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

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

Icare Health Solutions LLC (NPI 1942644661)

Field	Value
Entity Type	Organization
Organization	Icare Health Solutions LLC
Address	7352 Nw 34th St
City	Miami
State	FL
ZIP	33122
Taxonomy	Exclusive Provider Organization
NPI Enumerated	April 24, 2013

Payer Source	Total Paid
Medicaid	$80.3M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file and Total Medicaid revenue is $80.3M, indicating Medicaid is the exclusive sources of reported public-payer revenue for ICARE HEALTH SOLUTIONS LLC. The absence of Medicare activity suggests the organization’s business model and patient mix are concentrated in state Medicaid beneficiaries rather than dual-eligibles or traditional Medicare populations.

Revenue is highly concentrated in a small set of ophthalmic and optical codes: the precomputed top three Medicaid codes (92004, 92014, V2100) together account for 63.8% of this provider’s total Medicaid revenue. Individually, 92004 accounts for 24.3%, 92014 for 20.8%, and V2100 for 18.7% of Medicaid revenue, which shows the practice’s financial dependence on a narrow set of eye exam and lens/product services.

The code mix and top revenue drivers point to a high-volume eye‑care and optical dispensing operation: 92004 and 92014 are comprehensive ophthalmological/eye exam codes (275.8K claims and 316.7K claims respectively) while V2100 (296.5K claims) is a single‑vision lens supply code. This combination — large volumes of comprehensive exams plus major lens/lens‑product revenue — is consistent with integrated exam-to-dispense workflows (clinic visits that convert into eyewear purchases at scale).

ICARE’s competitive standing in Florida is dominant for many vision-related codes: 92004 ranks #1 of 904 providers in-state (100th percentile; extreme outlier), 92014 ranks #1 of 978 providers (100th percentile; extreme outlier), and V2100 ranks #1 of 500 providers (100th percentile; extreme outlier). Multiple other optical product codes (V2025, 92340, 92250, 92250, 92015) also sit at the 100th percentile, indicating this provider is a major statewide outlier and market leader for Medicaid-paid eye exams, lenses, and frames.

Operational profile implied by claim-level detail suggests a volume-driven, lower‑unit‑price revenue model for optical supplies: for example V2100 shows 296.5K claims at $50 avg paid/claim ($14.8M revenue) and V2025 shows 217.3K claims at $47 avg paid/claim ($10.2M revenue). The combination of very high claim counts and modest average paid amounts for lens/frame codes indicates revenue arises from scale in dispensing large numbers of eyeglasses and related items.

The provider also bills more medically complex ophthalmology services and diagnostics in smaller proportions, consistent with broader clinical capability beyond retail dispensing: 99204 (7.3K claims, $927.9K revenue) ranks #27 of 1853 providers (99th percentile; notably above typical) and imaging/diagnostic codes such as 92250 (18.4K claims, $110.2K revenue; 100th percentile; extreme outlier) and 92134 (7.7K claims, $84.5K revenue; 97th percentile) are present. These items suggest the organization performs both routine refractive services and a nontrivial volume of diagnostic/therapeutic ophthalmic care.

The dataset flags multiple explicit statistical outlier designations for this provider across vision and optical codes; many top codes are labeled "extreme outlier, far above typical state volume for this code" or similar. At the same time several general E/M codes (99213, 99214) are described as "typical, unremarkable volume," indicating that while the provider is an extraordinary statewide leader in vision-specific services and eyewear supply, its general primary-care style office visit billing remains within normal ranges.

ICARE has established tenure: NPI enumerated 2013-04-24 (~13 years ago), which supports interpretation of these volumes as the result of a sustained, scaled operation rather than a short-term anomaly. The combination of long tenure and repeated 100th‑percentile rankings across ophthalmic and optical codes reinforces that this is an established, high-volume Medicaid-focused eye care and eyewear dispensing enterprise.

Medicaid: Complete Services Breakdown

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

103 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	275,800	$70	$19.3M
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…	316,680	$50	$16.5M
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	296,470	$50	$14.8M
V2025	Deluxe frame	217,270	$50	$10.2M
V2020	Frames, purchases	271,730	$30	$8.7M
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	25,900	$70	$1.9M
V2799	Vision item or service, miscellaneous	86,880	$20	$1.7M
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…	24,490	$60	$1.5M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	55,380	$20	$941.4K
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…	7,310	$130	$927.9K

Showing 1–10 of 103

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Florida Distribution

Icare Health Solutions LLC — 20 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Florida

Full comparison — all codes billed, vs. Florida median

103 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	794	5,930	460	$40	$169.3K
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…	854	6,380	430	$50	$139.3K
99244	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a moderate level of medical decision making or the provider…	57	220	150	$160	$117.4K
99243	The provider sees a patient for an office or other outpatient consultation involving evaluation and management (E/M). The E/M involves a low level of medical decision making or the provider spends at…	37	150	150	$110	$107.6K
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…	887	1,500	470	$30	$87.2K
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…	1	980	270	$60	$85.1K
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	70	90	$260	$78.6K
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…	1,192	1,980	660	$20	$74.4K
J9035	Injection, bevacizumab, 10 mg	19	20	190	$160	$73.9K
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…	4	10	320	$80	$73.2K

Showing 1–10 of 103

Related Providers

Other providers that share a Tax Identification Number (TIN) with Icare Health Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
James Staman	FL	Ophthalmology Physician	$3.3M	$210
Ahmed Alkaliby	FL	Ophthalmology Physician	$2.6M	$0
Anita Shane	FL	Ophthalmology Physician	$1.6M	$0
Neerav Lamba	IL	Ophthalmology Physician	$44.2K	$266.5K
Sulaiman Alhumaid	FL	Retina Specialist (Ophthalmology) Physician	$282.6K	$0
Yasmin Islam	FL	Ophthalmology Physician	$270.5K	$0
Dawn Duss	FL	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	$34.7K	$72.3K

Nearby Providers

Other providers in the same ZIP code as Icare Health Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
United Home Care Services, Inc.	FL	Home Health Agency	$0	$94.3M
Maxim Healthcare Services, Inc.	FL	Home Health Agency	$0	$74.6M
United States Medical Supply, LLC	FL	Durable Medical Equipment & Medical Supplies	$0	$26.4M
Martin S Florida Elder Care Inc	FL	Home Health Agency	$0	$16.2M
Miami Supreme Home Services, LLC	FL	Behavior Analyst	$0	$9.8M
Molina Healthcare Of Florida, Inc.	FL	Health Maintenance Organization	$0	$9.5M
1st Class Mental Health Services, Corp.	FL	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.4M

Icare Health Solutions LLC — Billing Profile & Reimbursement Data

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Icare Health Solutions LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References