Plainville Optometrics LLC
Plainville Optometrics LLC was paid $200K by Medicaid between Jan 2018 and Dec 2024, across 4 billing codes. Its largest line is 92015, Determination of refractive state — 47% of everything it billed.
33Billing provider infoPLAINVILLE OPTOMETRICS LLC
PLAINVILLE, CT 06062
PLAINVILLE, CT 06062
33aNPI1659663615assigned 05/10/2011
33bProvider typeOptometrist
28Total paid$200K
24GClaims5,084
24DCodes billed4
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#147 of 340
Median peer was paid$125K
This provider vs. median1.6×
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 | 768 | $31K | |
| 2019 | 711 | $28K | |
| 2020 | 620 | $23K | |
| 2021 | 679 | $27K | |
| 2022 | 602 | $24K | |
| 2023 | 736 | $29K | |
| 2024incomplete | 968 | $39K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 47% | 2,842 | 2,547 | $95K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 34% | 1,513 | 1,414 | $69K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 336 | 316 | $21K |
| 92250 | 7.7% | 393 | 367 | $15K |
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 officialRAFAEL, ARMANDO (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| B.E.K Eyecare, INC | Meriden, CT | $3.76M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.