Family Optical P C
Family Optical P C was paid $84K by Medicaid between Feb 2018 and Dec 2024, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 52% of everything it billed.
33Billing provider infoFAMILY OPTICAL P C
SPEARFISH, SD 57783
SPEARFISH, SD 57783
33aNPI1003950122assigned 02/20/2007
33bProvider typeOptometrist
28Total paid$84K
24GClaims1,944
24DCodes billed8
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in South Dakota
Rank by total paid#59 of 100
Median peer was paid$113K
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 221 | $15K | |
| 2019 | 132 | $9K | |
| 2020 | 118 | $5K | |
| 2021 | 229 | $9K | |
| 2022 | 579 | $24K | |
| 2023 | 392 | $13K | |
| 2024incomplete | 273 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 52% | 522 | 458 | $44K |
| V2020 | Frames, purchases | 19% | 299 | 249 | $16K |
| V2199 | Not otherwise classified, single vision lens | 11% | 152 | 124 | $9K |
| 92015 | Determination of refractive state | 8.9% | 871 | 654 | $8K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.9% | 60 | 53 | $7K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.0% | 14 | 13 | $841.62 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12 | 12 | $0.00 |
| 1036F | 0% | 14 | 13 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialHERSCH, TAMMY (PRESIDENT)