Tri-State Vision Center, INC.
Tri-State Vision Center, INC. was paid $107K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is 92015, Determination of refractive state — 26% of everything it billed.
33Billing provider infoTRI-STATE VISION CENTER, INC.
MONTPELIER, OH 43543
MONTPELIER, OH 43543
33aNPI1568573350assigned 08/31/2006
33bProvider typeOptometrist
28Total paid$107K
24GClaims6,713
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Ohio
Rank by total paid#313 of 1,098
Median peer was paid$41K
This provider vs. median2.6×
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 | 1,071 | $19K | |
| 2019 | 600 | $10K | |
| 2020 | 392 | $5K | |
| 2021 | 873 | $13K | |
| 2022 | 593 | $10K | |
| 2023 | 1,849 | $29K | |
| 2024incomplete | 1,335 | $21K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 26% | 2,114 | 1,900 | $27K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 21% | 942 | 913 | $23K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 18% | 1,825 | 1,069 | $20K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 17% | 401 | 392 | $19K |
| V2020 | Frames, purchases | 12% | 1,273 | 1,239 | $13K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 3.8% | 80 | 71 | $4K |
| 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 | 1.1% | 21 | 12 | $1K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 57 | 28 | $712.50 |
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 officialKUNSMAN, JASON (OPTOMETRIST/PARTNER)