Shadowridge Family Vision Center of Optometry, INC
Shadowridge Family Vision Center of Optometry, INC was paid $52K by Medicaid between May 2020 and Oct 2024, across 7 billing codes. Its largest line is V2020, Frames, purchases — 30% of everything it billed.
33Billing provider infoSHADOWRIDGE FAMILY VISION CENTER OF OPTOMETRY, INC
VISTA, CA 92083
VISTA, CA 92083
33aNPI1689232795assigned 06/04/2019
33bProvider typeOptometrist
28Total paid$52K
24GClaims3,417
24DCodes billed7
24AFirst – last monthMay 2020 – Oct 2024
Compared with peers
Next to other Optometrist providers in California
Rank by total paid#705 of 1,899
Median peer was paid$23K
This provider vs. median2.3×
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 | |
|---|---|---|---|
| 2020 | 315 | $5K | |
| 2021 | 790 | $13K | |
| 2022 | 450 | $6K | |
| 2023 | 825 | $12K | |
| 2024incomplete | 1,037 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 30% | 988 | 955 | $16K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 23% | 735 | 703 | $12K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 307 | 299 | $10K |
| 92015 | Determination of refractive state | 11% | 919 | 893 | $5K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.0% | 169 | 169 | $5K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.5% | 105 | 105 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 4.2% | 194 | 194 | $2K |
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 officialDEMLINGER, GLENN (OWNER)