Westminster Eyecare Associates INC
Westminster Eyecare Associates INC was paid $4.93M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 22% of everything it billed.
33Billing provider infoWESTMINSTER EYECARE ASSOCIATES INC
PROVIDENCE, RI 02903
PROVIDENCE, RI 02903
33aNPI1538266804assigned 09/20/2006
33bProvider typeOptometrist
28Total paid$4.93M
24GClaims182,274
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#1 of 209
Median peer was paid$24K
This provider vs. median207×
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 | 31,365 | $810K | |
| 2019 | 59,249 | $1.56M | |
| 2020 | 16,481 | $426K | |
| 2021 | 11,319 | $273K | |
| 2022 | 11,421 | $343K | |
| 2023 | 24,665 | $742K | |
| 2024incomplete | 27,774 | $773K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 22% | 15,338 | 15,050 | $1.11M |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 14,882 | 12,097 | $582K |
| 92015 | Determination of refractive state | 9.7% | 25,513 | 24,316 | $476K |
| V2020 | Frames, purchases | 8.6% | 24,276 | 23,394 | $426K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 8.1% | 9,428 | 8,799 | $400K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 7.9% | 10,946 | 10,485 | $390K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.7% | 21,779 | 20,945 | $378K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 4.4% | 16,406 | 12,998 | $219K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 1,775 | 1,729 | $142K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.5% | 3,191 | 2,732 | $124K |
| 92370 | 2.5% | 20,802 | 19,630 | $123K | |
| 92250 | 2.1% | 3,511 | 3,413 | $102K |
24 more codes
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 1.9% | 1,695 | $96K |
| 92133 | 1.1% | 2,281 | $53K | |
| V2303 | Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens | 1.0% | 584 | $49K |
| 92083 | <1% | 1,511 | $47K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 1,094 | $38K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 901 | $31K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,396 | $26K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 383 | $23K |
| 92341 | <1% | 1,154 | $22K | |
| 92226 | <1% | 1,230 | $21K | |
| 92342 | <1% | 957 | $20K | |
| 92225 | <1% | 283 | $11K | |
| V2781 | Progressive lens, per lens | <1% | 150 | $10K |
| 92202 | <1% | 342 | $3K | |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 63 | $3K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 25 | $2K |
| V2202 | Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens | <1% | 16 | $1K |
| 99072 | <1% | 174 | $1K | |
| 92025 | <1% | 37 | $821.92 | |
| 92134 | <1% | 75 | $318.16 | |
| 92082 | <1% | 12 | $288.05 | |
| 92145 | <1% | 27 | $218.53 | |
| 76514 | <1% | 25 | $203.23 | |
| 92201 | <1% | 12 | $152.52 |
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 officialCOLONNA, SCOTT (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Smithfield Eye & Optical LLC | Greenville, RI | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.