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

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

Anith Pillai (NPI 1962759258)

Field	Value
Entity Type	Individual
Organization	Anith Pillai
Address	19875 Southwest Fwy Ste 180
City	Sugar Land
State	TX
ZIP	77479
Taxonomy	Optometrist
NPI Enumerated	August 6, 2012

Payer Source	Total Paid
Medicare	$81.9K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 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.	70	$1,010	$66.5K
67850	The provider destroys a small lesion of the lid margin, no larger than 1cm, on the area between the front lid edge and back edge of any of the four lids of the eye.	60	$120	$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…	60	$90	$5.1K
67938	The provider removes an embedded foreign body from the eyelid to prevent damage to the eyeball.	10	$120	$1.7K
76519	The provider uses A scan ultrasound echography to measure the axial length of the eye and determine the intraocular lens, or IOL calculation prior to cataract surgery.	20	$50	$1.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	20	$30	$430

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Texas Distribution

Anith Pillai — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
67938	4	10	40	$300	$84.4K
65778	26	100	30	$1,040	$63.3K
99214	22,173	32,500	110	$80	$17.6K
67850	1	10	30	$160	$4.8K
92250	1,543	1,840	50	$30	$3K
76519	56	80	40	$40	$2.3K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Anith Pillai, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Singer	TX	Ophthalmology Physician	$1.5M	$0
Darren Bell	TX	Ophthalmology Physician	$939.6K	$0
Andrew Davis	VA	Ophthalmology Physician	$557.1K	$0
Jorge De La Chapa	TX	Ophthalmology Physician	$513K	$0
Edward Bustamante	TX	Optometrist	$418.6K	$0
Daniel Nolan	TX	Ophthalmology Physician	$336.8K	$0
Anushree Sharma	TX	Ophthalmology Physician	$281K	$0
Khalil Harbie	TX	Ophthalmology Physician	$124.1K	$0
Jeffrey Cohen	TX	Ophthalmology Physician	$106.4K	$9.9K
David Chau	TX	Optometrist	$63.1K	$0

Nearby Providers

Other providers in the same ZIP code as Anith Pillai, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Consolidated Home Health Holdings, LLC	TX	Home Health Agency	$0	$23.3M
Fort Bend Isd	TX	Local Education Agency (LEA)	$0	$19.3M
Brent Eaton	TX	Acute Care Nurse Practitioner	$5.9M	$0
David Amran	TX	Allergy & Immunology Physician	$2.8M	$0
Tieu Vy Nguyen	TX	Ophthalmology Physician	$2.8M	$0
Memorial Hermann Surgery Center Sugar Land LLP	TX	Ambulatory Surgical Clinic/Center	$1.8M	$0
Ryan Valicek	TX	Rheumatology Physician	$964.7K	$0
Salman Aly	TX	Internal Medicine Physician	$923.9K	$0
Swati Joglekar	TX	Geriatric Medicine (Internal Medicine) Physician	$910.9K	$0
Matthew Mcmenemy	TX	Ophthalmology Physician	$826.9K	$0

Anith Pillai — Billing Profile & Reimbursement Data

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Anith Pillai — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References