Oec Derby LLC
Oec Derby LLC was paid $72K by Medicaid between May 2022 and Oct 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 35% of everything it billed.
33Billing provider infoOEC DERBY LLC
DERBY, CT 06418
DERBY, CT 06418
33aNPI1275287005assigned 02/10/2022
33bProvider typeOptometrist
28Total paid$72K
24GClaims2,057
24DCodes billed8
24AFirst – last monthMay 2022 – Oct 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#200 of 340
Median peer was paid$125K
This provider vs. median0.6×
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 | |
|---|---|---|---|
| 2022 | 622 | $23K | |
| 2023 | 1,017 | $34K | |
| 2024incomplete | 418 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 35% | 738 | 691 | $25K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 381 | 353 | $22K |
| V2020 | Frames, purchases | 12% | 308 | 293 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.8% | 274 | 264 | $6K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 5.1% | 135 | 130 | $4K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.1% | 97 | 88 | $4K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.6% | 88 | 86 | $3K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.2% | 36 | 28 | $888.72 |
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 officialMCKAY, MARY (BILLING MANAGER)