Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Advantage Optical, INC.

Advantage Optical, INC. was paid $144K by Medicaid between Jan 2018 and Jun 2020, across 8 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.

33Billing provider infoADVANTAGE OPTICAL, INC.
OREGON CITY, OR 97045
33aNPI1720416944assigned 10/25/2013
33bProvider typeOptometrist
28Total paid$144K
24GClaims4,640
24DCodes billed8
24AFirst – last monthJan 2018 – Jun 2020
Compared with peers

Next to other Optometrist providers in Oregon

Rank by total paid#65 of 215
Median peer was paid$33K
This provider vs. median4.4×

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$5.0K$10K2018201920202021202220232024
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
20182,282$70K
20191,805$56K
2020553$18K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 34% 690 645 $50K
92340 Fitting of spectacles, except for aphakia; monofocal 19% 1,106 1,018 $28K
V2784 Lens, polycarbonate or equal, any index, per lens 18% 854 765 $26K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 13% 243 243 $18K
V2020 Frames, purchases 7.7% 924 830 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 4.8% 449 428 $7K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 2.1% 201 195 $3K
92015 Determination of refractive state 1.6% 173 173 $2K

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 officialLADOUCEUR, MONICA (OPTOMETRIST/OWNER)