Eye Centers of Racine and Kenosha LTD
Eye Centers of Racine and Kenosha LTD was paid $116K by Medicaid between Jan 2018 and Nov 2024, across 17 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 32% of everything it billed.
33Billing provider infoEYE CENTERS OF RACINE AND KENOSHA LTD
MT PLEASANT, WI 53177
MT PLEASANT, WI 53177
33aNPI1710905781assigned 07/18/2006
33bProvider typeOptometrist
28Total paid$116K
24GClaims5,758
24DCodes billed17
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Wisconsin
Rank by total paid#54 of 412
Median peer was paid$7K
This provider vs. median18×
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 | 1,108 | $28K | |
| 2019 | 866 | $15K | |
| 2020 | 671 | $13K | |
| 2021 | 620 | $8K | |
| 2022 | 619 | $14K | |
| 2023 | 1,341 | $23K | |
| 2024incomplete | 533 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 32% | 1,590 | 1,363 | $37K |
| 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 | 14% | 516 | 455 | $16K |
| 92015 | Determination of refractive state | 12% | 2,075 | 1,709 | $14K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 10% | 184 | 170 | $12K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 9.4% | 60 | 41 | $11K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 8.3% | 330 | 286 | $10K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 6.3% | 249 | 214 | $7K |
| 92083 | 2.5% | 199 | 152 | $3K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.9% | 148 | 115 | $2K |
| 92250 | 1.2% | 105 | 89 | $1K | |
| 92341 | <1% | 41 | 39 | $1K | |
| 92136 | <1% | 48 | 24 | $808.96 |
5 more codes
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 officialGOTTFREDSEN, MELISSA (PRACTICE ADMINISTRATOR)