City Optical Co., INC.
City Optical Co., INC. was paid $1.85M by Medicaid between Jan 2020 and Dec 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 34% of everything it billed.
33Billing provider infoCITY OPTICAL CO., INC.
AVON, IN 46123
AVON, IN 46123
33aNPI1174165229assigned 10/10/2019
33bProvider typeOptometrist
28Total paid$1.85M
24GClaims31,911
24DCodes billed14
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#29 of 743
Median peer was paid$22K
This provider vs. median85×
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 | |
|---|---|---|---|
| 2020 | 2,717 | $149K | |
| 2021 | 5,684 | $301K | |
| 2022 | 6,891 | $361K | |
| 2023 | 9,687 | $522K | |
| 2024incomplete | 6,932 | $514K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 34% | 5,150 | 4,841 | $623K |
| V2020 | Frames, purchases | 19% | 7,342 | 6,715 | $355K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 3,204 | 3,012 | $318K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.9% | 3,482 | 3,190 | $182K |
| 92015 | Determination of refractive state | 7.7% | 8,901 | 8,360 | $143K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 5.2% | 587 | 525 | $96K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.9% | 1,506 | 1,397 | $73K |
| V2755 | U-v lens, per lens | 1.7% | 1,203 | 1,088 | $31K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 107 | 98 | $8K |
| 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% | 104 | 85 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 153 | 130 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 121 | 97 | $5K |
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 officialSPENCER, ANDREA (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| City Optical Co., INC. | Mooresville, IN | $962K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.