Insight Eye Care, LLC
Insight Eye Care, LLC was paid $1.07M by Medicaid between Jan 2018 and Dec 2024, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 49% of everything it billed.
33Billing provider infoINSIGHT EYE CARE, LLC
FORT PAYNE, AL 35968
FORT PAYNE, AL 35968
33aNPI1720430275assigned 07/08/2016
33bProvider typeOptometrist
28Total paid$1.07M
24GClaims34,202
24DCodes billed6
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Alabama
Rank by total paid#13 of 346
Median peer was paid$59K
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 | 4,365 | $124K | |
| 2019 | 4,116 | $113K | |
| 2020 | 5,069 | $152K | |
| 2021 | 6,259 | $189K | |
| 2022 | 4,831 | $143K | |
| 2023 | 5,176 | $174K | |
| 2024incomplete | 4,386 | $173K |
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 | 49% | 8,021 | 7,844 | $520K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 3,128 | 3,036 | $257K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 18% | 11,120 | 10,735 | $189K |
| 92015 | Determination of refractive state | 9.1% | 11,819 | 11,529 | $97K |
| 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% | 100 | 93 | $5K |
| 92250 | <1% | 14 | 14 | $658.00 |
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 officialSTROGOV, PETER (MANAGING MEMBERR)
| Provider | Location | Paid |
|---|---|---|
| Fort Payne Pediatrics, LLC | Fort Payne, AL | $33.37M |
| Hometown Pediatrics LLC | Athens, AL | $4.26M |
| Coastal Pediatrics LLC | Summerdale, AL | $20K |
| Trojan Pediatrics, LLC | Troy, AL | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.