The Eye Care Center INC
The Eye Care Center INC was paid $680K by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 58% of everything it billed.
33Billing provider infoTHE EYE CARE CENTER INC
FRONT ROYAL, VA 22630
FRONT ROYAL, VA 22630
33aNPI1508167750assigned 11/04/2010
33bProvider typeOptometrist
28Total paid$680K
24GClaims7,588
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Virginia
Rank by total paid#24 of 491
Median peer was paid$23K
This provider vs. median29×
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 | 243 | $22K | |
| 2019 | 780 | $52K | |
| 2020 | 917 | $79K | |
| 2021 | 1,122 | $108K | |
| 2022 | 1,400 | $133K | |
| 2023 | 1,899 | $174K | |
| 2024incomplete | 1,227 | $112K |
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 | 58% | 3,733 | 3,428 | $395K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 39% | 3,065 | 2,743 | $268K |
| 92250 | 1.1% | 333 | 309 | $8K | |
| 92020 | <1% | 191 | 181 | $3K | |
| 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 | <1% | 31 | 27 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 30 | 25 | $2K |
| 92015 | Determination of refractive state | <1% | 187 | 187 | $2K |
| 92310 | <1% | 18 | 12 | $261.15 |
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 officialKALRA, SONA (PRESIDENT)