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.

Southern Connecticut Eye Care PC (NPI 1851661458)

Field	Value
Entity Type	Organization
Organization	Southern Connecticut Eye Care PC
Address	280 Connecticut Ave
City	Norwalk
State	CT
ZIP	06854
Taxonomy	Optometrist
NPI Enumerated	January 12, 2012

Payer Source	Total Paid
Medicaid	$1.5M
Medicare	$0

Medicaid: Complete Services Breakdown

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

17 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.	7,240	$40	$275.2K
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…	5,290	$50	$259.2K
V2020	Frames, purchases	6,620	$30	$191.9K
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,…	4,680	$40	$187.3K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	6,290	$20	$132K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,860	$30	$119.6K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	3,920	$30	$113.7K
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.	1,360	$70	$88.3K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	2,580	$30	$74.9K
92285	Code 92285 describes photography of abnormalities using any of the methods described for documentation purposes and later comparison.	1,680	$20	$37K

Showing 1–10 of 17

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

Southern Connecticut Eye Care PC — 0 of 17 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

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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.	69	440	1,200	$30	$118.2K
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…	56	410	700	$40	$99.1K
V2020	Frames, purchases	49	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.	91	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	34	270	1,010	$20	$59.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	47	250	800	$30	$58.1K
S0580	Polycarbonate lens (list this code in addition to the basic code for the lens)	37	210	770	$30	$58K
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,…	22	240	320	$30	$42.7K
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…	90	140	480	$20	$37.2K
92060	The basic eye sensorimotor exam checks the alignment of the eyes and their ability to move together in eight fields of gaze ( up, down, right, left, up–left, up–right, down–left, down–right) and…	5	40	290	$30	$32.1K

Showing 1–10 of 17

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Kalustian	CT	Optometrist	$38.4K	$0

Nearby Providers

Other providers in the same ZIP code as Southern Connecticut Eye Care PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norwalk Community Health Center Inc	CT	Health Service Clinic/Center	$0	$29.2M
Compassionate Home Care, LLC	CT	Home Health Agency	$0	$4.1M
Connecticut Counseling Centers, Inc	CT	Methadone Clinic	$0	$3.8M
Connecticut Counseling Centers, Inc.	CT	Adult Mental Health Clinic/Center	$0	$2.6M
Valentina Amelio	CT	Occupational Therapist	$101.1K	$0
Alphonse Paolillo	CT	Family Nurse Practitioner	$10.6K	$0
Kimberly Daros	CT	Registered Nurse	$1K	$0

Southern Connecticut Eye Care PC — Billing Profile & Reimbursement Data

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Southern Connecticut Eye Care PC — Billing Profile & Reimbursement Data

Sign up for Southern Connecticut Eye Care PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References