…	235	480	200	$60	$112.1K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	145	480	150	$90	$100.9K
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…	234	410	700	$40	$99.1K
V2020	Frames, purchases	84	320	1,070	$30	$85.5K
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.	134	350	460	$60	$80.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	69	270	1,010	$20	$59.7K
93886	The provider performs an ultrasound of the arteries inside the head using Doppler technique to study the flow and speed of blood through the arteries. He performs the procedure to assess blood flow…	3	10	160	$60	$59.3K

Showing 1–10 of 36

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Maria Luiza Gheorghe-youssefi	CT	Optometrist	$8K	$0
Lauren Plass	CT	Optometrist	$5.9K	$0

Nearby Providers

Other providers in the same ZIP code as Meriden Eye Care, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rushford Center, Inc.	CT	Psychologist	$0	$12.6M
Meriden Board Of Education	CT	Local Education Agency (LEA)	$0	$5.2M
Community Guidance Clinic For Central Connecticut, Inc	CT	Mental Health Counselor	$0	$5.1M
Connecticut Oral & Maxillofacial Surgery Centers, LLC	CT	Oral and Maxillofacial Surgery (Dentist)	$0	$4.5M
Dental Group Of Meriden-wallingford	CT	Pediatric Dentistry	$0	$2.2M
Brilliant Smile Dental, P.C.	CT	General Practice Dentistry	$0	$1.9M
Gisela Sardinas Aprn LLC	CT	Psychiatric/Mental Health Registered Nurse	$0	$1.6M
Connecticut Cvs Pharmacy, L.L.C.	CT	Pharmacy	$64K	$1.3M
Connecticut Counseling Centers, Inc.	CT	Adult Mental Health Clinic/Center	$0	$1.1M
Hancock Pharmacy & Surgical, Inc	CT	Long Term Care Pharmacy	$6.4K	$993.2K

Meriden Eye Care, LLC — Billing Profile & Reimbursement Data

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Meriden Eye Care, 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