Lexington Family Eyecare
Lexington Family Eyecare was paid $141K by Medicaid between Jan 2018 and Oct 2024, across 12 billing codes. Its largest line is 92012, Ophthalmological services: medical examination and evaluation, intermediate, established patient — 32% of everything it billed.
33Billing provider infoLEXINGTON FAMILY EYECARE
COZAD, NE 69130
COZAD, NE 69130
33aNPI1295266070assigned 03/23/2017
33bProvider typeOptometrist
28Total paid$141K
24GClaims7,238
24DCodes billed12
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Nebraska
Rank by total paid#58 of 178
Median peer was paid$51K
This provider vs. median2.8×
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 | 373 | $11K | |
| 2019 | 966 | $22K | |
| 2020 | 1,128 | $23K | |
| 2021 | 2,403 | $45K | |
| 2022 | 1,449 | $23K | |
| 2023 | 404 | $7K | |
| 2024incomplete | 515 | $9K |
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 | 32% | 1,320 | 1,306 | $45K |
| 92015 | Determination of refractive state | 24% | 2,104 | 2,070 | $33K |
| V2020 | Frames, purchases | 15% | 639 | 626 | $21K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 562 | 554 | $20K |
| 92002 | 10% | 351 | 349 | $14K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.6% | 355 | 346 | $5K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 369 | 365 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 82 | 80 | $970.00 |
| V2756 | Eye glass case | <1% | 699 | 686 | $730.89 |
| 1036F | 0% | 297 | 297 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 157 | 157 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 303 | 301 | $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 officialSMITH, EVADAWN (INSURANCE BILLING CLERK)
Parent organizationLEXINGTON FAMILY EYECARE