Clarkson Optometry Midwest INC
Clarkson Optometry Midwest INC was paid $852K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 28% of everything it billed.
33Billing provider infoCLARKSON OPTOMETRY MIDWEST INC
CENTERVILLE, OH 45440
CENTERVILLE, OH 45440
33aNPI1073917597assigned 10/13/2014
33bProvider typeOptometrist
28Total paid$852K
24GClaims42,829
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#29 of 1,098
Median peer was paid$41K
This provider vs. median21×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official WACHTER, JAMES controls 20+ related entities in our dataset. Read more
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 | 4,799 | $125K | |
| 2019 | 6,140 | $165K | |
| 2020 | 2,125 | $43K | |
| 2021 | 10,171 | $118K | |
| 2022 | 6,365 | $142K | |
| 2023 | 6,878 | $144K | |
| 2024incomplete | 6,351 | $115K |
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 | 28% | 5,740 | 4,476 | $241K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 28% | 5,145 | 4,161 | $239K |
| 92015 | Determination of refractive state | 20% | 13,543 | 10,743 | $167K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.8% | 3,224 | 3,140 | $66K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 6.8% | 4,571 | 3,583 | $58K |
| V2020 | Frames, purchases | 4.2% | 5,289 | 4,106 | $36K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 4,480 | 2,207 | $24K |
| 92342 | 1.5% | 445 | 432 | $13K | |
| 92250 | <1% | 101 | 69 | $1K | |
| 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 | <1% | 27 | 26 | $1K |
| V2781 | Progressive lens, per lens | <1% | 26 | 13 | $1K |
| 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% | 73 | 40 | $1K |
5 more codes
| 99203 | Doctor's office visit, new patient (routine) | <1% | 25 | $1K |
| 92341 | <1% | 57 | $914.98 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 56 | $870.00 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 14 | $377.63 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 13 | $143.00 |
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 officialWACHTER, JAMES (CMO)
| Provider | Location | Paid |
|---|---|---|
| Clarkson Optometry Midwest INC | Lebanon, KY | $2.12M |
| Eyecare Associates, INC. | Huntsville, AL | $564K |
| Eyecare Associates, INC. | Prattville, AL | $467K |
| Eyecare Associates, INC. | Scottsboro, AL | $395K |
| Eyecare Associates, INC. | Madison, AL | $300K |
| Eyecare Associates, INC. | Arab, AL | $242K |
| Eyecare Associates, INC. | Moody, AL | $206K |
| Eyecare Associates, INC. | Birmingham, AL | $114K |
| Eyecare Associates, INC. | Decatur, AL | $99K |
| Eyecare Associates, INC. | Birmingham, AL | $96K |
| Eyecare Associates, INC. | Clanton, AL | $94K |
| Clarkson Optometry Midwest INC | Mansfield, OH | $77K |
| Eyecare Associates, INC. | Northport, AL | $74K |
| Eyecare Associates, INC. | Southside, AL | $68K |
| Clarkson Optometry Midwest INC. | Louisville, KY | $31K |
| Eyecare Associates, INC. | Mobile, AL | $23K |
| Bennett Optometry LLC | Ann Arbor, MI | $16K |
| Clarkson Optometry Midwest INC. | Elizabethtown, KY | $13K |
| Clarkson Optometry Midwest INC | Clarksville, IN | $10K |
| Clarkson Optometry Midwest INC. | Louisville, KY | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.