Windham Eye Group P.C.
Windham Eye Group P.C. was paid $282K by Medicaid between Jan 2018 and Jul 2022, across 14 billing codes. Its largest line is 92015, Determination of refractive state — 34% of everything it billed.
33Billing provider infoWINDHAM EYE GROUP P.C.
WILLIMANTIC, CT 06226
WILLIMANTIC, CT 06226
33aNPI1801818802assigned 07/25/2006
33bProvider typeOptometrist
28Total paid$282K
24GClaims11,860
24DCodes billed14
24AFirst – last monthJan 2018 – Jul 2022
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#126 of 340
Median peer was paid$125K
This provider vs. median2.3×
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 | 2,309 | $46K | |
| 2019 | 2,929 | $57K | |
| 2020 | 1,795 | $42K | |
| 2021 | 2,936 | $84K | |
| 2022 | 1,891 | $54K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92015 | Determination of refractive state | 34% | 4,200 | 3,309 | $96K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 27% | 3,324 | 2,745 | $76K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 1,088 | 952 | $55K |
| V2020 | Frames, purchases | 6.3% | 688 | 619 | $18K |
| S0580 | Polycarbonate lens (list this code in addition to the basic code for the lens) | 3.9% | 905 | 393 | $11K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 2.9% | 476 | 347 | $8K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.3% | 336 | 323 | $6K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.3% | 223 | 130 | $4K |
| 92134 | <1% | 374 | 292 | $3K | |
| 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% | 87 | 74 | $2K |
| 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% | 51 | 40 | $1K |
| 92133 | <1% | 74 | 66 | $912.00 |
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 officialWOODS, DANA (PRESIDENT)