Supplier
Madras Vision Source PC
Madras Vision Source PC was paid $610K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 29% of everything it billed.
33Billing provider infoMADRAS VISION SOURCE PC
MADRAS, OR 97741
MADRAS, OR 97741
33aNPI1164791414assigned 12/15/2011
33bProvider typeEyewear Supplier
28Total paid$610K
24GClaims13,232
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Eyewear Supplier providers in Oregon
Rank by total paid#6 of 43
Median peer was paid$117K
This provider vs. median5.2×
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 | 1,317 | $53K | |
| 2019 | 1,489 | $64K | |
| 2020 | 1,052 | $43K | |
| 2021 | 1,354 | $55K | |
| 2022 | 1,720 | $77K | |
| 2023 | 3,122 | $154K | |
| 2024incomplete | 3,178 | $165K |
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 | 29% | 2,250 | 2,193 | $174K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 25% | 2,423 | 2,360 | $154K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 22% | 1,496 | 1,458 | $136K |
| V2025 | Deluxe frame | 8.9% | 1,104 | 1,077 | $54K |
| 92015 | Determination of refractive state | 7.1% | 3,605 | 3,517 | $44K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 3.3% | 1,064 | 1,033 | $20K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 562 | 551 | $10K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 196 | 184 | $7K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 191 | 189 | $3K |
| 92250 | <1% | 166 | 164 | $3K | |
| 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% | 17 | 16 | $2K |
| 92341 | <1% | 59 | 54 | $1K |
5 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 officialTEGAN, JESSICA (OWNER)
Parent organizationMADRAS VISION SOURCE PC