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

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

Michigan Ophthalmology Specialists, PLLC (NPI 1942272364)

Michigan Ophthalmology Specialists, PLLC is a ophthalmology physician provider located in Livonia, Michigan. This profile covers 0 Medicare and 30 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	Michigan Ophthalmology Specialists, PLLC
Address	33400 6 Mile Rd
City	Livonia
State	MI
ZIP	48152
Taxonomy	Ophthalmology Physician
NPI Enumerated	February 2, 2006

Payer Source	Total Paid
Medicaid	$12.1M
Medicare	$0

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

30 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0178	Injection, aflibercept, 1 mg	3,280	$1,690	$5.5M
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…	16,460	$70	$1.1M
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.	12,380	$60	$680.7K
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…	2,220	$300	$653.4K
J9035	Injection, bevacizumab, 10 mg	8,140	$80	$651.5K
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…	7,230	$70	$491.7K
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…	11,330	$40	$476K
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…	4,400	$90	$404.4K
92235	The provider uses a special dye, fluorescein that causes the blood vessels in the one or both eyes to stand out in photographic images taken with the use of multiframe timing, or serial images, taken…	6,420	$60	$397.9K
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.	4,110	$80	$341.4K

Showing 1–10 of 30

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Michigan Distribution

Michigan Ophthalmology Specialists, PLLC — 11 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Michigan

Full comparison — all codes billed, vs. Michigan median

30 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J0178	Injection, aflibercept, 1 mg	3	20	1,170	$1,140	$2.1M
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…	571	4,380	1,000	$70	$289.9K
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…	3	50	310	$400	$267.7K
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…	526	4,770	1,060	$50	$247.8K
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.	2	40	1,830	$50	$162.8K
J9035	Injection, bevacizumab, 10 mg	1	30	460	$140	$160.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,042	1,170	170	$90	$107.9K
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…	92	1,860	220	$90	$96.9K
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…	4	390	310	$60	$91.6K
67228	In retinopathy, tiny new vessels grow profusely and fibrous tissue proliferates in between the layers of the retina, which may extend into the optic nerve and vitreous, clear gel that fills the space…	10	20	240	$190	$91.3K

Showing 1–10 of 30

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alternative Services, Inc.	MI	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$84.1M
The Medical Team, Inc	MI	Home Health Agency	$0	$16.5M
Premier Medicine PC	MI	Internal Medicine Physician	$0	$10.5M
Livonia Outpatient Surgery Center, LLC	MI	Ambulatory Surgical Clinic/Center	$809.2K	$1.3M
Steven Katzman	MI	Internal Medicine Physician	$1.5M	$0
Nabil Suliman	MI	Internal Medicine Physician	$381.8K	$0
Ala Shuker	MI	Internal Medicine Physician	$308.3K	$0
Mark Marrone	MI	Nephrology Physician	$277.5K	$0
Jason Biederman	MI	Nephrology Physician	$245.3K	$0
Michael Misuraca	MI	Nephrology Physician	$237.3K	$0

Michigan Ophthalmology Specialists, PLLC — Billing Profile & Reimbursement Data

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Michigan Ophthalmology Specialists, PLLC — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shareef Ahmed	MI	Ophthalmology Physician	$1.5M	$0
David Ellenberg	MI	Retina Specialist (Ophthalmology) Physician	$1.4M	$0
Nossonal Kleinfeldt	MI	Ophthalmology Physician	$577.1K	$0
Arezo Amirikia	MI	Ophthalmology Physician	$563.9K	$0
Snigdha Singh	MI	Ophthalmology Physician	$277.9K	$0
William Goldstein	MI	Ophthalmology Physician	$241.9K	$0
William Wilkinson	MI	Ophthalmology Physician	$234.9K	$0
Carl Clavenna	MI	Ophthalmology Physician	$232.1K	$0
Lawrence Handler	MI	Ophthalmic Plastic and Reconstructive Surgery Physician	$170.4K	$0
Zachary Pearce	MI	Ophthalmic Plastic and Reconstructive Surgery Physician	$124.7K	$0