Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › WV › Pineville › NPI 1275560179

Kissel Family Optometry, INC.

Kissel Family Optometry, INC. was paid $951K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is V2020, Frames, purchases — 27% of everything it billed.

33Billing provider infoKISSEL FAMILY OPTOMETRY, INC.
PINEVILLE, WV 24874
33aNPI1275560179assigned 06/27/2006
33bProvider typeOptometrist
28Total paid$951K
24GClaims23,260
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in West Virginia

Rank by total paid#6 of 115
Median peer was paid$82K
This provider vs. median12×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20183,518$142K
20192,612$96K
20204,935$200K
20215,173$221K
20223,000$131K
20232,054$86K
2024incomplete1,968$76K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 27% 4,432 4,326 $258K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 15% 3,948 3,623 $142K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 13% 1,810 1,733 $119K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 2,085 2,058 $119K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 10% 3,352 3,307 $96K
92015 Determination of refractive state 8.1% 4,744 4,644 $77K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 7.6% 915 865 $72K
92002 3.5% 626 606 $34K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.4% 577 526 $13K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.0% 356 238 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 158 123 $5K
92250 <1% 170 155 $4K
1 more codes
99214 Doctor's office visit, returning patient (more involved) <1% 87 $2K

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 officialKISSEL, KEVIN (PRESIDENT)