Apex Optometric Care PC
Apex Optometric Care PC was paid $1.09M by Medicaid between Aug 2019 and Dec 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 40% of everything it billed.
33Billing provider infoAPEX OPTOMETRIC CARE PC
HARTFORD, CT 06103
HARTFORD, CT 06103
33aNPI1346705027assigned 02/06/2019
33bProvider typeOptometrist
28Total paid$1.09M
24GClaims23,673
24DCodes billed8
24AFirst – last monthAug 2019 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#47 of 340
Median peer was paid$125K
This provider vs. median8.7×
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 | |
|---|---|---|---|
| 2019 | 430 | $20K | |
| 2020 | 3,969 | $199K | |
| 2021 | 4,729 | $223K | |
| 2022 | 5,421 | $248K | |
| 2023 | 5,102 | $226K | |
| 2024incomplete | 4,022 | $176K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 40% | 11,893 | 11,652 | $438K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 37% | 6,220 | 6,114 | $407K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 4,398 | 4,325 | $218K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 1.2% | 642 | 564 | $13K |
| 92133 | <1% | 333 | 311 | $7K | |
| 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% | 96 | 93 | $3K |
| 92250 | <1% | 63 | 63 | $3K | |
| 92083 | <1% | 28 | 26 | $996.85 |
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 officialACETO, AARLAN (OPTOMETRIST)