Looney Enterprises LLC
Looney Enterprises LLC was paid $654K by Medicaid between Jan 2018 and Oct 2022, across 15 billing codes. Its largest line is V2020, Frames, purchases — 18% of everything it billed.
33Billing provider infoLOONEY ENTERPRISES LLC
WELCH, WV 24801
WELCH, WV 24801
33aNPI1073656641assigned 02/14/2007
33bProvider typeOptometrist
28Total paid$654K
24GClaims14,251
24DCodes billed15
24AFirst – last monthJan 2018 – Oct 2022
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#10 of 115
Median peer was paid$82K
This provider vs. median7.9×
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 | 2,208 | $93K | |
| 2019 | 3,001 | $142K | |
| 2020 | 3,218 | $147K | |
| 2021 | 3,383 | $157K | |
| 2022 | 2,441 | $113K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 18% | 3,082 | 3,058 | $120K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 18% | 2,167 | 2,152 | $119K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 1,862 | 1,803 | $99K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 1,794 | 1,782 | $96K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 9.0% | 783 | 770 | $59K |
| 92250 | 5.7% | 700 | 689 | $37K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.2% | 453 | 449 | $34K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.1% | 600 | 590 | $20K |
| 92015 | Determination of refractive state | 3.1% | 1,108 | 1,079 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.8% | 490 | 467 | $19K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.5% | 248 | 241 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 286 | 256 | $12K |
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 officialLOONEY, BRIAN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Looney Enterprises LLC | Richlands, VA | $24K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.