Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Eyeline Optical of Vicksburg INC

Eyeline Optical of Vicksburg INC was paid $47K by Medicaid between Jan 2018 and Aug 2024, across 5 billing codes. Its largest line is V2020, Frames, purchases — 63% of everything it billed.

33Billing provider infoEYELINE OPTICAL OF VICKSBURG INC
VICKSBURG, MS 39180
33aNPI1831307727assigned 05/21/2007
33bProvider typeEyewear Supplier
28Total paid$47K
24GClaims2,166
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers

Next to other Eyewear Supplier providers in Mississippi

Rank by total paid#12 of 20
Median peer was paid$79K
This provider vs. median0.6×

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$2.0K$4.0K2018201920202021202220232024
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
2018358$8K
2019295$6K
2020551$12K
2021230$5K
2022213$5K
2023389$8K
2024incomplete130$4K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 63% 963 878 $30K
92340 Fitting of spectacles, except for aphakia; monofocal 24% 704 640 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 7.1% 111 106 $3K
V2784 Lens, polycarbonate or equal, any index, per lens 4.8% 374 350 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.0% 14 14 $481.45

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 officialMONSOUR, RONNIE (PRESIDENT)