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

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

Bradford Optical, Plc (NPI 1861807059)

Field	Value
Entity Type	Organization
Organization	Bradford Optical, Plc
Address	331 Upper Pln
City	Bradford
State	VT
ZIP	05033
Taxonomy	Optometrist
NPI Enumerated	June 25, 2014

Payer Source	Total Paid
Medicaid	$55.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	290	$90	$24.6K
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.	1,350	$20	$20.3K
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.	100	$110	$11K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Vermont Distribution

Bradford Optical, Plc — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Vermont

Full comparison — all codes billed, vs. Vermont median

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	27	50	290	$70	$66.1K
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.	40	60	170	$100	$52.9K
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.	30	70	850	$10	$26.9K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bradford Optical, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Visionary Eye Associates LLC	VT	Optometrist	$0	$61.7K
Sheila Hastie	NH	Optometrist	$42.8K	$0

Nearby Providers

Other providers in the same ZIP code as Bradford Optical, Plc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Oas, LLC	VT	Children's Substance Abuse Rehabilitation Facility	$0	$30.6M
Little Rivers Health Care, Inc.	VT	Federally Qualified Health Center (FQHC)	$0	$12.1M
Upper Valley Pediatrics, PLLC	VT	Pediatric Adolescent Medicine Physician	$0	$1.8M
Heidi Nostrant	VT	Clinical Psychologist	$0	$215.1K
Robert Munson	VT	General Practice Dentistry	$0	$189.9K
Little Rivers Health Care, Inc.	VT	Primary Care Clinic/Center	$0	$114.7K
Sinclair Chiropractic Clinic PC	VT	Chiropractor	$0	$96.1K
Barry Waterson	VT	Clinical Psychologist	$71.3K	$0
Kph Healthcare Services, Inc.	VT	Community/Retail Pharmacy	$68.1K	$0
Martins Foods Of South Burlington LLC	VT	Community/Retail Pharmacy	$56.9K	$0

Bradford Optical, Plc — Billing Profile & Reimbursement Data

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Bradford Optical, Plc — 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