Middletown Eye Care PA
Middletown Eye Care PA was paid $225K by Medicaid between Jan 2019 and Nov 2024, across 10 billing codes. Its largest line is S0621, Routine ophthalmological examination including refraction; established patient — 37% of everything it billed.
33Billing provider infoMIDDLETOWN EYE CARE PA
MIDDLETOWN, DE 19709
MIDDLETOWN, DE 19709
33aNPI1518998103assigned 07/05/2006
33bProvider typeOptometrist
28Total paid$225K
24GClaims5,818
24DCodes billed10
24AFirst – last monthJan 2019 – Nov 2024
Compared with peers
Next to other Optometrist providers in Delaware
Rank by total paid#16 of 61
Median peer was paid$31K
This provider vs. median7.2×
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 | |
|---|---|---|---|
| 2019 | 767 | $29K | |
| 2020 | 471 | $18K | |
| 2021 | 668 | $28K | |
| 2022 | 1,393 | $57K | |
| 2023 | 1,316 | $57K | |
| 2024incomplete | 1,203 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0621 | Routine ophthalmological examination including refraction; established patient | 37% | 1,659 | 1,587 | $82K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24% | 948 | 937 | $53K |
| V2020 | Frames, purchases | 13% | 1,719 | 1,614 | $30K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 13% | 680 | 660 | $29K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.1% | 387 | 333 | $16K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.6% | 193 | 170 | $6K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.6% | 74 | 74 | $4K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 60 | 60 | $3K |
| V2025 | Deluxe frame | <1% | 82 | 82 | $974.16 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 16 | 16 | $720.00 |
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 officialCLUFF, ELIZABETH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| New Castle Eye Associates,llc | New Castle, DE | $397K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.