Managed care
Penn Yan Optometry PC
Penn Yan Optometry PC was paid $270K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 33% of everything it billed.
33Billing provider infoPENN YAN OPTOMETRY PC
PENN YAN, NY 14527
PENN YAN, NY 14527
33aNPI1275600496assigned 11/30/2006
33bProvider typeExclusive Provider Organization
28Total paid$270K
24GClaims4,491
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in New York
Rank by total paid#10 of 24
Median peer was paid$123K
This provider vs. median2.2×
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 | 542 | $32K | |
| 2019 | 489 | $28K | |
| 2020 | 763 | $47K | |
| 2021 | 755 | $44K | |
| 2022 | 774 | $46K | |
| 2023 | 723 | $45K | |
| 2024incomplete | 445 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 33% | 1,252 | 1,245 | $88K |
| V2020 | Frames, purchases | 27% | 1,684 | 1,663 | $72K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 25% | 961 | 957 | $68K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 12% | 359 | 359 | $31K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 2.4% | 195 | 193 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 15 | 15 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 25 | 25 | $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 officialSMITH, ANDREW (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Mainstreet and Kidsstreet of North Carolina PLLC | Locust, NC | $5.12M |
| Tibbie Rae's Transportation LLC | Colorado Springs, CO | $846K |
| Grand County Emergency Medical Services Special Service District | Moab, UT | $212K |
| Allergy Associates of Utah, P.C. | Sandy, UT | $5K |
| Smith Chiropractic and Wellness | Whiteville, NC | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.