Elder Eye Care Group PLC
Elder Eye Care Group PLC was paid $296K by Medicaid between Jan 2018 and May 2022, across 17 billing codes. Its largest line is V2020, Frames, purchases — 18% of everything it billed.
33Billing provider infoELDER EYE CARE GROUP PLC
SPRING LAKE, MI 49456
SPRING LAKE, MI 49456
33aNPI1477617579assigned 12/21/2006
33bProvider typeOptometrist
28Total paid$296K
24GClaims11,378
24DCodes billed17
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#75 of 497
Median peer was paid$21K
This provider vs. median14×
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 | 7,170 | $189K | |
| 2019 | 3,646 | $94K | |
| 2020 | 178 | $5K | |
| 2021 | 339 | $7K | |
| 2022 | 45 | $717.15 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 18% | 1,796 | 1,776 | $53K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 16% | 979 | 975 | $47K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 15% | 2,255 | 2,243 | $45K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 12% | 784 | 781 | $36K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 563 | 548 | $32K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 7.4% | 324 | 322 | $22K |
| 92341 | 6.2% | 813 | 805 | $18K | |
| 92250 | 4.1% | 469 | 443 | $12K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.3% | 908 | 899 | $10K |
| 92015 | Determination of refractive state | 3.0% | 880 | 867 | $9K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.3% | 223 | 220 | $4K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 1.2% | 279 | 277 | $4K |
5 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 27 | $1K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 17 | $904.12 |
| V2105 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens | <1% | 41 | $768.96 |
| D1110 | Prophylaxis - adult | <1% | 17 | $375.70 |
| V2756 | Eye glass case | <1% | 1,003 | $268.92 |
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 officialVENTOCILLA, MARK (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mark Ventocilla, O.D., INC | Escondido, CA | $44K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.