Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › PA › Monroeville › NPI 1457673238
Supplier

Visionworks, INC.

Visionworks, INC. was paid $601K by Medicaid between Feb 2018 and Dec 2024, across 18 billing codes. Its largest line is V2020, Frames, purchases — 39% of everything it billed.

33Billing provider infoVISIONWORKS, INC.
MONROEVILLE, PA 15146
33aNPI1457673238assigned 02/22/2010
28Total paid$601K
24GClaims16,430
24DCodes billed18
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania

Rank by total paid#88 of 279
Median peer was paid$181K
This provider vs. median3.3×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official REYNOLDS, DOROTHY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K$60K2018201920202021202220232024
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
201842$2K
201980$3K
2020716$25K
20213,225$100K
20223,933$136K
20233,966$143K
2024incomplete4,468$191K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 39% 5,899 5,186 $236K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 33% 5,314 4,495 $200K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 7.1% 1,047 1,026 $43K
V2784 Lens, polycarbonate or equal, any index, per lens 5.2% 980 842 $31K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 4.4% 654 641 $27K
V2750 Anti-reflective coating, per lens 2.7% 581 504 $16K
S0621 Routine ophthalmological examination including refraction; established patient 2.2% 447 445 $13K
92340 Fitting of spectacles, except for aphakia; monofocal 1.7% 463 328 $10K
V2500 Contact lens, pmma, spherical, per lens 1.3% 125 70 $8K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 1.2% 184 184 $7K
S0620 Routine ophthalmological examination including refraction; new patient 1.1% 222 221 $7K
V2025 Deluxe frame <1% 12 12 $839.82
6 more codes
V2760 Scratch resistant coating, per lens <1% 53 $730.98
92310 <1% 14 $520.00
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 14 $152.10
92015 Determination of refractive state 0% 62 $0.00
92250 0% 40 $0.00
V2799 Vision item or service, miscellaneous 0% 319 $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 officialREYNOLDS, DOROTHY (DIRECTOR OF MANAGED VISION CARE)
Same official

Other billing entities under REYNOLDS, DOROTHY

Full network →
ProviderLocationPaid
Empire Vision Center INCCamp Hill, PA$1.20M
Empire Vision Center INCLancaster, PA$1.08M
Visionworks, INC.Erie, PA$894K
Visionworks INCMentor, OH$333K
Empire Vision Center, INCPittsburgh, PA$277K
Visionworks, INC.Erie, PA$269K
Visionworks INCCatonsville, MD$210K
Visionworks, INC.Towson, MD$207K
Visionworks, INC.Owings Mills, MD$193K
Visionworks INCJoliet, IL$190K
Visionworks, INCBolingbrook, IL$131K
Visionworks, INCChicago, IL$128K
Visionworks INCChicago Ridge, IL$125K
Visionworks, INC.Westminister, MD$123K
Visionworks INCBrooklyn, OH$111K
Visionworks INCAurora, IL$111K
Visionworks, INCBloomingdale, IL$110K
Visionworks, INC.Baltimore, MD$97K
Visionworks INCNiles, IL$93K
Visionworks, INC.Hanover, MD$91K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.