Custom Eyes, LLC

Custom Eyes, LLC was paid $202K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is V2020, Frames, purchases — 56% of everything it billed.

33Billing provider infoCUSTOM EYES, LLC
HENDERSON, NV 89074

33aNPI1386820421assigned 01/19/2008

33bProvider typeEyewear Supplier

28Total paid$202K

24GClaims5,722

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Nevada

Rank by total paid#3 of 13

Median peer was paid$31K

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
2018	272	$6K
2019	59	$3K
2020	794	$29K
2021	1,293	$45K
2022	909	$33K
2023	1,036	$37K
2024incomplete	1,359	$49K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	56%	2,672	2,525	$113K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	31%	1,933	1,876	$63K
92340	Fitting of spectacles, except for aphakia; monofocal	8.0%	717	655	$16K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	2.0%	105	85	$4K
V2784	Lens, polycarbonate or equal, any index, per lens	1.2%	75	66	$2K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	45	41	$1K
V2760	Scratch resistant coating, per lens	<1%	88	86	$526.12
V2025	Deluxe frame	<1%	71	70	$520.00
92341		<1%	16	12	$363.10

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 officialWOLOSIN, DAVID (OPTICIAN/PRESIDENT)