Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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River Country Eye Care, PLLC

River Country Eye Care, PLLC was paid $227K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is V2020, Frames, purchases — 27% of everything it billed.

33Billing provider infoRIVER COUNTRY EYE CARE, PLLC
THREE RIVERS, MI 49093
33aNPI1821442252assigned 04/21/2016
33bProvider typeOptometrist
28Total paid$227K
24GClaims9,534
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#89 of 497
Median peer was paid$21K
This provider vs. median11×

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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
20181,316$31K
20191,924$48K
20201,652$43K
20211,908$43K
20221,336$31K
20231,128$24K
2024incomplete270$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 27% 2,024 1,983 $60K
92340 Fitting of spectacles, except for aphakia; monofocal 17% 2,005 1,961 $39K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 13% 612 595 $30K
92015 Determination of refractive state 11% 2,255 2,223 $24K
92250 7.7% 721 708 $17K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.6% 1,061 1,034 $17K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 5.2% 157 155 $12K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 2.8% 105 104 $6K
S0621 Routine ophthalmological examination including refraction; established patient 2.0% 88 88 $4K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.6% 86 83 $4K
92002 1.6% 81 81 $4K
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 1.1% 44 43 $2K
8 more codes
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 1.0% 33 $2K
S0620 Routine ophthalmological examination including refraction; new patient <1% 46 $2K
92341 <1% 62 $1K
92083 <1% 12 $430.32
92285 <1% 32 $390.77
92133 <1% 13 $232.56
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 16 $191.82
V2784 Lens, polycarbonate or equal, any index, per lens 0% 81 $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 officialGOFF, ADAM (OPTOMETRIST/AUTHORIZED MEMBER)