Fairmont Eye Care INC
Fairmont Eye Care INC was paid $563K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.
33Billing provider infoFAIRMONT EYE CARE INC
FAIRMONT, WV 26554
FAIRMONT, WV 26554
33aNPI1104889971assigned 04/11/2006
33bProvider typeOptometrist
28Total paid$563K
24GClaims10,891
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#13 of 115
Median peer was paid$82K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2018 | 1,334 | $68K | |
| 2019 | 933 | $54K | |
| 2020 | 1,548 | $87K | |
| 2021 | 1,979 | $97K | |
| 2022 | 1,744 | $81K | |
| 2023 | 1,517 | $77K | |
| 2024incomplete | 1,836 | $98K |
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 | 37% | 2,746 | 2,618 | $208K |
| V2020 | Frames, purchases | 21% | 1,887 | 1,818 | $117K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 1,039 | 995 | $92K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 5.7% | 685 | 606 | $32K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.6% | 1,285 | 1,244 | $32K |
| 92015 | Determination of refractive state | 5.5% | 1,972 | 1,902 | $31K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.2% | 586 | 573 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.9% | 453 | 440 | $16K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.7% | 171 | 145 | $10K |
| 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 | 25 | $1K |
| 92250 | <1% | 40 | 37 | $874.63 |
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 officialWILMOTH, PHILIP (PRESIDENT DOCTOR)