Supplier
Tristate Optical, INC.
Tristate Optical, INC. was paid $198K by Medicaid between Jan 2018 and Oct 2024, across 6 billing codes. Its largest line is V2020, Frames, purchases — 41% of everything it billed.
33Billing provider infoTRISTATE OPTICAL, INC.
FORT WAYNE, IN 46804
FORT WAYNE, IN 46804
33aNPI1013903962assigned 09/26/2005
33bProvider typeEyewear Supplier
28Total paid$198K
24GClaims6,581
24DCodes billed6
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Eyewear Supplier providers in Indiana
Rank by total paid#31 of 67
Median peer was paid$149K
This provider vs. median1.3×
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 | 1,700 | $41K | |
| 2019 | 1,758 | $55K | |
| 2020 | 1,146 | $39K | |
| 2021 | 1,119 | $33K | |
| 2022 | 656 | $20K | |
| 2023 | 61 | $2K | |
| 2024incomplete | 141 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 41% | 2,512 | 2,310 | $81K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 33% | 1,438 | 1,312 | $65K |
| V2755 | U-v lens, per lens | 20% | 2,303 | 2,144 | $39K |
| V2730 | Special base curve, glass or plastic, per lens | 3.6% | 243 | 219 | $7K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 72 | 69 | $5K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | 12 | $490.10 |
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 officialBRADLEY, JERRY (VICE PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Jerry Bradley DDS and Associates PLLC | Edenton, NC | $2.08M |
| Tri-State Optical, INC. | Fort Wayne, IN | $1.22M |
| Tristate Optical, INC. | Warsaw, IN | $247K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.