Optometry Exchange of Alabama, INC
Optometry Exchange of Alabama, INC was paid $248K by Medicaid between Jan 2018 and Nov 2019, across 11 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 32% of everything it billed.
33Billing provider infoOPTOMETRY EXCHANGE OF ALABAMA, INC
SARALAND, AL 36571
SARALAND, AL 36571
33aNPI1124140173assigned 04/03/2007
33bProvider typeOptometrist
28Total paid$248K
24GClaims12,673
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#95 of 346
Median peer was paid$59K
This provider vs. median4.2×
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 | 6,710 | $130K | |
| 2019 | 5,963 | $118K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 32% | 1,158 | 1,109 | $79K |
| V2020 | Frames, purchases | 20% | 2,300 | 2,211 | $50K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 15% | 687 | 662 | $37K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 13% | 2,293 | 2,207 | $32K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 1,980 | 1,900 | $31K |
| 92015 | Determination of refractive state | 5.7% | 1,824 | 1,755 | $14K |
| 92341 | 1.5% | 265 | 260 | $4K | |
| 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% | 41 | 37 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 1,891 | 1,825 | $33.14 |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 222 | 219 | $3.36 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $0.22 |
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 officialDUNSON, JOHN (PRESIDENT)