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

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

Eye Partners PC (NPI 1902837453)

Field	Value
Entity Type	Organization
Organization	Eye Partners PC
Address	2800 Ross Clark Circle
City	Dothan
State	AL
ZIP	36301
Taxonomy	Ophthalmology Physician
NPI Enumerated	July 5, 2006

Payer Source	Total Paid
Medicaid	$932.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

29 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…	3,440	$50	$178.9K
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.	2,010	$80	$158.8K
V2750	Anti-reflective coating, per lens	1,630	$60	$104K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	5,900	$20	$94.3K
V2784	Lens, polycarbonate or equal, any index, per lens	6,020	$10	$72.2K
V2020	Frames, purchases	6,030	$10	$60.3K
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…	2,760	$20	$57.9K
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.	6,620	$10	$53K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	3,220	$10	$45K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	2,340	$10	$18.7K

Showing 1–10 of 29

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Alabama Distribution

Eye Partners PC — 0 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

29 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	10	140	$50	$219.2K
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…	493	1,990	680	$60	$201.7K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	75	120	170	$160	$200.7K
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…	1,470	1,990	560	$40	$185.6K
V2750	Anti-reflective coating, per lens	10	70	470	$80	$92.1K
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…	50	330	720	$50	$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.	45	320	400	$70	$70.3K
67028	The provider injects a medication into the vitreous chamber of the eye as an isolated procedure or a separate procedure unrelated to any other procedure being performed on the eye.	13	10	1,120	$40	$58.1K
V2784	Lens, polycarbonate or equal, any index, per lens	12	140	1,130	$10	$47.6K
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…	177	630	60	$80	$45.8K

Showing 1–10 of 29

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Eye Partners, PC	AL	Optometrist	$0	$2.4M
Jean Fortin	AL	Ophthalmology Physician	$1M	$0
Sebastian Heersink	AL	Ophthalmology Physician	$923.6K	$0
Harsha Sen	AL	Ophthalmology Physician	$818.1K	$0
Anthony Leoncavallo	FL	Ophthalmology Physician	$487.2K	$0
Richard Bryant	AL	Ophthalmology Physician	$335.2K	$0
Stephen Owens	AL	Ophthalmology Physician	$322.1K	$0
Richard Mauer	FL	Ophthalmology Physician	$195.4K	$10K
Marnix Heersink	AL	Ophthalmology Physician	$179.3K	$0
Ronald Swendris	FL	Glaucoma Specialist (Ophthalmology) Physician	$122.7K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Houston County Healthcare Authority	AL	Internal Medicine Physician	$0	$9.6M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$6.9M
Wiregrass Hospice, LLC	AL	Community Based Hospice Care Agency	$0	$5.8M
Dothan Ambulance Service	AL	Land Ambulance	$1.7M	$3.9M
Southeast Alabama Maternity Care Program	AL	Exclusive Provider Organization	$0	$5.1M
Houston County Healthcare Authority	AL	General Acute Care Hospital	$0	$4.9M
Houston County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$4.4M
Southern Alabama Surgery Center LLC	AL	Ambulatory Surgical Clinic/Center	$3.8M	$94.3K
Edmund Lacour	AL	Rheumatology Physician	$3.7M	$0
Houston County Healthcare Authority	AL	Clinical Medical Laboratory	$591.7K	$2.1M

Eye Partners PC — Billing Profile & Reimbursement Data

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Eye Partners PC — 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