Tricounty Vision Associates, L.L.C.
Tricounty Vision Associates, L.L.C. was paid $1.88M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is 92015, Determination of refractive state — 21% of everything it billed.
33Billing provider infoTRICOUNTY VISION ASSOCIATES, L.L.C.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
33aNPI1689759052assigned 10/26/2006
33bProvider typeOptometrist
28Total paid$1.88M
24GClaims58,794
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#22 of 340
Median peer was paid$125K
This provider vs. median15×
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 | 8,557 | $275K | |
| 2019 | 7,810 | $252K | |
| 2020 | 7,426 | $233K | |
| 2021 | 9,631 | $305K | |
| 2022 | 10,680 | $343K | |
| 2023 | 8,739 | $276K | |
| 2024incomplete | 5,951 | $197K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 21% | 11,529 | 10,717 | $396K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 18% | 7,075 | 6,796 | $330K |
| V2020 | Frames, purchases | 14% | 8,998 | 8,705 | $259K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 10.0% | 6,628 | 6,413 | $188K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 9.6% | 2,905 | 2,759 | $181K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 8.1% | 7,255 | 7,035 | $153K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.4% | 4,181 | 3,889 | $120K |
| 92065 | 4.9% | 4,468 | 1,910 | $92K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.2% | 1,641 | 1,494 | $42K |
| 92341 | 1.4% | 1,192 | 1,124 | $27K | |
| 92060 | 1.3% | 834 | 822 | $24K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.3% | 716 | 709 | $24K |
8 more codes
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 297 | $11K |
| 99070 | <1% | 120 | $7K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 303 | $6K |
| 99213 | Doctor's office visit, returning patient (routine) | <1% | 199 | $6K |
| 92250 | <1% | 146 | $5K | |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 191 | $5K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 103 | $5K |
| V2715 | Prism, per lens | <1% | 13 | $95.94 |
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 officialSCHRAMM, BETH (OPTOMETRIST/OWNER)