Clear Vision Eye Center,inc

Clear Vision Eye Center,inc was paid $31K by Medicaid between Jan 2018 and May 2024, across 9 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoCLEAR VISION EYE CENTER,INC
STONEHAM, MA 02180

33aNPI1063605251assigned 08/22/2007

33bProvider typeOphthalmology Physician

28Total paid$31K

24GClaims1,227

24DCodes billed9

24AFirst – last monthJan 2018 – May 2024

Compared with peers

Next to other Ophthalmology Physician providers in Massachusetts

Rank by total paid#84 of 203

Median peer was paid$18K

This provider vs. median1.7×

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	473	$15K
2019	206	$3K
2020	63	$152.40
2021	235	$6K
2022	123	$3K
2023	101	$3K
2024incomplete	26	$800.73

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	35%	193	193	$11K
92015	Determination of refractive state	30%	758	750	$9K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	24%	137	136	$8K
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	8.7%	65	62	$3K
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	2.5%	13	13	$764.82
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	14	12	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	16	12	$0.00
1036F		0%	16	12	$0.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	0%	15	12	$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 officialSHETH, NILESH (PRESIDENT)

Parent organizationHORSLEY EYE CENTER