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V2204
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens
Medicaid paid $2.58M on code V2204 from 2018 through 2024, to 77 providers — the #3,077 code in the file by dollars. 39% of it was billed in California.
28Total paid$2.58M
24GClaims204,233
Paid per claim line$12.62
33Providers billing it77
Box 32 · Location
Where V2204 is billed
The largest of 28 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing V2204
| # | Provider | Location | Claims | Paid on V2204 |
|---|---|---|---|---|
| 1 | Classic Optical Laboratories, INC. | Youngstown, OH | 88,125 | $882K |
| 2 | State of California Prison Industry Authority | Chowchilla, CA | 29,853 | $500K |
| 3 | State of California Prison Industry Authority | Vacaville, CA | 18,675 | $315K |
| 4 | North Carolina Correction Enterprises Optical | Nashville, NC | 21,369 | $190K |
| 5 | State of California Prison Industry Authority | Chowchilla, CA | 10,428 | $178K |
| 6 | Eye Kraft Optical, INC | Saint Cloud, MN | 2,072 | $60K |
| 7 | Eye Care and Vision Associates LLC | Allen, TX | 928 | $38K |
| 8 | Bsa Industries, INC. | Columbus, OH | 2,845 | $33K |
| 9 | Pinnacle Optical, LLC | Irondale, AL | 1,144 | $30K |
| 10 | Laurel Hill Center | Eugene, OR | 1,392 | $28K |
| 11 | Pcor LLC | Madison Hts, MI | 1,999 | $24K |
| 12 | Correctional Industries - Doc | Airway Heights, WA | 1,356 | $20K |
| 13 | Ohle, David | Westerville, OH | 820 | $20K |
| 14 | National Vision Administrators, LLC | Clifton, NJ | 1,109 | $19K |
| 15 | SVS Vision INC | Mount Clemens, MI | 1,605 | $17K |
| 16 | Pacific Star . INC | Honolulu, HI | 370 | $17K |
| 17 | Hoya Optical Labs of America, INC | Knoxville, TN | 2,384 | $16K |
| 18 | Robert F. Dibble | Willimantic, CT | 330 | $16K |
| 19 | My Optix INC | Middlefield, OH | 709 | $15K |
| 20 | Allan Baker INC | Louisville, KY | 2,338 | $15K |
| 21 | His Vision | Rochester, NY | 1,326 | $13K |
| 22 | Wholesale Optical Supply | Robertsdale, AL | 610 | $12K |
| 23 | Specialty Benefits, LLC | Baltimore, MD | 1,514 | $9K |
| 24 | Baker, Steven | Louisville, KY | 1,504 | $9K |
| 25 | Midwest Eye Consultants, P.C. | Wabash, IN | 212 | $8K |
| 26 | Primehealth of Indiana LLC | Indianapolis, IN | 250 | $7K |
| 27 | Mobile Vision Care, INC. | Allen, TX | 161 | $7K |
| 28 | Hoya Optical Labs of America, INC. | Grove City, OH | 1,015 | $7K |
| 29 | CBTR Optical Labs LLC | Henderson, NV | 690 | $6K |
| 30 | Jeffrey S. Snyder, O.D & Associates, PC | Houston, TX | 165 | $6K |
| 31 | The Harvey & Lewis Co. | Hartford, CT | 159 | $5K |
| 32 | Providence Opticians Designer Eyewear INC | Washington, DC | 30 | $4K |
| 33 | Elder Eye Care Group PLC | Spring Lake, MI | 279 | $4K |
| 34 | Cherry, Rick | Sylvania, OH | 209 | $4K |
| 35 | One Hour Optical Medical Services, PC | Denver, CO | 88 | $3K |
| 36 | Wal-Mart Stores, INC. | King Of Prussia, PA | 107 | $3K |
| 37 | Hoya Vision Care North America, INC | Lewisville, TX | 442 | $3K |
| 38 | Professional Eye Care INC | Platte City, MO | 82 | $3K |
| 39 | Tri State Optical, INC. | Coldwater, MI | 262 | $3K |
| 40 | Emad Nakkash, MD, PC | Hazel Park, MI | 208 | $2K |
| 41 | Ovitsky Vision Care of Indiana PC | Indianapolis, IN | 329 | $2K |
| 42 | Bistricer, Joseph | New York, NY | 102 | $2K |
| 43 | Southwest Texas Optical | Eagle Pass, TX | 32 | $2K |
| 44 | Mcgreevy INC | Minneapolis, MN | 39 | $2K |
| 45 | Your Eyes of New Britain | New Britain, CT | 41 | $1K |
| 46 | Global Vision, LLC | Minneapolis, MN | 52 | $1K |
| 47 | P-Cor, LLC | Monroe, MI | 92 | $1K |
| 48 | Great Lakes Independent Eyecare Network LLC | Vulcan, MI | 87 | $912.38 |
| 49 | Onhealthcare, LLC | Indianapolis, IN | 14 | $900.00 |
| 50 | DR. Lucia Patino, Optometrist, PC | Jackson Heights, NY | 41 | $896.40 |
| 51 | Coates, Janice | Dayton, OH | 28 | $840.00 |
| 52 | Gulf Coast Optometry | Mobile, AL | 54 | $780.00 |
| 53 | Wal-Mart Stores East , LP | Bellefontaine, OH | 47 | $709.43 |
| 54 | Mid Atlantic Pemanente Medical Group | Rockville, MD | 14 | $704.00 |
| 55 | Solinsky Eyecare LLC | West Hartford, CT | 14 | $660.40 |
| 56 | Robert W Moses O.D. Professional Corporation | Merrillville, IN | 12 | $597.37 |
| 57 | Wal-Mart Stores East, LP | Logan, OH | 75 | $567.78 |
| 58 | Group Health Plan, INC. | Minneapolis, MN | 36 | $558.15 |
| 59 | Munson, Kevin | Allen, TX | 17 | $523.06 |
| 60 | Frank, Heidi | Chelmsford, MA | 27 | $497.42 |
| 61 | Eye Associates of New Mexico LTD | Albuquerque, NM | 37 | $471.48 |
| 62 | Oceanview Optical of Brooklyn INC | Brooklyn, NY | 18 | $436.32 |
| 63 | Herslof's, INC | Milwaukee, WI | 72 | $385.20 |
| 64 | Park Nicollet Health Care Products | St Louis Park, MN | 18 | $367.74 |
| 65 | Weitz, Jan | Brooklyn, NY | 23 | $300.00 |
| 66 | Girisgen & Kopolow Od, PC | Las Vegas, NV | 12 | $294.00 |
| 67 | Caalken LLC | Montgomery, AL | 13 | $270.00 |
| 68 | Pierre, Marcien | Brooklyn, NY | 21 | $264.00 |
| 69 | Morris, Dexter | Las Vegas, NV | 12 | $260.00 |
| 70 | DRS. Nguyen Prof. Corp. | Montgomery, AL | 12 | $240.00 |
| 71 | Illinois College of Optometry | Chicago, IL | 27 | $163.04 |
| 72 | Precision Vision INC | St Paul, MN | 13 | $38.31 |
| 73 | Vision Service Plan | Rancho Cordova, CA | 3,581 | $0.00 |
| 74 | Phillips, Susan | St Petersburg, FL | 15 | $0.00 |
| 75 | Desrivieres, Daniel | Orange, NJ | 12 | $0.00 |
| 76 | Quickspex LLC | Aurora, CO | 15 | $0.00 |
| 77 | Diamond Vision Center | Ciales, PR | 15 | $0.00 |