Moshannon Valley Eye Care LLC
Moshannon Valley Eye Care LLC was paid $42K by Medicaid between Dec 2020 and Nov 2024, across 11 billing codes. Its largest line is V2020, Frames, purchases — 49% of everything it billed.
33Billing provider infoMOSHANNON VALLEY EYE CARE LLC
HOUTZDALE, PA 16651
HOUTZDALE, PA 16651
33aNPI1205107356assigned 01/21/2012
33bProvider typeOptometrist
28Total paid$42K
24GClaims1,563
24DCodes billed11
24AFirst – last monthDec 2020 – Nov 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#374 of 983
Median peer was paid$20K
This provider vs. median2.1×
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 | 103 | $3K | |
| 2021 | 268 | $7K | |
| 2022 | 406 | $11K | |
| 2023 | 526 | $14K | |
| 2024incomplete | 260 | $7K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 49% | 469 | 426 | $21K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 235 | 109 | $6K |
| 92250 | 9.7% | 83 | 79 | $4K | |
| 92015 | Determination of refractive state | 8.0% | 302 | 300 | $3K |
| V2750 | Anti-reflective coating, per lens | 5.1% | 123 | 60 | $2K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.7% | 37 | 37 | $2K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 3.1% | 17 | 17 | $1K |
| 92286 | 2.1% | 26 | 25 | $881.10 | |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.9% | 18 | 18 | $803.22 |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 13 | 13 | $390.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 240 | 100 | $260.00 |
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 officialSHEDLOCK, JOHN (OWNER)