Eye Care Centers of Wisconsin, S.C.
Eye Care Centers of Wisconsin, S.C. was paid $164.99 by Medicaid between May 2018 and Apr 2022, across 1 billing code. Its largest line is 92015, Determination of refractive state — 100% of everything it billed.
33Billing provider infoEYE CARE CENTERS OF WISCONSIN, S.C.
FOND DU LAC, WI 54935
FOND DU LAC, WI 54935
33aNPI1265513410assigned 10/17/2006
33bProvider typeCorneal and Contact Management Optometrist
28Total paid$164.99
24GClaims28
24DCodes billed1
24AFirst – last monthMay 2018 – Apr 2022
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 | 14 | $116.14 | |
| 2022 | 14 | $48.85 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 100% | 28 | 26 | $164.99 |
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 officialHAMMES, DAVID (OWNER)