Spectacle Shoppe LLC
Spectacle Shoppe LLC was paid $4K by Medicaid between Nov 2020 and Sep 2023, across 4 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 43% of everything it billed.
33Billing provider infoSPECTACLE SHOPPE LLC
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1851569776assigned 02/13/2008
33bProvider typeOptician
28Total paid$4K
24GClaims388
24DCodes billed4
24AFirst – last monthNov 2020 – Sep 2023
Compared with peers
Next to other Optician providers in New York
Rank by total paid#148 of 184
Median peer was paid$46K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2020 | 42 | $161.00 | |
| 2021 | 49 | $658.00 | |
| 2022 | 165 | $2K | |
| 2023 | 132 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 43% | 42 | 42 | $2K |
| V2020 | Frames, purchases | 29% | 98 | 97 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 27% | 54 | 27 | $1K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 0% | 194 | 96 | $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 officialRYDER, THOMAS (OWNER)