Quality Optical INC
Quality Optical INC was paid $416K by Medicaid between Mar 2018 and Nov 2024, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 30% of everything it billed.
33Billing provider infoQUALITY OPTICAL INC
MIDDLEBURY, IN 46540
MIDDLEBURY, IN 46540
33aNPI1689635831assigned 03/29/2006
33bProvider typeOptometrist
28Total paid$416K
24GClaims9,873
24DCodes billed7
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#129 of 743
Median peer was paid$22K
This provider vs. median19×
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 | 510 | $18K | |
| 2019 | 1,208 | $51K | |
| 2020 | 694 | $27K | |
| 2021 | 1,954 | $75K | |
| 2022 | 2,071 | $76K | |
| 2023 | 2,346 | $105K | |
| 2024incomplete | 1,090 | $64K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 30% | 1,528 | 1,396 | $123K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25% | 1,010 | 935 | $105K |
| V2020 | Frames, purchases | 20% | 2,683 | 2,481 | $83K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 1,318 | 1,227 | $49K |
| 92015 | Determination of refractive state | 10.0% | 2,847 | 2,643 | $41K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.1% | 422 | 384 | $13K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 65 | 61 | $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 officialFENWICK, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Quality Optical INC | Plymouth, IN | $53K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.