Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Indigo Vision Center PA

Indigo Vision Center PA was paid $1.28M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 37% of everything it billed.

33Billing provider infoINDIGO VISION CENTER PA
GEORGETOWN, SC 29440
33aNPI1700071149assigned 09/10/2007
33bProvider typeOptometrist
28Total paid$1.28M
24GClaims39,904
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in South Carolina

Rank by total paid#9 of 425
Median peer was paid$22K
This provider vs. median59×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20184,880$172K
20195,570$167K
20205,552$170K
20216,186$175K
20227,186$230K
20235,726$199K
2024incomplete4,804$167K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 37% 6,670 6,568 $468K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 23% 3,572 3,493 $289K
92340 Fitting of spectacles, except for aphakia; monofocal 12% 8,753 8,612 $154K
92015 Determination of refractive state 11% 10,085 9,920 $141K
92250 5.8% 2,558 2,439 $74K
V2784 Lens, polycarbonate or equal, any index, per lens 3.6% 2,458 2,444 $45K
99214 Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3.3% 876 766 $42K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.8% 2,137 1,428 $23K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.4% 445 394 $18K
V2020 Frames, purchases <1% 285 282 $10K
92083 <1% 204 173 $6K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 615 418 $4K
4 more codes
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient <1% 81 $4K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 105 $892.22
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 0% 492 $0.00
G9905 Patient not screened for tobacco use 0% 568 $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.

From NPPES

Who's on the registration

Authorized officialJOHNSON, OWEN (OWNER)