RX Optical Laboratories, INC.
RX Optical Laboratories, INC. was paid $3.29M by Medicaid between Jan 2018 and Apr 2021, across 26 billing codes. Its largest line is V2020, Frames, purchases — 29% of everything it billed.
33Billing provider infoRX OPTICAL LABORATORIES, INC.
KALAMAZOO, MI 49001
KALAMAZOO, MI 49001
33aNPI1497781868assigned 06/25/2006
33bProvider typeOptometrist
28Total paid$3.29M
24GClaims124,292
24DCodes billed26
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#8 of 497
Median peer was paid$21K
This provider vs. median157×
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 | 40,515 | $1.08M | |
| 2019 | 39,760 | $1.01M | |
| 2020 | 29,922 | $795K | |
| 2021 | 14,095 | $412K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 29% | 30,952 | 30,272 | $947K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 20% | 14,854 | 14,683 | $671K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 15% | 10,653 | 10,524 | $506K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 14% | 24,280 | 23,805 | $465K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 8.6% | 18,716 | 18,413 | $284K |
| 92341 | 2.6% | 3,907 | 3,797 | $85K | |
| 92342 | 2.2% | 3,076 | 3,004 | $73K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.1% | 4,222 | 4,066 | $70K |
| V2300 | Sphere, trifocal, plano to plus or minus 4.00d, per lens | 1.9% | 3,044 | 2,973 | $63K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.6% | 2,924 | 2,849 | $52K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 575 | 558 | $22K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 894 | 854 | $18K |
14 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 445 | $9K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 430 | $8K |
| 92015 | Determination of refractive state | <1% | 670 | $8K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 89 | $5K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 61 | $3K |
| V2744 | Tint, photochromatic, per lens | <1% | 107 | $1K |
| V2108 | Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 40 | $780.38 |
| 92002 | <1% | 15 | $560.00 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 28 | $557.72 |
| 92310 | <1% | 17 | $390.00 | |
| V2111 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens | <1% | 13 | $335.06 |
| V2750 | Anti-reflective coating, per lens | 0% | 4,134 | $0.00 |
| V2797 | Vision supply, accessory and/or service component of another hcpcs vision code | 0% | 14 | $0.00 |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 132 | $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 officialJEPSON, STEPHAN (PRESIDENT)