Physician
20 20 Eye Specialists PC
20 20 Eye Specialists PC was paid $1.36M by Medicaid between Jan 2018 and Nov 2024, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 38% of everything it billed.
33Billing provider info20 20 EYE SPECIALISTS PC
GARY, IN 46404
GARY, IN 46404
33aNPI1407909658assigned 01/19/2007
33bProvider typeOphthalmology Physician
28Total paid$1.36M
24GClaims32,072
24DCodes billed19
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Ophthalmology Physician providers in Indiana
Rank by total paid#6 of 107
Median peer was paid$43K
This provider vs. median32×
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 | 5,536 | $186K | |
| 2019 | 5,489 | $253K | |
| 2020 | 4,818 | $214K | |
| 2021 | 5,331 | $233K | |
| 2022 | 4,603 | $178K | |
| 2023 | 4,058 | $167K | |
| 2024incomplete | 2,237 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 38% | 6,963 | 6,554 | $514K |
| V2020 | Frames, purchases | 16% | 7,333 | 6,609 | $220K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 1,467 | 1,373 | $156K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.4% | 2,396 | 2,176 | $100K |
| 92015 | Determination of refractive state | 6.5% | 6,732 | 6,345 | $89K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 6.0% | 1,836 | 1,702 | $81K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.7% | 1,345 | 1,247 | $63K |
| V2755 | U-v lens, per lens | 3.7% | 2,123 | 2,004 | $50K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.6% | 961 | 810 | $49K |
| 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 | 1.7% | 248 | 239 | $23K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 117 | 104 | $7K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 50 | 49 | $4K |
7 more codes
| 99443 | <1% | 154 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 29 | $1K |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 149 | $0.00 |
| 0517F | 0% | 26 | $0.00 | |
| G2102 | Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed | 0% | 43 | $0.00 |
| 2027F | 0% | 28 | $0.00 | |
| 2022F | 0% | 72 | $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 officialWATKINS, NEIL (PRESIDENT)