Heritage Optical Center INC
Heritage Optical Center INC was paid $715K by Medicaid between Jan 2018 and Dec 2024, across 26 billing codes. Its largest line is V2020, Frames, purchases — 20% of everything it billed.
33Billing provider infoHERITAGE OPTICAL CENTER INC
DETROIT, MI 48221
DETROIT, MI 48221
33aNPI1285728964assigned 10/03/2006
33bProvider typeOptometrist
28Total paid$715K
24GClaims60,754
24DCodes billed26
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#39 of 497
Median peer was paid$21K
This provider vs. median34×
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 | 5,270 | $135K | |
| 2019 | 6,023 | $94K | |
| 2020 | 7,849 | $119K | |
| 2021 | 10,305 | $64K | |
| 2022 | 11,346 | $95K | |
| 2023 | 15,032 | $123K | |
| 2024incomplete | 4,929 | $84K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 20% | 15,311 | 15,134 | $141K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 14% | 1,820 | 1,812 | $102K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 12% | 5,308 | 5,253 | $89K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 5,496 | 5,412 | $84K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 7.1% | 3,989 | 3,952 | $51K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.3% | 2,755 | 2,700 | $45K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 6.1% | 992 | 980 | $44K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.1% | 3,481 | 3,444 | $44K |
| 92341 | 5.2% | 1,962 | 1,943 | $37K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.4% | 2,007 | 1,966 | $24K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.2% | 6,174 | 6,122 | $23K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.6% | 1,270 | 1,250 | $18K |
14 more codes
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 2,657 | $7K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 169 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 2,720 | $1K |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | <1% | 48 | $1K |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | <1% | 852 | $724.85 |
| V2744 | Tint, photochromatic, per lens | <1% | 1,002 | $549.00 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 13 | $137.87 |
| V2745 | Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens | <1% | 25 | $116.40 |
| V2220 | Bifocal add over 3.25d | <1% | 25 | $51.00 |
| V2755 | U-v lens, per lens | 0% | 222 | $0.00 |
| V2781 | Progressive lens, per lens | 0% | 820 | $0.00 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 0% | 26 | $0.00 |
| V2750 | Anti-reflective coating, per lens | 0% | 1,508 | $0.00 |
| 92015 | Determination of refractive state | 0% | 102 | $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 officialBARNES, GEORGE (OWNER CEO)