Managed care
Great Lakes Independent Eyecare Network LLC
Great Lakes Independent Eyecare Network LLC was paid $5.66M by Medicaid between Jan 2018 and Nov 2024, across 42 billing codes. Its largest line is V2020, Frames, purchases — 23% of everything it billed.
33Billing provider infoGREAT LAKES INDEPENDENT EYECARE NETWORK LLC
VULCAN, MI 49892
VULCAN, MI 49892
33aNPI1235487406assigned 08/20/2012
33bProvider typeExclusive Provider Organization
28Total paid$5.66M
24GClaims183,168
24DCodes billed42
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Michigan
Rank by total paid#1 of 9
Median peer was paid$1.02M
This provider vs. median5.5×
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 | 34,814 | $1.02M | |
| 2019 | 33,134 | $957K | |
| 2020 | 25,385 | $762K | |
| 2021 | 29,904 | $929K | |
| 2022 | 22,467 | $729K | |
| 2023 | 22,131 | $734K | |
| 2024incomplete | 15,333 | $527K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 23% | 34,485 | 34,390 | $1.31M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 14,740 | 14,715 | $1.05M |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 17% | 11,250 | 11,226 | $959K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 27,962 | 27,871 | $641K |
| 92015 | Determination of refractive state | 6.0% | 30,466 | 30,353 | $341K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.2% | 20,890 | 20,822 | $296K |
| 92341 | 3.3% | 7,258 | 7,240 | $186K | |
| 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 | 2.8% | 2,394 | 2,376 | $157K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.7% | 3,382 | 3,117 | $152K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 5,999 | 5,990 | $87K |
| 92250 | 1.4% | 3,112 | 3,099 | $79K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.2% | 1,390 | 1,390 | $68K |
30 more codes
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.1% | 5,850 | $63K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 866 | $41K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,168 | $32K |
| 92060 | <1% | 834 | $30K | |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 242 | $22K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 1,686 | $22K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 1,562 | $21K |
| 92133 | <1% | 876 | $18K | |
| 99406 | <1% | 1,842 | $16K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 334 | $16K |
| 92083 | <1% | 402 | $14K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 1,291 | $13K |
| 92002 | <1% | 138 | $6K | |
| 92285 | <1% | 335 | $4K | |
| V2101 | Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens | <1% | 344 | $4K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 49 | $3K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 175 | $2K |
| V2207 | Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens | <1% | 102 | $2K |
| 92342 | <1% | 51 | $1K | |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 87 | $912.38 |
| V2799 | Vision item or service, miscellaneous | <1% | 94 | $860.30 |
| 92134 | <1% | 38 | $853.06 | |
| V2715 | Prism, per lens | <1% | 119 | $852.12 |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 26 | $314.08 |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | <1% | 12 | $224.07 |
| 2022F | 0% | 762 | $0.00 | |
| 2025F | 0% | 14 | $0.00 | |
| V2756 | Eye glass case | 0% | 225 | $0.00 |
| 2023F | 0% | 246 | $0.00 | |
| 3072F | 0% | 70 | $0.00 |
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 officialJOHNSON, HEIDI (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Lakeside Family Counseling & Intervention Services | Ventura, CA | $970K |
| DR Heidi Johnson Od PC | Marquette, MI | $343K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.