Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$20K$40K$60K2018201920202021202220232024
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
20187,850$477K
20197,764$437K
20204,060$254K
20213,750$259K
20222,808$148K
20233,563$227K
2024incomplete4,471$339K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)