Baltimore Optical INC
Baltimore Optical INC was paid $760K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is V2020, Frames, purchases — 27% of everything it billed.
33Billing provider infoBALTIMORE OPTICAL INC
BALTIMORE, MD 21215
BALTIMORE, MD 21215
33aNPI1154400679assigned 11/03/2006
33bProvider typeOptician
28Total paid$760K
24GClaims30,643
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in Maryland
Rank by total paid#1 of 37
Median peer was paid$52K
This provider vs. median15×
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 | 580 | $6K | |
| 2019 | 221 | $2K | |
| 2020 | 303 | $5K | |
| 2021 | 1,208 | $37K | |
| 2022 | 4,195 | $105K | |
| 2023 | 14,813 | $367K | |
| 2024incomplete | 9,323 | $238K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 27% | 8,875 | 8,509 | $202K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 21% | 7,118 | 6,845 | $159K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 4,156 | 3,995 | $149K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 16% | 3,776 | 3,559 | $125K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 6.7% | 1,368 | 1,283 | $51K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 2.9% | 132 | 124 | $22K |
| G8785 | Blood pressure reading not documented, reason not given | 1.8% | 778 | 713 | $14K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.5% | 2,009 | 1,960 | $11K |
| 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% | 58 | 56 | $7K |
| 92083 | <1% | 50 | 47 | $3K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 58 | 45 | $3K |
| G9905 | Patient not screened for tobacco use | <1% | 160 | 155 | $2K |
13 more codes
| 92015 | Determination of refractive state | <1% | 133 | $2K |
| 92133 | <1% | 58 | $2K | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 63 | $2K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 19 | $2K |
| 92250 | <1% | 29 | $1K | |
| 76514 | <1% | 73 | $842.68 | |
| 92020 | <1% | 42 | $735.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 885 | $391.12 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | <1% | 408 | $111.45 |
| 1036F | 0% | 293 | $0.00 | |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | 0% | 17 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 13 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 72 | $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 officialDELLER, ALLA (OWNER)