Quality Optical INC
Quality Optical INC was paid $53K by Medicaid between May 2018 and Dec 2023, across 6 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 34% of everything it billed.
33Billing provider infoQUALITY OPTICAL INC
PLYMOUTH, IN 46563
PLYMOUTH, IN 46563
33aNPI1801845995assigned 05/08/2006
33bProvider typeOptometrist
28Total paid$53K
24GClaims1,548
24DCodes billed6
24AFirst – last monthMay 2018 – Dec 2023
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#302 of 743
Median peer was paid$22K
This provider vs. median2.4×
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 | 569 | $21K | |
| 2019 | 173 | $5K | |
| 2020 | 25 | $1K | |
| 2021 | 70 | $3K | |
| 2022 | 287 | $9K | |
| 2023 | 424 | $14K |
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 | 34% | 235 | 230 | $18K |
| V2020 | Frames, purchases | 30% | 527 | 510 | $16K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 11% | 162 | 158 | $6K |
| 92015 | Determination of refractive state | 11% | 516 | 505 | $6K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 11% | 59 | 59 | $6K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.5% | 49 | 48 | $1K |
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 officialFENWICK, DAVID (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Quality Optical INC | Middlebury, IN | $416K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.