Normandy Optical Company, INC
Normandy Optical Company, INC was paid $3.17M by Medicaid between Jan 2018 and Dec 2024, across 60 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoNORMANDY OPTICAL COMPANY, INC
SAINT CLAIR SHORES, MI 48080
SAINT CLAIR SHORES, MI 48080
33aNPI1124189089assigned 12/13/2006
33bProvider typeOptometrist
28Total paid$3.17M
24GClaims125,326
24DCodes billed60
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#10 of 497
Median peer was paid$21K
This provider vs. median151×
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 | 10,076 | $267K | |
| 2019 | 17,630 | $448K | |
| 2020 | 13,906 | $373K | |
| 2021 | 18,202 | $486K | |
| 2022 | 18,877 | $529K | |
| 2023 | 24,045 | $577K | |
| 2024incomplete | 22,590 | $493K |
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 | 19% | 9,105 | 8,914 | $610K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 6,897 | 6,788 | $554K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 16,558 | 16,340 | $319K |
| V2020 | Frames, purchases | 9.1% | 10,351 | 10,211 | $289K |
| 92370 | 8.6% | 15,496 | 15,036 | $273K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 6.5% | 4,432 | 4,391 | $205K |
| 92015 | Determination of refractive state | 5.1% | 15,452 | 15,141 | $163K |
| 83861 | 3.9% | 6,701 | 3,490 | $124K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.4% | 2,239 | 2,036 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.6% | 1,801 | 1,634 | $84K |
| 92341 | 2.2% | 3,126 | 3,093 | $68K | |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 2.1% | 2,131 | 2,116 | $66K |
48 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | 1.8% | 1,052 | $58K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.7% | 4,293 | $53K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.5% | 4,233 | $48K |
| 92060 | 1.0% | 900 | $33K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 692 | $31K |
| 92250 | <1% | 1,433 | $30K | |
| 92133 | <1% | 435 | $8K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 527 | $7K |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 548 | $6K |
| 92083 | <1% | 172 | $6K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 368 | $5K |
| 76511 | <1% | 138 | $4K | |
| V2102 | Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 304 | $4K |
| 92310 | <1% | 151 | $3K | |
| 92225 | <1% | 170 | $2K | |
| 92342 | <1% | 100 | $2K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 159 | $2K |
| 92134 | <1% | 111 | $2K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 27 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,272 | $1K |
| V2202 | Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 28 | $390.91 |
| G8421 | Bmi not documented and no reason is given | 0% | 401 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 282 | $0.00 |
| G9368 | At least two orders for high-risk medications from the same drug class not ordered | 0% | 238 | $0.00 |
| 2026F | 0% | 1,231 | $0.00 | |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 694 | $0.00 |
| 2024F | 0% | 102 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 2,115 | $0.00 |
| 2022F | 0% | 623 | $0.00 | |
| G0029 | Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | 0% | 189 | $0.00 |
| M1210 | At least two orders for high-risk medications from the same drug class, (table 4), not ordered | 0% | 219 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 1,099 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 156 | $0.00 |
| 5010F | 0% | 30 | $0.00 | |
| 99072 | 0% | 26 | $0.00 | |
| M1221 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy | 0% | 14 | $0.00 |
| 2023F | 0% | 60 | $0.00 | |
| 1036F | 0% | 284 | $0.00 | |
| G8732 | No documentation of pain assessment, reason not given | 0% | 69 | $0.00 |
| M1208 | Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety | 0% | 975 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 792 | $0.00 |
| G9460 | Tobacco assessment or tobacco cessation intervention not performed, reason not given | 0% | 94 | $0.00 |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 1,008 | $0.00 |
| 3284F | 0% | 12 | $0.00 | |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 282 | $0.00 |
| G9459 | Currently a tobacco non-user | 0% | 150 | $0.00 |
| 3072F | 0% | 749 | $0.00 | |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 30 | $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 officialSESTO, ANTHONY (OWNER)