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

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

James A Boucher & Sue E Lowe Ptr (NPI 1881758332)

Field	Value
Entity Type	Organization
Organization	James A Boucher & Sue E Lowe Ptr
Address	405 S 30th St
City	Laramie
State	WY
ZIP	82070
Taxonomy	Optometrist
NPI Enumerated	December 20, 2006

Payer Source	Total Paid
Medicaid	$444.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	1,710	$90	$145.3K
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	3,190	$40	$127.4K
V2784	Lens, polycarbonate or equal, any index, per lens	760	$80	$61.6K
V2020	Frames, purchases	750	$70	$53.7K
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.	1,970	$20	$37.3K
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.	150	$120	$17.5K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	30	$60	$1.6K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

James A Boucher & Sue E Lowe Ptr — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
92065	The physician or other qualified healthcare professional trains the patient to perform exercises for vision therapy.	1	10	230	$40	$39.7K
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	80	180	$80	$36.2K
V2020	Frames, purchases	11	70	190	$70	$25.3K
V2784	Lens, polycarbonate or equal, any index, per lens	13	60	200	$60	$24.3K
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.	14	50	80	$110	$14.9K
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.	8	60	430	$20	$13.8K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	35	50	70	$50	$9.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with James A Boucher & Sue E Lowe Ptr, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Sue Lowe	WY	Optometrist	$123.6K	$0
Gary Poteet	WY	Optometrist	$33K	$0

Nearby Providers

Other providers in the same ZIP code as James A Boucher & Sue E Lowe Ptr, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Care United Medical Center Of Laramie, LLC	WY	Multi-Specialty Clinic/Center	$0	$3.2M
Quality Home Health Care Inc	WY	Home Health Agency	$0	$2.6M
Gem City Bone & Joint PC	WY	Ambulatory Surgical Clinic/Center	$1.3M	$0
Elite Medical Supplies, LLC	WY	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Martha Nesslinger	WY	Counselor	$0	$415.2K
Step-by-step Family Therapy A Professional Corporation	WY	Multi-Specialty Clinic/Center	$0	$333.8K
John Horberg	WY	Orthopaedic Trauma Physician	$301.5K	$270
Grand Avenue Urgent Care, LLC	WY	Urgent Care Clinic/Center	$0	$264.3K
Eric Harris	WY	Orthopaedic Surgery of the Spine Physician	$207.3K	$0
Samuel Ecker	WY	Dermatology Physician	$206.2K	$0

James A Boucher & Sue E Lowe Ptr — Billing Profile & Reimbursement Data

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James A Boucher & Sue E Lowe Ptr — 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