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

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

Havre Optometric Clinic, Pllp (NPI 1982749362)

Field	Value
Entity Type	Organization
Organization	Havre Optometric Clinic, Pllp
Address	416 3rd Ave
City	Havre
State	MT
ZIP	59501
Taxonomy	Optometrist
NPI Enumerated	February 21, 2007

Payer Source	Total Paid
Medicaid	$339.5K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	2,120	$70	$156.8K
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.	680	$100	$67.6K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	4,950	$10	$64.4K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	2,170	$20	$50K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	20	$20	$500
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.	10	$20	$240

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Montana Distribution

Havre Optometric Clinic, Pllp — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Montana

Full comparison — all codes billed, vs. Montana median

6 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…	28	130	600	$90	$120.9K
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.	48	120	440	$110	$96K
92340	Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal	34	120	760	$20	$40.9K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	20	130	1,300	$20	$37K
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.	5	10	60	$10	$10.4K
92341	Code 92341 describes the fitting of eyeglasses of bifocal type, i.e., the lens has two separate areas of focus such as an area which gives best near vision and another area giving best far vision.	19	30	70	$30	$5K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Havre Optometric Clinic, Pllp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Larry Obie	MT	Optometrist	$66.2K	$111.5K
Lindsey Wilson	MT	Optometrist	$43.5K	$1.7K

Nearby Providers

Other providers in the same ZIP code as Havre Optometric Clinic, Pllp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Havre Day Activity Center, Inc	MT	Developmentally Disabled Services Day Training Agency	$0	$16.6M
Northern Montana Hospital	MT	Clinic/Center	$0	$2.3M
Lincare Inc.	MT	Durable Medical Equipment & Medical Supplies	$0	$1.5M
Havre Public Schools	MT	Local Education Agency (LEA)	$0	$1.3M
Wheatland Management	MT	Assisted Living Facility	$0	$978.8K
Northern Montana Hospital	MT	Critical Access Hospital	$0	$938.4K
Havre Pediatric Dentistry	MT	Pediatric Dentistry	$0	$766.6K
Michele Holden	MT	Professional Counselor	$0	$760.6K
City Of Havre	MT	Land Ambulance	$197.6K	$489.3K
Bear Paw Recovery Center	MT	Substance Use Disorder Rehabilitation Clinic/Center	$0	$638.2K

Havre Optometric Clinic, Pllp — Billing Profile & Reimbursement Data

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Havre Optometric Clinic, Pllp — 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