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

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

Mountain View Optometric Inc. (NPI 1942918107)

Field	Value
Entity Type	Organization
Organization	Mountain View Optometric Inc.
Address	1111 S. Mckinley St
City	Casper
State	WY
ZIP	82601
Taxonomy	Optometrist
NPI Enumerated	November 7, 2022

Payer Source	Total Paid
Medicaid	$37.2K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	370	$30	$9.2K
V2784	Lens, polycarbonate or equal, any index, per lens	360	$20	$7.2K
V2020	Frames, purchases	400	$20	$6.8K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	270	$20	$6.4K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	230	$10	$3.2K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	300	$10	$2.4K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	290	$10	$2.1K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Wyoming Distribution

Mountain View Optometric Inc. — 1 of 7 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Wyoming

Full comparison — all codes billed, vs. Wyoming median

7 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…	26	80	180	$80	$36.2K
V2020	Frames, purchases	21	70	190	$70	$25.3K
V2784	Lens, polycarbonate or equal, any index, per lens	22	60	200	$60	$24.3K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	2	10	110	$120	$23.7K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	10	30	210	$30	$11.1K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	15	50	70	$50	$9.7K
92370	The provider makes adjustments and or repairs to eyeglasses in a patient who does not have aphakia, the absence of a lens in the eye.	1	10	150	$10	$1.3K

Mountain View Optometric Inc. — Billing Profile & Reimbursement Data

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Mountain View Optometric Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Frequently Asked Questions

References