Eyewear Boutique INC
Eyewear Boutique INC was paid $3K by Medicaid between May 2021 and Dec 2022, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 32% of everything it billed.
33Billing provider infoEYEWEAR BOUTIQUE INC
LAKE CITY, SC 29560
LAKE CITY, SC 29560
33aNPI1093960106assigned 11/18/2008
33bProvider typeOptometrist
28Total paid$3K
24GClaims225
24DCodes billed4
24AFirst – last monthMay 2021 – Dec 2022
Compared with peers
Next to other Optometrist providers in South Carolina
Rank by total paid#324 of 425
Median peer was paid$22K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2021 | 99 | $1K | |
| 2022 | 126 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 32% | 188 | 188 | $940.00 |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 25% | 12 | 12 | $723.50 |
| 92002 | 22% | 13 | 13 | $650.00 | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 21% | 12 | 12 | $596.70 |
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 officialHOBBS, STEVE (OPTOMETRIST)