Supplier
Providence Opticians Designer Eyewear INC
Providence Opticians Designer Eyewear INC was paid $2.14M by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is V2025, Deluxe frame — 18% of everything it billed.
33Billing provider infoPROVIDENCE OPTICIANS DESIGNER EYEWEAR INC
WASHINGTON, DC 20017
WASHINGTON, DC 20017
33aNPI1790923605assigned 01/30/2009
33bProvider typeEyewear Supplier
28Total paid$2.14M
24GClaims34,266
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
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 | 7,850 | $477K | |
| 2019 | 7,764 | $437K | |
| 2020 | 4,060 | $254K | |
| 2021 | 3,750 | $259K | |
| 2022 | 2,808 | $148K | |
| 2023 | 3,563 | $227K | |
| 2024incomplete | 4,471 | $339K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2025 | Deluxe frame | 18% | 5,416 | 4,989 | $394K |
| V2219 | Bifocal seg width over 28 mm | 15% | 3,612 | 3,348 | $314K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 12% | 2,905 | 2,699 | $262K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 11% | 3,618 | 3,336 | $240K |
| V2760 | Scratch resistant coating, per lens | 7.3% | 5,152 | 4,746 | $156K |
| 92341 | 6.9% | 4,546 | 4,379 | $148K | |
| V2783 | Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens | 6.4% | 1,204 | 1,120 | $138K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 5.7% | 908 | 883 | $121K |
| V2799 | Vision item or service, miscellaneous | 3.9% | 309 | 292 | $84K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.2% | 991 | 896 | $69K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.0% | 2,372 | 2,289 | $64K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.8% | 690 | 617 | $38K |
12 more codes
| V2215 | Lenticular (myodisc), per lens, bifocal | 1.5% | 190 | $32K |
| V2780 | Oversize lens, per lens | <1% | 915 | $17K |
| V2020 | Frames, purchases | <1% | 267 | $15K |
| 92015 | Determination of refractive state | <1% | 600 | $14K |
| V2781 | Progressive lens, per lens | <1% | 72 | $10K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 163 | $8K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | <1% | 45 | $4K |
| V2204 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 30 | $4K |
| V2744 | Tint, photochromatic, per lens | <1% | 153 | $4K |
| V2782 | Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens | <1% | 35 | $4K |
| 92370 | <1% | 60 | $2K | |
| G0117 | Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | <1% | 13 | $696.36 |
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 officialWINSLOW, KYLE (PRESIDENT)