Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Midwest Eye Consultants, PC

Midwest Eye Consultants, PC was paid $878K by Medicaid between Jan 2018 and Nov 2024, across 14 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 25% of everything it billed.

33Billing provider infoMIDWEST EYE CONSULTANTS, PC
SOUTH BEND, IN 46615
33aNPI1780980516assigned 01/26/2011
33bProvider typeOptometrist
28Total paid$878K
24GClaims19,857
24DCodes billed14
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Indiana

Rank by total paid#69 of 743
Median peer was paid$22K
This provider vs. median40×

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.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official GARNER, GREGORY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
20181,891$45K
20191,999$88K
20201,291$51K
20211,969$74K
20223,480$145K
20234,936$203K
2024incomplete4,291$274K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 25% 2,443 2,300 $223K
V2020 Frames, purchases 23% 4,899 4,529 $204K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 21% 1,732 1,630 $182K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 13% 3,597 2,098 $111K
92015 Determination of refractive state 8.4% 5,181 4,923 $74K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.7% 511 438 $32K
V2784 Lens, polycarbonate or equal, any index, per lens 3.3% 404 364 $29K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens <1% 229 164 $6K
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% 81 75 $5K
83861 <1% 290 127 $5K
V2755 U-v lens, per lens <1% 164 152 $3K
83516 <1% 232 101 $2K
2 more codes
92250 <1% 82 $2K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 0% 12 $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 officialGARNER, GREGORY (PRES./CEO)
Parent organizationMIDWEST EYE CONSULTANTS, P.C.
Same official

Other billing entities under GARNER, GREGORY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.