Ideal Vision Center INC
Ideal Vision Center INC was paid $28K by Medicaid between Oct 2020 and Oct 2024, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 52% of everything it billed.
33Billing provider infoIDEAL VISION CENTER INC
BENSALEM, PA 19020
BENSALEM, PA 19020
33aNPI1336775105assigned 03/12/2020
33bProvider typeOccupational Vision Optometrist
28Total paid$28K
24GClaims1,155
24DCodes billed6
24AFirst – last monthOct 2020 – Oct 2024
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 | |
|---|---|---|---|
| 2020 | 16 | $671.75 | |
| 2021 | 30 | $1K | |
| 2022 | 188 | $5K | |
| 2023 | 447 | $12K | |
| 2024incomplete | 474 | $9K |
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 | 52% | 342 | 329 | $14K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 27% | 279 | 75 | $8K |
| V2020 | Frames, purchases | 17% | 146 | 80 | $5K |
| 99205 | Prolong outpt/office vis | 2.6% | 12 | 12 | $739.08 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 1.1% | 276 | 73 | $300.00 |
| 92015 | Determination of refractive state | <1% | 100 | 98 | $143.55 |
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 officialVU, MAN (PRESIDEN/CEO OF IVC INC)