Regional Eyecare Associates INC
Regional Eyecare Associates INC was paid $576K by Medicaid between Jun 2020 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoREGIONAL EYECARE ASSOCIATES INC
O FALLON, MO 63368
O FALLON, MO 63368
33aNPI1043380652assigned 11/09/2006
33bProvider typeOptometrist
28Total paid$576K
24GClaims15,660
24DCodes billed10
24AFirst – last monthJun 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#9 of 547
Median peer was paid$19K
This provider vs. median30×
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 | |
|---|---|---|---|
| 2020 | 632 | $13K | |
| 2021 | 1,577 | $33K | |
| 2022 | 3,917 | $138K | |
| 2023 | 4,852 | $212K | |
| 2024incomplete | 4,682 | $179K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 43% | 2,552 | 2,460 | $249K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 29% | 2,362 | 2,291 | $164K |
| V2020 | Frames, purchases | 10% | 1,218 | 1,132 | $59K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.8% | 607 | 530 | $33K |
| 92015 | Determination of refractive state | 5.4% | 6,546 | 6,295 | $31K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.4% | 1,868 | 1,856 | $14K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.0% | 203 | 182 | $12K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.9% | 246 | 209 | $11K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 27 | 26 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 31 | 24 | $911.18 |
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 officialMACKEY, LISA (OD VP)