Expert Eyecare P C
Expert Eyecare P C was paid $1.16M by Medicaid between Jan 2018 and Nov 2024, across 11 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoEXPERT EYECARE P C
NORTH VERNON, IN 47265
NORTH VERNON, IN 47265
33aNPI1720176183assigned 10/11/2006
33bProvider typeOptometrist
28Total paid$1.16M
24GClaims26,884
24DCodes billed11
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#53 of 743
Median peer was paid$22K
This provider vs. median54×
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 | 3,500 | $102K | |
| 2019 | 4,322 | $170K | |
| 2020 | 3,458 | $142K | |
| 2021 | 4,588 | $202K | |
| 2022 | 4,226 | $193K | |
| 2023 | 4,151 | $196K | |
| 2024incomplete | 2,639 | $159K |
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 | 34% | 4,900 | 4,519 | $399K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 21% | 2,251 | 2,116 | $239K |
| V2020 | Frames, purchases | 14% | 4,641 | 4,337 | $163K |
| 92015 | Determination of refractive state | 9.3% | 8,475 | 7,766 | $108K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 9.1% | 2,418 | 1,724 | $106K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 7.7% | 2,210 | 1,932 | $90K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.6% | 869 | 759 | $30K |
| V2755 | U-v lens, per lens | 1.2% | 737 | 697 | $13K |
| 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 | 1.1% | 225 | 184 | $13K |
| 92250 | <1% | 119 | 99 | $3K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 39 | 29 | $1K |
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 officialBURNETT, WILLIAM (PRESIDENT)