Modern Eyes LLC
Modern Eyes LLC was paid $272K by Medicaid between Oct 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.
33Billing provider infoMODERN EYES LLC
PAWTUCKET, RI 02861
PAWTUCKET, RI 02861
33aNPI1265938179assigned 04/01/2018
33bProvider typeOptometrist
28Total paid$272K
24GClaims10,304
24DCodes billed14
24AFirst – last monthOct 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#25 of 209
Median peer was paid$24K
This provider vs. median11×
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 | 660 | $17K | |
| 2019 | 4,236 | $111K | |
| 2020 | 1,974 | $52K | |
| 2021 | 1,100 | $30K | |
| 2022 | 713 | $20K | |
| 2023 | 931 | $25K | |
| 2024incomplete | 690 | $19K |
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 | 25% | 1,552 | 1,123 | $69K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 18% | 1,004 | 613 | $49K |
| V2020 | Frames, purchases | 16% | 2,503 | 1,728 | $44K |
| 92015 | Determination of refractive state | 16% | 2,032 | 1,196 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 13% | 2,019 | 1,356 | $36K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 4.3% | 186 | 96 | $12K |
| 92250 | 3.6% | 293 | 148 | $10K | |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 1.5% | 513 | 269 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 64 | 64 | $3K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 29 | 28 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 24 | 24 | $1K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 14 | 13 | $952.82 |
2 more codes
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 officialGIANFRANCESCO, VINCENZO (OPTOMETRIST)