Supplier
Three Rivers Eyecare PC
Three Rivers Eyecare PC was paid $110K by Medicaid between Jan 2018 and Dec 2018, across 15 billing codes. Its largest line is V2020, Frames, purchases — 24% of everything it billed.
33Billing provider infoTHREE RIVERS EYECARE PC
THREE RIVERS, MI 49093
THREE RIVERS, MI 49093
33aNPI1063450278assigned 06/02/2006
33bProvider typeEyewear Supplier
28Total paid$110K
24GClaims4,752
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2018
Compared with peers
Next to other Eyewear Supplier providers in Michigan
Rank by total paid#28 of 92
Median peer was paid$13K
This provider vs. median8.4×
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 | 4,752 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 24% | 868 | 842 | $27K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 13% | 323 | 316 | $14K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 700 | 677 | $14K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 12% | 279 | 278 | $13K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.6% | 159 | 155 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 8.4% | 489 | 477 | $9K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.7% | 104 | 102 | $7K |
| 92341 | 4.6% | 226 | 221 | $5K | |
| 92015 | Determination of refractive state | 3.4% | 344 | 337 | $4K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.4% | 126 | 122 | $3K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.3% | 679 | 658 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 79 | 76 | $2K |
3 more codes
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 officialSUSSEX, MICHAEL (PRESIDENT)
Parent organizationTHREE RIVERS EYECARE PC
| Provider | Location | Paid |
|---|---|---|
| Michael L Sussex Od PC | Coldwater, MI | $292K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.