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

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

Evans Eye Care Inc (NPI 1992784599)

Field	Value
Entity Type	Organization
Organization	Evans Eye Care Inc
Address	1221 S Creasy Ln Ste A
City	Lafayette
State	IN
ZIP	47905
Taxonomy	Optometrist
NPI Enumerated	January 11, 2006

Payer Source	Total Paid
Medicaid	$4.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

14 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…	17,680	$90	$1.5M
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.	10,500	$100	$1M
V2020	Frames, purchases	20,880	$30	$689.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	15,060	$30	$436.9K
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.	31,420	$10	$408.5K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	4,630	$30	$120.5K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	700	$30	$18.1K
V2784	Lens, polycarbonate or equal, any index, per lens	1,150	$10	$12.6K
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…	150	$50	$7.7K
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,…	140	$20	$3.2K

Showing 1–10 of 14

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Indiana Distribution

Evans Eye Care Inc — 6 of 14 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Indiana

Full comparison — all codes billed, vs. Indiana median

14 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	2,029	2,120	870	$60	$450.6K
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…	1,804	2,380	920	$50	$376.8K
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…	5	690	360	$70	$110.9K
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.	10	560	310	$90	$106.9K
V2020	Frames, purchases	10	710	490	$30	$72.5K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	752	880	250	$40	$59.2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	6	450	260	$40	$52.9K
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.	9	840	390	$10	$30.7K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	14	360	250	$30	$28.4K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	28	140	100	$50	$26.1K

Showing 1–10 of 14

Related Providers

Other providers that share a Tax Identification Number (TIN) with Evans Eye Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gordon Boyd	IN	Optometrist	$46.5K	$0

Nearby Providers

Other providers in the same ZIP code as Evans Eye Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Franciscan Health Lafayette	IN	General Acute Care Hospital	$0	$38.6M
Arnett Clinic, LLC	IN	Internal Medicine Physician	$0	$35.1M
Piece By Piece Aba Therapy LLC	IN	Behavior Technician	$0	$33M
Indiana University Health Arnett Inc	IN	General Acute Care Hospital	$0	$26M
Limestone Health, LLC	IN	Methadone Clinic	$117.1K	$11.2M
Sycamore Springs, LLC	IN	Psychiatric Hospital	$0	$7M
Lafayette Pain Care, P.C.	IN	Pain Medicine Physician	$0	$6M
Awl Dentistry PC	IN	General Practice Dentistry	$0	$6M
East 53rd Street Dental-3, PC	IN	General Practice Dentistry	$0	$5.2M
Emergency Care Associates Of Indiana, LLC	IN	Emergency Medicine Physician	$0	$4.5M

Evans Eye Care Inc — Billing Profile & Reimbursement Data

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Evans Eye Care 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

Related Providers

Nearby Providers

Frequently Asked Questions

References