City Optical Co., INC.
City Optical Co., INC. was paid $141K by Medicaid between Mar 2022 and Nov 2024, across 7 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 40% of everything it billed.
33Billing provider infoCITY OPTICAL CO., INC.
MARTINSVILLE, IN 46151
MARTINSVILLE, IN 46151
33aNPI1306500178assigned 10/27/2021
33bProvider typeOptometrist
28Total paid$141K
24GClaims2,614
24DCodes billed7
24AFirst – last monthMar 2022 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#222 of 743
Median peer was paid$22K
This provider vs. median6.5×
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 | |
|---|---|---|---|
| 2022 | 282 | $16K | |
| 2023 | 1,638 | $87K | |
| 2024incomplete | 694 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 40% | 470 | 458 | $57K |
| V2020 | Frames, purchases | 29% | 693 | 659 | $41K |
| 92015 | Determination of refractive state | 11% | 934 | 912 | $16K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.9% | 108 | 108 | $11K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.1% | 184 | 169 | $10K |
| V2755 | U-v lens, per lens | 4.2% | 213 | 203 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $497.78 |
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 officialTAVEL, LAWRENCE (OWNER)
| Provider | Location | Paid |
|---|---|---|
| City Optical Co., INC. | Indianapolis, IN | $2.85M |
| City Optical Co., INC. | Indianapolis, IN | $2.34M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.