The Eyeglass Store INC
The Eyeglass Store INC was paid $518K by Medicaid between Jan 2018 and Nov 2022, across 17 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 16% of everything it billed.
33Billing provider infoTHE EYEGLASS STORE INC
PAWTUCKET, RI 02860
PAWTUCKET, RI 02860
33aNPI1437290889assigned 02/09/2007
33bProvider typeOptometrist
28Total paid$518K
24GClaims18,847
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2022
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#17 of 209
Median peer was paid$24K
This provider vs. median22×
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 | 3,102 | $86K | |
| 2019 | 13,135 | $370K | |
| 2020 | 2,123 | $56K | |
| 2021 | 256 | $3K | |
| 2022 | 231 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 16% | 1,099 | 1,093 | $82K |
| 92250 | 15% | 2,924 | 2,801 | $75K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 2,237 | 1,355 | $59K |
| 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 | 10% | 412 | 410 | $52K |
| 92015 | Determination of refractive state | 8.3% | 1,959 | 1,949 | $43K |
| V2020 | Frames, purchases | 8.1% | 2,417 | 2,401 | $42K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.0% | 2,013 | 2,005 | $36K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 5.5% | 984 | 941 | $28K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.0% | 2,479 | 1,295 | $21K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.8% | 500 | 296 | $20K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 737 | 502 | $19K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.1% | 258 | 257 | $16K |
5 more codes
| 92341 | 1.5% | 403 | $8K | |
| 99213 | Doctor's office visit, returning patient (routine) | 1.5% | 152 | $8K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 148 | $4K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 109 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 16 | $606.30 |
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 officialKAPLAN, JONATHAN (OPTOMETRIST)
| Provider | Location | Paid |
|---|---|---|
| Aeg Rhode Island Professional, PC | Pawtucket, RI | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.