Tri-State Family Eye Care, INC.
Tri-State Family Eye Care, INC. was paid $294K by Medicaid between Sep 2019 and Dec 2024, across 7 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 34% of everything it billed.
33Billing provider infoTRI-STATE FAMILY EYE CARE, INC.
YEADON, PA 19050
YEADON, PA 19050
33aNPI1164500229assigned 11/02/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$294K
24GClaims12,396
24DCodes billed7
24AFirst – last monthSep 2019 – Dec 2024
Compared with peers
Next to other Corneal and Contact Management Optometrist providers in Pennsylvania
Rank by total paid#4 of 42
Median peer was paid$22K
This provider vs. median14×
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 | 534 | $12K | |
| 2020 | 794 | $18K | |
| 2021 | 2,721 | $63K | |
| 2022 | 2,790 | $65K | |
| 2023 | 2,931 | $70K | |
| 2024incomplete | 2,626 | $65K |
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 | 34% | 3,637 | 1,417 | $99K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,609 | 1,535 | $68K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 1,380 | 1,329 | $62K |
| V2020 | Frames, purchases | 20% | 2,007 | 1,555 | $60K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 217 | 214 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 3,310 | 1,251 | $2K |
| 92015 | Determination of refractive state | <1% | 236 | 233 | $1K |
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 officialELCOCK, DONNA (PRESIDENT/ OPTOMETRIST)