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    OpenPayerNPI Medicare & MedicaidAvalon Hindman
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    Avalon Hindman — Billing Profile & Reimbursement Data

    NPI 1912314477 · Chicago, IL · Optometrist

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    Avalon Hindman is a optometrist provider located in Chicago, Illinois. This profile covers 2 Medicare and 24 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAvalon Hindman
    Address3125 S Ashland Ave
    CityChicago
    StateIL
    ZIP60608
    TaxonomyOptometrist
    NPI EnumeratedJuly 16, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$7.4K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.60$80$4.4K
    92014An 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$70$3K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    920141,0211,420130$80$24.7K
    9200436499040$100$6.3K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    24 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal18,720$30$524.3K
    92014An 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…12,140$40$522.1K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.10,110$50$454.8K
    V2025Deluxe frame12,410$30$422K
    92015The 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.20,890$20$355.1K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens6,980$30$223.4K
    92012For 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…1,790$50$80.6K
    V2784Lens, polycarbonate or equal, any index, per lens9,450$10$75.6K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens5,190$10$72.7K
    92341Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.2,590$30$72.5K

    Showing 1–10 of 24

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Illinois median

    24 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    92014An 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…121,230450$40$54.1K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal6720440$30$48.6K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.81,110310$50$45.3K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens12560300$20$38.4K
    92015The 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.111,200750$20$35.4K
    V2025Deluxe frame1340300$30$28.9K
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens2417080$40$26.3K
    V2020Frames, purchases22680330$20$24.6K
    V2523Contact lens, hydrophilic, extended wear, per lens310160$90$18.4K
    92012For 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…51670230$30$16K

    Showing 1–10 of 24

    Nearby Providers

    Other providers in the same ZIP code as Avalon Hindman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Pilsen Little Village Community Mental Health Center, Inc.ILMental Health Clinic/Center (Including Community Mental Health Center)$0$110.7M
    The Board Of Trustees Of The University Of IllinoisILFederally Qualified Health Center (FQHC)$0$72.7M
    Esperanza Health CentersILFederally Qualified Health Center (FQHC)$0$40M
    Russell FiorellaILClinical Pathology/Laboratory Medicine Physician$4K$17.3M
    Mount Sinai Hospital Medical CenterILMental Health Clinic/Center (Including Community Mental Health Center)$0$15.6M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12.3M
    Alivio Medical Center, Inc.ILFederally Qualified Health Center (FQHC)$0$12M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$11.7M
    Easter Seals Metropolitan ChicagoILCase Management Agency$0$8.9M
    Access Community Health NetworkILFederally Qualified Health Center (FQHC)$0$7.6M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Illinois Distribution
    Avalon Hindman — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois
    Medicaid Revenue by Year vs. Illinois Providers
    6 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Illinois Distribution
    Avalon Hindman — 12 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Illinois