Community Eye Care Specialists, P.C.
Community Eye Care Specialists, P.C. was paid $1.98M by Medicaid between Jan 2018 and Dec 2024, across 51 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 19% of everything it billed.
33Billing provider infoCOMMUNITY EYE CARE SPECIALISTS, P.C.
WARREN, PA 16365
WARREN, PA 16365
33aNPI1528114311assigned 01/26/2007
33bProvider typeOptometrist
28Total paid$1.98M
24GClaims97,517
24DCodes billed51
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Pennsylvania
Rank by total paid#4 of 983
Median peer was paid$20K
This provider vs. median98×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official DAVIS, CANDICE controls 15+ related entities in our dataset. Read more
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 | 4,332 | $154K | |
| 2019 | 8,634 | $247K | |
| 2020 | 11,144 | $272K | |
| 2021 | 16,792 | $314K | |
| 2022 | 20,205 | $317K | |
| 2023 | 21,933 | $368K | |
| 2024incomplete | 14,477 | $305K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 19% | 7,149 | 7,112 | $376K |
| 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 | 11% | 2,982 | 2,892 | $225K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 4,601 | 4,586 | $220K |
| V2020 | Frames, purchases | 7.8% | 7,239 | 7,074 | $154K |
| 92273 | 5.6% | 1,464 | 1,445 | $110K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 5.4% | 1,917 | 1,856 | $106K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 4.4% | 2,671 | 1,767 | $87K |
| 67028 | Intravitreal injection of a pharmacologic agent | 4.3% | 1,195 | 984 | $85K |
| 95930 | 3.7% | 1,016 | 1,003 | $73K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.6% | 700 | 694 | $72K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.6% | 3,384 | 1,669 | $70K |
| 92083 | 3.1% | 1,527 | 1,514 | $61K |
39 more codes
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 1,073 | $60K |
| 92134 | 3.0% | 2,560 | $58K | |
| 92133 | 2.0% | 1,746 | $40K | |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 1.7% | 92 | $34K |
| J9035 | Injection, bevacizumab, 10 mg | 1.2% | 373 | $24K |
| 99203 | Doctor's office visit, new patient (routine) | 1.1% | 266 | $21K |
| 92250 | <1% | 439 | $11K | |
| 92275 | <1% | 116 | $11K | |
| 92015 | Determination of refractive state | <1% | 9,219 | $11K |
| 66821 | <1% | 60 | $11K | |
| 92020 | <1% | 606 | $10K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 282 | $8K |
| 76519 | <1% | 255 | $7K | |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 10,455 | $6K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 319 | $5K |
| 92136 | <1% | 181 | $4K | |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 108 | $3K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 81 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 49 | $2K |
| 65855 | <1% | 14 | $2K | |
| 68761 | <1% | 13 | $2K | |
| 92226 | <1% | 80 | $1K | |
| 76514 | <1% | 128 | $889.71 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 38 | $812.73 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 24 | $492.96 |
| 2024F | <1% | 46 | $110.00 | |
| 2022F | <1% | 59 | $110.00 | |
| 2026F | <1% | 32 | $85.00 | |
| 92285 | <1% | 12 | $40.81 | |
| G8482 | Influenza immunization administered or previously received | <1% | 5,036 | $14.10 |
| 4040F | <1% | 5,036 | $9.37 | |
| 4004F | <1% | 880 | $0.01 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 11,581 | $0.00 |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 31 | $0.00 |
| 0517F | 0% | 13 | $0.00 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 4,536 | $0.00 |
| 1036F | 0% | 5,626 | $0.00 | |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 191 | $0.00 |
| 3072F | 0% | 16 | $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 officialDAVIS, CANDICE (CHIEF REVENUE CYCLE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Medical Center Ophthalmology Associates | San Antonio, TX | $683K |
| Gadsden Eye Associates P C | Gadsden, AL | $598K |
| Tri-State Centers for Sight INC | Cincinnati, OH | $560K |
| Merci, LLC | Alto, TX | $344K |
| Community Surgery & Laser Center, LLC | Warren, PA | $184K |
| Eye Center of Texas LLP | Bellaire, TX | $133K |
| Montgomery Eye Physicians P.C | Montgomery, AL | $72K |
| Tri-State Centers for Sight, INC. | Crestview Hills, KY | $32K |
| Florida Eye Microsurgical Institute INC | Boynton Beach, FL | $29K |
| Carolina Cataract and Vision Center | Ladson, SC | $20K |
| Northeast Alabama Eye Surgery Center | Gadsden, AL | $6K |
| Atlantic Eye Institute, P.A. | Jacksonville Beach, FL | $3K |
| Ophthalmology & Oculoplastic Surgery INC | Chardon, OH | $3K |
| Center for Sight of Northwest Florida PA | Pensacola, FL | $116.69 |
| Novamed Surgery Center of Oak Lawn, LLC | Oak Lawn, IL | $94.06 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.