Pocono Eye Associates INC
Pocono Eye Associates INC was paid $462K by Medicaid between Jan 2018 and Dec 2024, across 15 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 37% of everything it billed.
33Billing provider infoPOCONO EYE ASSOCIATES INC
EAST STROUDSBURG, PA 18301
EAST STROUDSBURG, PA 18301
33aNPI1285690628assigned 04/25/2006
33bProvider typeOptometrist
28Total paid$462K
24GClaims27,091
24DCodes billed15
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#47 of 983
Median peer was paid$20K
This provider vs. median23×
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 | 30 | $287.55 | |
| 2019 | 55 | $287.04 | |
| 2020 | 842 | $13K | |
| 2021 | 5,418 | $87K | |
| 2022 | 5,636 | $92K | |
| 2023 | 8,514 | $143K | |
| 2024incomplete | 6,596 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2784 | Lens, polycarbonate or equal, any index, per lens | 37% | 8,151 | 4,002 | $171K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 14% | 2,298 | 2,156 | $64K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 13% | 4,158 | 2,038 | $62K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 2,882 | 1,505 | $51K |
| V2020 | Frames, purchases | 6.5% | 4,321 | 3,790 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.9% | 659 | 646 | $23K |
| 92015 | Determination of refractive state | 4.3% | 3,416 | 3,356 | $20K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.4% | 285 | 280 | $16K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.6% | 392 | 199 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 1.3% | 146 | 145 | $6K |
| 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% | 127 | 124 | $4K |
| 92002 | <1% | 101 | 97 | $3K |
3 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 officialHOFFMAN, DAWN (ADMINISTRATOR)