Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Lancaster › NPI 1194914820
Physician

Eye Care Group of Lancaster LLC

Eye Care Group of Lancaster LLC was paid $268K by Medicaid between Oct 2019 and Dec 2024, across 12 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 26% of everything it billed.

33Billing provider infoEYE CARE GROUP OF LANCASTER LLC
LANCASTER, PA 17601
33aNPI1194914820assigned 10/18/2007
33bProvider typeOphthalmology Physician
28Total paid$268K
24GClaims8,547
24DCodes billed12
24AFirst – last monthOct 2019 – Dec 2024
Compared with peers

Next to other Ophthalmology Physician providers in Pennsylvania

Rank by total paid#28 of 288
Median peer was paid$7K
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

$0$5.0K$10K$15K2018201920202021202220232024
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
YearClaimsPaid
201963$3K
2020721$24K
20212,435$77K
20221,723$56K
20232,421$73K
2024incomplete1,184$36K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 26% 1,910 933 $69K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 1,077 1,043 $56K
V2020 Frames, purchases 19% 1,396 1,150 $52K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 18% 1,137 1,099 $48K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7.2% 594 571 $19K
92134 2.3% 184 183 $6K
92083 2.3% 95 95 $6K
V2784 Lens, polycarbonate or equal, any index, per lens 2.0% 1,349 539 $5K
92015 Determination of refractive state 1.4% 642 630 $4K
92133 <1% 39 39 $1K
V2025 Deluxe frame <1% 87 87 $1K
92020 <1% 37 37 $648.00

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 officialYEE, SPAGE (MEMBER)