Spectrum Optical PLLC
Spectrum Optical PLLC was paid $165K by Medicaid between Feb 2018 and Dec 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 28% of everything it billed.
33Billing provider infoSPECTRUM OPTICAL PLLC
MORGANTOWN, WV 26505
MORGANTOWN, WV 26505
33aNPI1255486882assigned 01/24/2007
33bProvider typeOptometrist
28Total paid$165K
24GClaims5,404
24DCodes billed9
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in West Virginia
Rank by total paid#46 of 115
Median peer was paid$82K
This provider vs. median2.0×
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 | 106 | $3K | |
| 2019 | 129 | $4K | |
| 2020 | 200 | $7K | |
| 2021 | 214 | $7K | |
| 2022 | 1,541 | $46K | |
| 2023 | 1,633 | $50K | |
| 2024incomplete | 1,581 | $48K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 28% | 976 | 947 | $46K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 15% | 287 | 274 | $25K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 384 | 361 | $22K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 11% | 941 | 917 | $19K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 831 | 628 | $18K |
| 92015 | Determination of refractive state | 9.2% | 1,644 | 1,592 | $15K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.7% | 122 | 122 | $9K |
| 92002 | 5.6% | 156 | 155 | $9K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 63 | 54 | $1K |
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 officialGOELLNER, RICHARD (MANAGING PARTNER)