Professional Eye Care INC
Professional Eye Care INC was paid $941K by Medicaid between Jan 2018 and Apr 2022, across 19 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoPROFESSIONAL EYE CARE INC
PLATTE CITY, MO 64079
PLATTE CITY, MO 64079
33aNPI1588680193assigned 07/15/2006
33bProvider typeOptometrist
28Total paid$941K
24GClaims51,831
24DCodes billed19
24AFirst – last monthJan 2018 – Apr 2022
Compared with peers
Next to other Optometrist providers in Missouri
Rank by total paid#7 of 547
Median peer was paid$19K
This provider vs. median50×
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 | 14,963 | $273K | |
| 2019 | 14,364 | $241K | |
| 2020 | 7,275 | $149K | |
| 2021 | 13,459 | $240K | |
| 2022 | 1,770 | $38K |
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 | 49% | 14,548 | 13,925 | $456K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 19% | 5,179 | 4,887 | $176K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 5,020 | 2,830 | $141K |
| V2020 | Frames, purchases | 8.5% | 4,350 | 4,243 | $80K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.7% | 3,292 | 3,134 | $63K |
| 92250 | <1% | 1,492 | 715 | $9K | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 261 | 204 | $8K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 82 | 55 | $3K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 192 | 113 | $2K |
| 92015 | Determination of refractive state | <1% | 1,084 | 1,009 | $2K |
| 92370 | <1% | 70 | 69 | $1K | |
| 92020 | <1% | 102 | 93 | $673.94 |
7 more codes
| 2022F | <1% | 2,256 | $0.05 | |
| 2027F | 0% | 1,008 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 12,363 | $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% | 189 | $0.00 |
| 0517F | 0% | 12 | $0.00 | |
| 4177F | 0% | 216 | $0.00 | |
| 3284F | 0% | 115 | $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 officialJENKS, NANCY (OFFICE MANAGER)