Niles Vision Clinic, P.C.
Niles Vision Clinic, P.C. was paid $1.68M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoNILES VISION CLINIC, P.C.
NILES, MI 49120
NILES, MI 49120
33aNPI1841521838assigned 01/15/2010
33bProvider typeOptometrist
28Total paid$1.68M
24GClaims58,074
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#21 of 497
Median peer was paid$21K
This provider vs. median80×
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 | 10,524 | $298K | |
| 2019 | 11,052 | $316K | |
| 2020 | 7,774 | $216K | |
| 2021 | 8,122 | $252K | |
| 2022 | 7,580 | $226K | |
| 2023 | 7,461 | $211K | |
| 2024incomplete | 5,561 | $164K |
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 | 31% | 7,640 | 7,626 | $529K |
| V2020 | Frames, purchases | 19% | 9,936 | 9,915 | $314K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 2,877 | 2,866 | $235K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 11% | 9,566 | 9,529 | $192K |
| 92015 | Determination of refractive state | 7.5% | 11,250 | 11,226 | $126K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.3% | 8,699 | 5,541 | $107K |
| 92341 | 3.4% | 2,511 | 2,502 | $57K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.8% | 736 | 682 | $31K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.7% | 2,245 | 1,519 | $29K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 1.1% | 387 | 387 | $19K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 1,494 | 1,019 | $14K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 295 | 295 | $14K |
6 more codes
| 99214 | Doctor's office visit, returning patient (more involved) | <1% | 219 | $12K |
| 99204 | Doctor's office visit, new patient (more involved) | <1% | 25 | $2K |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | <1% | 91 | $1K |
| V2107 | Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens | <1% | 72 | $883.03 |
| 92083 | <1% | 12 | $432.60 | |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 19 | $235.40 |
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 officialBECRAFT, JEFFREY (PRESIDENT)