Essential Family Vision Care, S.C.
Essential Family Vision Care, S.C. was paid $10K by Medicaid between Mar 2018 and Jul 2024, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 61% of everything it billed.
33Billing provider infoESSENTIAL FAMILY VISION CARE, S.C.
DE FOREST, WI 53532
DE FOREST, WI 53532
33aNPI1205953866assigned 03/26/2007
33bProvider typeOptometrist
28Total paid$10K
24GClaims632
24DCodes billed3
24AFirst – last monthMar 2018 – Jul 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#182 of 412
Median peer was paid$7K
This provider vs. median1.6×
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 | 123 | $2K | |
| 2019 | 62 | $912.26 | |
| 2020 | 31 | $259.22 | |
| 2021 | 206 | $3K | |
| 2022 | 52 | $868.15 | |
| 2023 | 94 | $2K | |
| 2024incomplete | 64 | $1K |
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 | 61% | 181 | 153 | $6K |
| 92015 | Determination of refractive state | 34% | 439 | 363 | $4K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.0% | 12 | 12 | $521.96 |
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 officialEDWARDS, JULIA (PRESIDENT)