Fox Optometry, LLC
Fox Optometry, LLC was paid $952K by Medicaid between Jan 2018 and Jan 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 17% of everything it billed.
33Billing provider infoFOX OPTOMETRY, LLC
BELLEFONTAINE, OH 43311
BELLEFONTAINE, OH 43311
33aNPI1457693616assigned 03/26/2013
33bProvider typeOptometrist
28Total paid$952K
24GClaims42,560
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#25 of 1,098
Median peer was paid$41K
This provider vs. median23×
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 | 14,307 | $334K | |
| 2019 | 15,984 | $382K | |
| 2020 | 4,362 | $91K | |
| 2021 | 3,079 | $59K | |
| 2022 | 2,102 | $40K | |
| 2023 | 2,518 | $44K | |
| 2024incomplete | 208 | $3K |
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 | 17% | 3,740 | 3,678 | $164K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 14% | 2,160 | 2,128 | $134K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14% | 3,218 | 3,167 | $132K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 5,661 | 5,579 | $113K |
| 92015 | Determination of refractive state | 9.5% | 7,234 | 7,119 | $90K |
| V2020 | Frames, purchases | 8.4% | 4,532 | 4,447 | $80K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 5.2% | 2,406 | 2,365 | $50K |
| V2430 | Variable asphericity lens, bifocal, full field, glass or plastic, per lens | 4.4% | 472 | 461 | $42K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.2% | 3,086 | 3,035 | $40K |
| V2760 | Scratch resistant coating, per lens | 4.0% | 3,884 | 3,815 | $38K |
| V2755 | U-v lens, per lens | 3.0% | 3,861 | 3,796 | $29K |
| 92341 | 2.2% | 870 | 849 | $21K |
4 more codes
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 officialFOX, ANTHONY (OPTOMETRIST)