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
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
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 | 228 | $10K | |
| 2019 | 388 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)