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

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

Valley Eye Institute Asc LLC (NPI 1962455428)

Field	Value
Entity Type	Organization
Organization	Valley Eye Institute Asc LLC
Address	1118 Fairington Drive
City	Sidney
State	OH
ZIP	45365
Taxonomy	Ambulatory Surgical Clinic/Center
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicare	$630.3K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	670	$780	$519.9K
66821	The provider removes the haziness from the capsule of the eye using a laser for a patient with a secondary membranous cataract.	260	$190	$50.4K
66982	The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing…	60	$780	$46.6K
65855	In this procedure, the provider uses a laser to burn the trabecular meshwork, the tissue of mesh where the iris meets the sclera, to drain aqueous humor from the anterior chamber and treat glaucoma.	140	$100	$13.2K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 4 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Ohio Distribution

Valley Eye Institute Asc LLC — 2 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. state median

4 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
66984	176	530	210	$110	$92.8K
66982	43	150	30	$470	$24.9K
66821	15	360	50	$180	$15.8K
65855	2	110	30	$140	$5.8K

Nearby Providers

Other providers in the same ZIP code as Valley Eye Institute Asc LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shelby County Memorial Hospital Association Inc.	OH	General Acute Care Hospital	$0	$10.7M
Christopher Johnson	OH	Ophthalmology Physician	$788K	$0
Jeffrey Ward	OH	Optometrist	$547.2K	$0
Hillarie Amburgey	OH	Foot & Ankle Surgery Podiatrist	$188.3K	$0
Miguel Topalov	OH	Internal Medicine Physician	$130.4K	$0
Eric Prenger	OH	Family Medicine Physician	$103.6K	$0
Noufal Jajeh	OH	Gastroenterology Physician	$75.2K	$10.6K
Shelby County Ohio	OH	Public Health or Welfare Agency	$51.2K	$30.8K
Andrew Mcdonald	OH	Surgery Physician	$71.7K	$0
Trikannad Prashanthkumar	OH	Endocrinology, Diabetes & Metabolism Physician	$63.6K	$0

Valley Eye Institute Asc LLC — Billing Profile & Reimbursement Data

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Valley Eye Institute Asc LLC — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References