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Professional Eyecare Center

Professional Eyecare Center was paid $31K by Medicaid between Jan 2018 and Sep 2020, across 7 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 59% of everything it billed.

33Billing provider infoPROFESSIONAL EYECARE CENTER
EAST LANSING, MI 48823

33aNPI1841411485assigned 05/01/2007

33bProvider typeOptometrist

28Total paid$31K

24GClaims928

24DCodes billed7

24AFirst – last monthJan 2018 – Sep 2020

Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#228 of 497

Median peer was paid$21K

This provider vs. median1.5×

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	513	$17K
2019	242	$9K
2020	173	$6K

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	59%	275	275	$19K
V2020	Frames, purchases	20%	193	188	$6K
92015	Determination of refractive state	13%	383	381	$4K
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	3.2%	12	12	$1K
92340	Fitting of spectacles, except for aphakia; monofocal	2.5%	39	39	$780.39
92250		1.3%	13	13	$417.17
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	<1%	13	13	$143.04

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 officialSIMS, RICHARD (OWNER)

Same official

Other billing entities under SIMS, RICHARD

Full network →

Provider	Location	Paid
Douglas County Public Health Services Group, INC.	Ava, MO	$1.50M
Douglas County Public Health Services Group, INC.	Mansfield, MO	$1.19M
Douglas County Public Health Services Group, INC.	Cabool, MO	$498K
Douglas County Public Health Services Group, INC.	Gainesville, MO	$372K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.