Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Eye Care Clinic & Optical LLC

Eye Care Clinic & Optical LLC was paid $36K by Medicaid between Feb 2018 and Dec 2019, across 6 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 35% of everything it billed.

33Billing provider infoEYE CARE CLINIC & OPTICAL LLC
CHEYENNE, WY 82009
33aNPI1427265180assigned 05/16/2007
33bProvider typeEyewear Supplier
28Total paid$36K
24GClaims616
24DCodes billed6
24AFirst – last monthFeb 2018 – Dec 2019
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2018228$10K
2019388$26K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 35% 100 100 $13K
V2784 Lens, polycarbonate or equal, any index, per lens 21% 85 85 $7K
V2020 Frames, purchases 17% 82 82 $6K
92015 Determination of refractive state 15% 299 299 $6K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 10% 38 38 $4K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.8% 12 12 $653.20

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 officialHOLLY, ROBERT (MANAGING PARTNER)