Thornapple Ophthalmology Assoc PC
Thornapple Ophthalmology Assoc PC was paid $1.20M by Medicaid between Jan 2018 and Dec 2024, across 21 billing codes. Its largest line is V2020, Frames, purchases — 17% of everything it billed.
33Billing provider infoTHORNAPPLE OPHTHALMOLOGY ASSOC PC
HASTINGS, MI 49058
HASTINGS, MI 49058
33aNPI1396832937assigned 10/06/2006
33bProvider typeOptometrist
28Total paid$1.20M
24GClaims41,234
24DCodes billed21
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#30 of 497
Median peer was paid$21K
This provider vs. median57×
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 | 6,865 | $193K | |
| 2019 | 6,680 | $189K | |
| 2020 | 4,943 | $140K | |
| 2021 | 6,660 | $202K | |
| 2022 | 5,382 | $160K | |
| 2023 | 6,296 | $190K | |
| 2024incomplete | 4,408 | $130K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 17% | 7,086 | 6,917 | $209K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 15% | 3,772 | 3,706 | $180K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 3,285 | 3,205 | $173K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 14% | 3,613 | 3,562 | $166K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 7,062 | 6,922 | $134K |
| 92341 | 4.9% | 2,665 | 2,620 | $59K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.3% | 3,266 | 3,203 | $52K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.8% | 658 | 633 | $46K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 2,501 | 2,468 | $38K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.0% | 857 | 766 | $36K |
| V2025 | Deluxe frame | 2.7% | 595 | 593 | $32K |
| 92015 | Determination of refractive state | 2.6% | 3,491 | 3,410 | $31K |
9 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 857 | $16K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.2% | 306 | $15K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 133 | $6K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 809 | $4K |
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 54 | $4K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 115 | $2K |
| 92133 | <1% | 68 | $1K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 28 | $418.49 |
| 2022F | 0% | 13 | $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 officialFLOHR, STEVEN (PRACTICE ADMINISTRATOR)