Lakeshore Professional Eyecare PC
Lakeshore Professional Eyecare PC was paid $4.45M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is 99204, doctor's office visit, new patient (more involved) — 16% of everything it billed.
33Billing provider infoLAKESHORE PROFESSIONAL EYECARE PC
NORTON SHORES, MI 49441
NORTON SHORES, MI 49441
33aNPI1629251400assigned 12/14/2007
33bProvider typeOptometrist
28Total paid$4.45M
24GClaims166,697
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#5 of 497
Median peer was paid$21K
This provider vs. median212×
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 | 11,891 | $306K | |
| 2019 | 13,715 | $360K | |
| 2020 | 16,991 | $452K | |
| 2021 | 23,405 | $661K | |
| 2022 | 28,310 | $763K | |
| 2023 | 36,413 | $961K | |
| 2024incomplete | 35,972 | $946K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 16% | 7,862 | 7,858 | $695K |
| 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 | 15% | 10,245 | 10,105 | $677K |
| V2020 | Frames, purchases | 11% | 18,256 | 18,196 | $497K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 11% | 7,518 | 7,506 | $475K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.0% | 20,504 | 20,394 | $399K |
| 92015 | Determination of refractive state | 6.9% | 27,852 | 27,767 | $306K |
| 92250 | 6.6% | 14,047 | 14,014 | $293K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 4.6% | 4,433 | 4,314 | $204K |
| 92083 | 3.1% | 4,379 | 4,351 | $138K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 11,772 | 8,210 | $124K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.7% | 7,180 | 6,443 | $119K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.2% | 1,567 | 1,567 | $97K |
21 more codes
| 99213 | Doctor's office visit, returning patient (routine) | 1.9% | 1,818 | $86K |
| 92341 | 1.9% | 3,811 | $85K | |
| 92133 | 1.1% | 2,790 | $50K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.1% | 1,056 | $50K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 11,393 | $27K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 2,642 | $25K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 499 | $25K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 1,967 | $22K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 707 | $15K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 163 | $13K |
| 92342 | <1% | 319 | $8K | |
| V2781 | Progressive lens, per lens | <1% | 587 | $6K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $3K |
| 76514 | <1% | 434 | $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% | 252 | $2K |
| 92134 | <1% | 106 | $2K | |
| V2025 | Deluxe frame | <1% | 69 | $1K |
| V2744 | Tint, photochromatic, per lens | <1% | 408 | $847.40 |
| V2750 | Anti-reflective coating, per lens | <1% | 1,159 | $27.48 |
| 2023F | 0% | 566 | $0.00 | |
| 99072 | 0% | 308 | $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 officialTOTTEN, DOUGLAS (PRESIDENT)