Midwest Eye Consultants, P.C.
Midwest Eye Consultants, P.C. was paid $971K by Medicaid between Jan 2018 and Apr 2022, across 26 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.
WABASH, IN 46992
Next to other Optometrist providers in Indiana
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 22,177 | $334K | |
| 2019 | 13,200 | $299K | |
| 2020 | 5,659 | $134K | |
| 2021 | 7,789 | $176K | |
| 2022 | 1,066 | $29K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 7,517 | 7,065 | $206K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 20% | 3,115 | 3,030 | $192K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 3,345 | 3,128 | $139K |
| V2020 | Frames, purchases | 14% | 6,864 | 6,369 | $138K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 3,064 | 2,129 | $112K |
| 92015 | Determination of refractive state | 11% | 8,009 | 7,637 | $111K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 2.8% | 952 | 604 | $27K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 1.1% | 303 | 255 | $11K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 212 | 184 | $8K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 198 | 165 | $7K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 621 | 594 | $6K |
| 92225 | <1% | 2,517 | 2,309 | $5K |
14 more codes
| 92202 | <1% | 2,475 | $4K | |
| 92226 | <1% | 1,926 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 142 | $2K |
| 92201 | <1% | 95 | $169.78 | |
| 76514 | <1% | 13 | $15.03 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 2,421 | $0.00 |
| 3072F | 0% | 399 | $0.00 | |
| 1036F | 0% | 2,455 | $0.00 | |
| 4177F | 0% | 162 | $0.00 | |
| 3284F | 0% | 12 | $0.00 | |
| G8731 | Pain assessment using a standardized tool is documented as negative, no follow-up plan required | 0% | 2,442 | $0.00 |
| 2022F | 0% | 492 | $0.00 | |
| G9974 | Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | 0% | 115 | $0.00 |
| 2027F | 0% | 25 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $3.57M |
| Midwest Eye Consultants, P.C. | Marion, IN | $2.45M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.97M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.47M |
| Midwest Eye Consultants, P.C. | Kokomo, IN | $1.47M |
| Midwest Eye Consultants, P.C. | Logansport, IN | $1.46M |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $1.43M |
| Midwest Eye Consultants, P.C. | Peru, IN | $1.33M |
| Midwest Eye Consultants, P.C. | Rochester, IN | $1.24M |
| Midwest Eye Consultants, PC | South Bend, IN | $878K |
| Midwest Eye Consultants P.C. | Michigan City, IN | $870K |
| Midwest Eye Consultants Ohio, INC | Oregon, OH | $845K |
| Midwest Eye Consultants, P.C. | Warsaw, IN | $844K |
| Midwest Eye Consultants, P.C. | Mishawaka, IN | $816K |
| Midwest Eye Consultants, P.C. | Marion, IN | $816K |
| Midwest Eye Consultants, P.C. | Indianapolis, IN | $781K |
| Midwest Eye Consultants, P.C. | Fort Wayne, IN | $775K |
| Midwest Eye Consultants, P.C. | Kokomo, IN | $749K |
| Midwest Eye Consultants, P.C. | Noblesville, IN | $725K |
| Midwest Eye Consultants P.C. | South Bend, IN | $691K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.