Supplier
Formica Optical
Formica Optical was paid $206K by Medicaid between Nov 2020 and Nov 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 80% of everything it billed.
33Billing provider infoFORMICA OPTICAL
SOMERSET, PA 15501
SOMERSET, PA 15501
33aNPI1083603385assigned 10/19/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$206K
24GClaims3,407
24DCodes billed8
24AFirst – last monthNov 2020 – Nov 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#136 of 279
Median peer was paid$181K
This provider vs. median1.1×
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 | 136 | $8K | |
| 2021 | 604 | $39K | |
| 2022 | 1,180 | $74K | |
| 2023 | 1,117 | $65K | |
| 2024incomplete | 370 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 80% | 2,045 | 1,515 | $164K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.5% | 390 | 385 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.4% | 723 | 504 | $15K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.9% | 69 | 55 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 69 | 69 | $3K |
| V2500 | Contact lens, pmma, spherical, per lens | 1.3% | 42 | 30 | $3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 56 | 56 | $2K |
| 92015 | Determination of refractive state | <1% | 13 | 13 | $58.50 |
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 officialFORMICA, CHARLES (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Formica Optical INC. | Johnstown, PA | $167K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.