Blue Valley Vision LLC

Blue Valley Vision LLC was paid $141K by Medicaid between Nov 2020 and Dec 2024, across 6 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 38% of everything it billed.

33Billing provider infoBLUE VALLEY VISION LLC
BANGOR, PA 18013

33aNPI1104298140assigned 10/29/2015

33bProvider typeEyewear Supplier

28Total paid$141K

24GClaims5,311

24DCodes billed6

24AFirst – last monthNov 2020 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Pennsylvania

Rank by total paid#58 of 129

Median peer was paid$96K

This provider vs. median1.5×

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	210	$6K
2021	658	$20K
2022	1,437	$40K
2023	2,103	$55K
2024incomplete	903	$21K

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	38%	1,780	745	$54K
V2020	Frames, purchases	31%	1,125	894	$43K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	26%	907	897	$36K
V2750	Anti-reflective coating, per lens	4.0%	350	159	$6K
V2784	Lens, polycarbonate or equal, any index, per lens	1.4%	1,084	379	$2K
92015	Determination of refractive state	<1%	65	65	$40.00

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 officialVELEKEI, TIMOTHY (OPTICIAN)