Heffington Optical Company INC
Heffington Optical Company INC was paid $362K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 33% of everything it billed.
33Billing provider infoHEFFINGTON OPTICAL COMPANY INC
SPRINGFIELD, MO 65806
SPRINGFIELD, MO 65806
33aNPI1912052176assigned 01/25/2007
33bProvider typeOptician
28Total paid$362K
24GClaims11,716
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optician providers in Missouri
Rank by total paid#2 of 87
Median peer was paid$26K
This provider vs. median14×
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 | 1,503 | $27K | |
| 2019 | 1,512 | $30K | |
| 2020 | 1,391 | $31K | |
| 2021 | 2,123 | $47K | |
| 2022 | 2,139 | $83K | |
| 2023 | 2,035 | $103K | |
| 2024incomplete | 1,013 | $42K |
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 | 33% | 1,510 | 1,320 | $119K |
| V2020 | Frames, purchases | 29% | 3,481 | 3,299 | $107K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 17% | 1,972 | 1,103 | $62K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 695 | 645 | $44K |
| 92015 | Determination of refractive state | 4.1% | 3,037 | 2,784 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.3% | 907 | 525 | $12K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 29 | 27 | $2K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 56 | 38 | $1K |
| 92250 | <1% | 16 | 15 | $339.62 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 13 | 13 | $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 officialHEFFINGTON, DEBORAH (ACCOUNTING)