Eyeglass Encounters
Eyeglass Encounters was paid $2.53M by Medicaid between Dec 2019 and Dec 2024, across 17 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 34% of everything it billed.
33Billing provider infoEYEGLASS ENCOUNTERS
PHILADELPHIA, PA 19103
PHILADELPHIA, PA 19103
33aNPI1104251461assigned 09/05/2013
33bProvider typeOptician
28Total paid$2.53M
24GClaims109,865
24DCodes billed17
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Optician providers in Pennsylvania
Rank by total paid#1 of 140
Median peer was paid$57K
This provider vs. median44×
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 | |
|---|---|---|---|
| 2019 | 815 | $17K | |
| 2020 | 6,394 | $141K | |
| 2021 | 22,035 | $478K | |
| 2022 | 26,549 | $626K | |
| 2023 | 28,596 | $688K | |
| 2024incomplete | 25,476 | $576K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 34% | 31,732 | 10,117 | $864K |
| V2020 | Frames, purchases | 29% | 18,391 | 12,220 | $723K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 8,302 | 8,169 | $360K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 6,306 | 6,198 | $276K |
| V2750 | Anti-reflective coating, per lens | 2.6% | 3,245 | 1,327 | $65K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 2.1% | 1,424 | 687 | $54K |
| V2744 | Tint, photochromatic, per lens | 1.8% | 1,375 | 601 | $45K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.4% | 26,360 | 7,707 | $35K |
| V2760 | Scratch resistant coating, per lens | 1.1% | 2,891 | 990 | $27K |
| V2299 | Specialty bifocal (by report) | 1.0% | 696 | 345 | $26K |
| V2781 | Progressive lens, per lens | <1% | 704 | 349 | $25K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | <1% | 112 | 108 | $9K |
5 more codes
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 196 | $6K |
| 92015 | Determination of refractive state | <1% | 7,538 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 365 | $4K |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | <1% | 214 | $1K |
| 92310 | <1% | 14 | $741.36 |
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 officialNIGRO, WILLIAM (PRESIDENT)