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Archdale Optometry Corporation PLLC

Archdale Optometry Corporation PLLC was paid $196K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.

33Billing provider infoARCHDALE OPTOMETRY CORPORATION PLLC
COLORADO SPRINGS, CO 80918

33aNPI1275660565assigned 02/27/2007

33bProvider typeOptometrist

28Total paid$196K

24GClaims5,612

24DCodes billed12

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Optometrist providers in Colorado

Rank by total paid#144 of 425

Median peer was paid$49K

This provider vs. median4.0×

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	441	$12K
2019	717	$24K
2020	280	$8K
2021	467	$20K
2022	770	$23K
2023	1,768	$57K
2024incomplete	1,169	$53K

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	30%	680	581	$59K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	15%	276	240	$30K
92250		15%	805	779	$29K
V2025	Deluxe frame	7.4%	142	131	$15K
92015	Determination of refractive state	7.3%	2,010	1,927	$14K
V2784	Lens, polycarbonate or equal, any index, per lens	6.7%	455	403	$13K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	6.1%	232	204	$12K
92340	Fitting of spectacles, except for aphakia; monofocal	4.6%	493	434	$9K
V2750	Anti-reflective coating, per lens	3.1%	227	200	$6K
V2020	Frames, purchases	3.1%	170	154	$6K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	2.0%	40	38	$4K
S9986	Not medically necessary service (patient is aware that service not medically necessary)	0%	82	82	$0.00

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 officialARCHDALE, THEODORE (TED) (OWNER)

Same official

Other billing entities under ARCHDALE, THEODORE (TED)

Full network →

Provider	Location	Paid
Archdale Eyecare PC	Colorado Springs, CO	$13K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.