20/20 Eyecare of London, LLC
20/20 Eyecare of London, LLC was paid $533K by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider info20/20 EYECARE OF LONDON, LLC
LONDON, KY 40741
LONDON, KY 40741
33aNPI1619131281assigned 07/14/2008
33bProvider typeOptometrist
28Total paid$533K
24GClaims29,487
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Kentucky
Rank by total paid#89 of 683
Median peer was paid$123K
This provider vs. median4.3×
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 | 203 | $3K | |
| 2019 | 174 | $3K | |
| 2020 | 1,128 | $13K | |
| 2021 | 1,328 | $23K | |
| 2022 | 2,007 | $42K | |
| 2023 | 9,808 | $181K | |
| 2024incomplete | 14,839 | $268K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 30% | 1,866 | 1,800 | $159K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 23% | 1,911 | 1,874 | $124K |
| V2020 | Frames, purchases | 13% | 2,437 | 2,393 | $70K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 1,892 | 1,871 | $53K |
| 92015 | Determination of refractive state | 7.1% | 4,453 | 4,326 | $38K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.3% | 1,562 | 1,546 | $28K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 2,232 | 2,195 | $23K |
| V2760 | Scratch resistant coating, per lens | 2.7% | 2,193 | 2,157 | $14K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.1% | 157 | 141 | $6K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 192 | 191 | $4K |
| 92341 | <1% | 98 | 98 | $3K | |
| 92370 | <1% | 121 | 119 | $3K |
20 more codes
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 232 | $3K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 130 | $2K |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 13 | $948.48 |
| V2499 | Variable sphericity lens, other type | <1% | 36 | $835.00 |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | <1% | 12 | $430.28 |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 12 | $198.18 |
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 3,532 | $0.00 |
| 1036F | 0% | 3,554 | $0.00 | |
| 2023F | 0% | 102 | $0.00 | |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 339 | $0.00 |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 484 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 439 | $0.00 |
| 3072F | 0% | 14 | $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% | 12 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 395 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 456 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 326 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 246 | $0.00 |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 27 | $0.00 |
| 99199 | Unlisted special service, procedure or report | 0% | 12 | $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 officialSUTTON, TESHAWNA (OWNER)