Lake Avenue Eyecare LLC
Lake Avenue Eyecare LLC was paid $7K by Medicaid between Aug 2020 and May 2022, across 6 billing codes. Its largest line is 92015, Determination of refractive state — 49% of everything it billed.
33Billing provider infoLAKE AVENUE EYECARE LLC
GOTHENBURG, NE 69138
GOTHENBURG, NE 69138
33aNPI1396932430assigned 10/03/2007
33bProvider typeOptometrist
28Total paid$7K
24GClaims296
24DCodes billed6
24AFirst – last monthAug 2020 – May 2022
Compared with peers
Next to other Optometrist providers in Nebraska
Rank by total paid#135 of 178
Median peer was paid$51K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 44 | $702.24 | |
| 2021 | 157 | $3K | |
| 2022 | 95 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 49% | 211 | 202 | $3K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 31 | 28 | $2K |
| V2020 | Frames, purchases | 8.6% | 13 | 13 | $566.53 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.0% | 17 | 12 | $521.85 |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.4% | 12 | 12 | $417.60 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.8% | 12 | 12 | $315.56 |
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 officialGOSNELL, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Glenpool Eye Care, PLLC | Glenpool, OK | $192K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.