Southwest Vision Center INC.
Southwest Vision Center INC. was paid $1.27M by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 25% of everything it billed.
33Billing provider infoSOUTHWEST VISION CENTER INC.
EDWARDSBURG, MI 49112
EDWARDSBURG, MI 49112
33aNPI1871852939assigned 05/10/2012
33bProvider typeOptometrist
28Total paid$1.27M
24GClaims40,539
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#28 of 497
Median peer was paid$21K
This provider vs. median61×
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 | 4,947 | $157K | |
| 2019 | 6,364 | $198K | |
| 2020 | 5,704 | $174K | |
| 2021 | 7,576 | $230K | |
| 2022 | 6,780 | $209K | |
| 2023 | 5,510 | $178K | |
| 2024incomplete | 3,658 | $128K |
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 | 25% | 3,933 | 3,915 | $322K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 24% | 4,362 | 4,356 | $306K |
| V2020 | Frames, purchases | 20% | 8,088 | 8,029 | $250K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 10% | 6,734 | 6,673 | $133K |
| 92015 | Determination of refractive state | 7.3% | 8,296 | 8,271 | $93K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 4.8% | 3,673 | 3,646 | $61K |
| 92341 | 3.2% | 1,875 | 1,868 | $41K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 2.4% | 2,343 | 2,321 | $30K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.3% | 388 | 386 | $17K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 474 | 473 | $8K |
| 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% | 154 | 143 | $7K |
| S0621 | Routine ophthalmological examination including refraction; established patient | <1% | 79 | 79 | $3K |
4 more codes
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 officialLAMBART, JENNIFER (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Southwest Vision Center INC | Three Rivers, MI | $1K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.