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

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

Clear Vision Ophthalmology PC (NPI 1932306123)

Clear Vision Ophthalmology PC is a ophthalmology physician provider located in Phoenix, Arizona. This profile covers 0 Medicare and 31 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Clear Vision Ophthalmology PC
Address	8410 W. Thomas Road
City	Phoenix
State	AZ
ZIP	85037
Taxonomy	Ophthalmology Physician
NPI Enumerated	June 29, 2007

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	2,560	$790	$2M
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.	6,870	$100	$700.4K
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	8,200	$90	$697.2K
92012	For 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…	10,350	$60	$569.4K
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…	6,040	$90	$519.4K
92083	The provider may use one or more methods to determine the extent of a patient's visual field of one or both eyes; he interprets the results and prepares a report. Report this code for an extended…	11,480	$40	$482.2K
92133	The provider performs computerized diagnostic imaging of the optic nerve in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both…	8,540	$30	$213.6K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	660	$310	$203K
95930	The provider performs visual evoked potential testing that measures the electrical activity of the brain in response to a visual stimulus; however, this test is not used for VEP for glaucoma.…	3,260	$50	$150K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	2,200	$60	$129.6K

Showing 1–10 of 31

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Arizona Distribution

Clear Vision Ophthalmology PC — 6 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Arizona

Full comparison — all codes billed, vs. Arizona median

31 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
65778	The provider places amniotic membrane on the ocular surface, similar to the placement of a contact lens.	2	10	1,350	$910	$1.5M
92273	The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess…	1	10	7,790	$60	$487.9K
J9035	Injection, bevacizumab, 10 mg	17	20	530	$160	$369.7K
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…	1,707	3,040	750	$50	$343.9K
66984	The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to…	29	80	390	$330	$311.6K
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…	19	150	250	$60	$293.9K
68761	The provider places a plug to close off the lacrimal punctum and block excessive drainage of tears. He performs this procedure to treat dry eye syndrome.	5	10	810	$60	$284.3K
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…	1,223	2,780	600	$50	$267K
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.	19	30	380	$70	$266.2K
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.	8	120	170	$80	$257K

Showing 1–10 of 31

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rima Patel	AZ	Retina Specialist (Ophthalmology) Physician	$1.8M	$0
Debora Garcia-zalisnak	AZ	Ophthalmology Physician	$782.6K	$71.8K
Corey Hochman	AZ	Ophthalmology Physician	$149.7K	$207.3K
Jason Becker	AZ	Optometrist	$96.8K	$0
Naul Paz	CO	Optometrist	$55K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Banner Estrella Medical Center	AZ	General Acute Care Hospital	$0	$108M
Therapy Tree, PLLC	AZ	Hearing and Speech Clinic/Center	$0	$54.6M
Desert Valley Pediatrics	AZ	Pediatrics Physician	$0	$21.2M
Pedro Denga	AZ	Contractor	$0	$20.7M
Arizona Surgical Specialists Center, LLC	AZ	Ambulatory Surgical Clinic/Center	$1.4M	$8.1M
Southwest Kidney Davita Dialysis Partners LLC	AZ	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.3M
Healthy Life Corporation	AZ	Family Medicine Physician	$0	$6.8M
Az Pediatric Care	AZ	Primary Care Clinic/Center	$0	$6.3M
Southwest Network, Inc.	AZ	Community/Behavioral Health Agency	$0	$6.1M
Nehad Soloman	AZ	Rheumatology Physician	$5.1M	$0

Clear Vision Ophthalmology PC — Billing Profile & Reimbursement Data

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Clear Vision Ophthalmology PC — Billing Profile & Reimbursement Data

Sign up for Clear Vision Ophthalmology PC — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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