Horizon Eye Care Group, P.C.
Horizon Eye Care Group, P.C. was paid $783K by Medicaid between Dec 2019 and Dec 2024, across 18 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 infoHORIZON EYE CARE GROUP, P.C.
CARLISLE, PA 17013
CARLISLE, PA 17013
33aNPI1154381606assigned 03/27/2006
33bProvider typeOptometrist
28Total paid$783K
24GClaims23,947
24DCodes billed18
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#25 of 983
Median peer was paid$20K
This provider vs. median39×
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 | |
|---|---|---|---|
| 2019 | 57 | $2K | |
| 2020 | 944 | $33K | |
| 2021 | 4,911 | $162K | |
| 2022 | 5,445 | $182K | |
| 2023 | 6,210 | $212K | |
| 2024incomplete | 6,380 | $193K |
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% | 5,910 | 3,872 | $296K |
| V2020 | Frames, purchases | 15% | 5,376 | 4,815 | $116K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 11% | 2,279 | 2,208 | $84K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 2,175 | 2,112 | $83K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 9.4% | 1,182 | 922 | $74K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.1% | 1,148 | 1,127 | $55K |
| 92250 | 5.3% | 998 | 952 | $41K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 212 | 188 | $7K |
| V2025 | Deluxe frame | <1% | 517 | 514 | $6K |
| 92015 | Determination of refractive state | <1% | 898 | 882 | $6K |
| 92083 | <1% | 84 | 78 | $5K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 444 | 442 | $4K |
6 more codes
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 officialPROCOPE, JULIAN (PRESIDENT/ CEO)