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

Why is the Medicaid comparison limited to North Dakota 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. North Dakota (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.

Heartland Eye Care, PC (NPI 1932277936)

Field	Value
Entity Type	Organization
Organization	Heartland Eye Care, PC
Address	121 Briggs Ave N
City	Park River
State	ND
ZIP	58270
Taxonomy	Optometrist
NPI Enumerated	November 30, 2006

Payer Source	Total Paid
Medicaid	$14.6K
Medicare	$0

Medicaid: Complete Services Breakdown

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

2 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…	100	$100	$10K
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.	310	$20	$4.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. North Dakota Distribution

Heartland Eye Care, PC — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — North Dakota

Full comparison — all codes billed, vs. North Dakota median

2 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…	29	50	160	$80	$66.4K
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.	42	80	370	$10	$21.5K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Heartland Eye Care, P.C.	ND	Optometrist	$0	$177.5K
Mark Helgeson	ND	Optometrist	$57K	$0
Dori Carlson	ND	Optometrist	$47K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
P R Health Corporation	ND	Rural Health Clinic/Center	$0	$1M
P R Health Corporation	ND	Critical Access Hospital	$0	$122.4K
Park River Volunteer Ambulance	ND	Land Ambulance	$105.8K	$0
Park River Dental, PC	ND	General Practice Dentistry	$0	$77.9K
Joel Johnson	ND	Family Medicine Physician	$51.6K	$0
Lifetime Dental Partners, PLLC	ND	Dental Clinic/Center	$0	$38.3K
Christian Unity Hospital Corporation	ND	Rural Health Clinic/Center	$0	$5.4K

Heartland Eye Care, PC — Billing Profile & Reimbursement Data

Sign up for Heartland Eye Care, PC — Billing Profile & Reimbursement Data policy alerts

Heartland Eye Care, PC — Billing Profile & Reimbursement Data

Sign up for Heartland Eye Care, PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References