Managed care
Smarteyes Optometry
Smarteyes Optometry was paid $57K by Medicaid between Feb 2018 and Oct 2024, across 5 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 70% of everything it billed.
33Billing provider infoSMARTEYES OPTOMETRY
ARCADIA, CA 91006
ARCADIA, CA 91006
33aNPI1033358205assigned 02/12/2009
33bProvider typeExclusive Provider Organization
28Total paid$57K
24GClaims4,399
24DCodes billed5
24AFirst – last monthFeb 2018 – Oct 2024
Compared with peers
Next to other Exclusive Provider Organization providers in California
Rank by total paid#31 of 55
Median peer was paid$90K
This provider vs. median0.6×
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 | 895 | $16K | |
| 2019 | 493 | $14K | |
| 2020 | 413 | $6K | |
| 2021 | 507 | $5K | |
| 2022 | 722 | $5K | |
| 2023 | 808 | $7K | |
| 2024incomplete | 561 | $3K |
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 | 70% | 1,768 | 1,754 | $40K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 337 | 335 | $8K |
| 92226 | 8.2% | 589 | 587 | $5K | |
| 92201 | 5.9% | 1,600 | 1,587 | $3K | |
| 92225 | 1.6% | 105 | 105 | $888.79 |
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 officialOU, SANDIA (OPTOMETRIST)