Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Davison › NPI 1114082047

Pco PC

Pco PC was paid $395K by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is V2020, Frames, purchases — 28% of everything it billed.

33Billing provider infoPCO PC
DAVISON, MI 48423
33aNPI1114082047assigned 12/22/2006
33bProvider typeOptometrist
28Total paid$395K
24GClaims14,987
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#61 of 497
Median peer was paid$21K
This provider vs. median19×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
20181,324$27K
20191,635$40K
20201,207$29K
20212,112$50K
20222,244$60K
20233,338$96K
2024incomplete3,127$92K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 28% 3,704 3,673 $112K
92340 Fitting of spectacles, except for aphakia; monofocal 17% 3,425 3,389 $67K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 14% 810 808 $55K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 625 619 $48K
92015 Determination of refractive state 7.8% 2,787 2,750 $31K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.2% 2,216 2,083 $28K
S0620 Routine ophthalmological examination including refraction; new patient 4.6% 386 385 $18K
S0621 Routine ophthalmological examination including refraction; established patient 4.1% 313 313 $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% 135 126 $7K
92341 1.2% 213 212 $5K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity <1% 45 45 $3K
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% 24 24 $1K
8 more codes
92002 <1% 18 $795.52
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 86 $782.50
92250 <1% 38 $667.11
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 38 $652.47
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 12 $508.68
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 15 $489.76
V2750 Anti-reflective coating, per lens 0% 27 $0.00
V2784 Lens, polycarbonate or equal, any index, per lens 0% 70 $0.00

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 officialLAMBARIA, ANDRES (PRESIDENT)
Same official

Other billing entities under LAMBARIA, ANDRES

Full network →
ProviderLocationPaid
Eye Testing Specialists PCFlint, MI$95K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.