Optical Shoppe INC
Optical Shoppe INC was paid $65K by Medicaid between Jan 2018 and Jan 2022, across 6 billing codes. Its largest line is V2020, Frames, purchases — 35% of everything it billed.
33Billing provider infoOPTICAL SHOPPE INC
CORTEZ, CO 81321
CORTEZ, CO 81321
33aNPI1689023723assigned 06/09/2016
33bProvider typeOptician
28Total paid$65K
24GClaims2,121
24DCodes billed6
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Optician providers in Colorado
Rank by total paid#12 of 15
Median peer was paid$143K
This provider vs. median0.5×
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 | 561 | $15K | |
| 2019 | 653 | $19K | |
| 2020 | 390 | $12K | |
| 2021 | 434 | $14K | |
| 2022 | 83 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 35% | 644 | 635 | $23K |
| V2025 | Deluxe frame | 15% | 126 | 126 | $9K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 15% | 225 | 221 | $9K |
| V2410 | Variable asphericity lens, single vision, full field, glass or plastic, per lens | 13% | 98 | 97 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 528 | 521 | $8K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 11% | 500 | 496 | $7K |
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 officialPAUMEN, KERRY (OWNER/OPTICIAN)