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

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

Childrens Eye Center PC (NPI 1922293760)

Field	Value
Entity Type	Organization
Organization	Childrens Eye Center PC
Address	4110 Briargate Pkwy
City	Colorado Springs
State	CO
ZIP	80920
Taxonomy	Ophthalmology Physician
NPI Enumerated	September 13, 2007

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	16,480	$150	$2.4M
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…	9,050	$100	$914.5K
V2025	Deluxe frame	5,840	$110	$647.8K
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…	7,590	$60	$462.9K
V2784	Lens, polycarbonate or equal, any index, per lens	17,840	$30	$446.1K
V2020	Frames, purchases	11,710	$40	$444.9K
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.	3,560	$120	$416.2K
V2750	Anti-reflective coating, per lens	15,390	$20	$369.3K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	9,170	$40	$366.8K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	18,370	$20	$330.7K

Showing 1–10 of 28

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Colorado Distribution

Childrens Eye Center PC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Colorado

Full comparison — all codes billed, vs. Colorado median

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	15	200	530	$140	$439.1K
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…	240	2,520	330	$100	$352K
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…	604	2,630	430	$90	$268.2K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	212	220	340	$60	$188.2K
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…	24	410	370	$90	$187.5K
V2025	Deluxe frame	7	70	470	$90	$167.7K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	92	260	280	$40	$123.2K
V2020	Frames, purchases	21	320	440	$40	$122.9K
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.	37	450	250	$100	$120.7K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	22	210	540	$40	$115.1K

Showing 1–10 of 28

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Teamselect Home Care Of Colorado, LLC	CO	Home Health Agency	$0	$42M
Amy Shandy Speech Language Pathologist	CO	Speech-Language Pathologist	$0	$25.6M
Children's Hospital Colorado	CO	Children's Hospital	$0	$17.8M
Academy Heights Foot Clinic PC	CO	Foot & Ankle Surgery Podiatrist	$0	$10.8M
In Honor Of Jade LLC Dba Talem Home Care Colorado Springs	CO	In Home Supportive Care Agency	$0	$10M
Unity Transportation LLC	CO	Non-emergency Medical Transport (VAN)	$0	$9M
University Physicians Incorporated	CO	Pediatrics Physician	$0	$7.8M
Matthews-vu Medical Group, P.C.	CO	Internal Medicine Physician	$0	$6.9M
Gorman Medical LLC	CO	Adult Health Nurse Practitioner	$0	$5.1M
Colorado Springs Pediatric Dentistry, PC	CO	Pediatric Dentistry	$0	$4.5M

Childrens Eye Center PC — Billing Profile & Reimbursement Data

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Childrens Eye Center 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

Nearby Providers

Frequently Asked Questions

References