Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Advanced Family Eye Care, PC

Advanced Family Eye Care, PC was paid $3.25M by Medicaid between Jan 2018 and Dec 2024, across 36 billing codes. Its largest line is V2020, Frames, purchases — 13% of everything it billed.

33Billing provider infoADVANCED FAMILY EYE CARE, PC
SAINT JOSEPH, MI 49085
33aNPI1912958919assigned 05/14/2006
33bProvider typeOptometrist
28Total paid$3.25M
24GClaims136,847
24DCodes billed36
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#9 of 497
Median peer was paid$21K
This provider vs. median155×

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

$0$20K$40K$60K2018201920202021202220232024
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
YearClaimsPaid
201815,770$381K
201918,691$464K
202016,490$410K
202122,677$547K
202222,304$456K
202320,443$464K
2024incomplete20,472$524K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 13% 14,821 14,733 $418K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 12% 5,894 5,870 $391K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 11% 4,870 4,851 $362K
92250 7.4% 11,029 10,997 $240K
92340 Fitting of spectacles, except for aphakia; monofocal 7.4% 13,027 12,986 $239K
92083 6.8% 6,702 6,506 $221K
92370 6.2% 12,710 12,651 $202K
92082 5.4% 6,908 6,872 $175K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 4.7% 2,589 2,581 $151K
92015 Determination of refractive state 4.5% 15,085 15,027 $147K
92285 4.1% 12,053 10,712 $132K
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 3.5% 1,778 1,767 $114K
24 more codes
V2101 Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens 3.2% 6,418 $103K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.4% 7,458 $78K
99213 Doctor's office visit, returning patient (routine) 2.0% 1,387 $65K
92341 1.6% 2,462 $52K
S0620 Routine ophthalmological examination including refraction; new patient 1.4% 1,019 $47K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 1.1% 3,276 $37K
V2203 Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens <1% 1,637 $23K
V2104 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens <1% 1,162 $15K
S0621 Routine ophthalmological examination including refraction; established patient <1% 175 $9K
V2201 Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens <1% 199 $4K
92133 <1% 214 $4K
99204 Doctor's office visit, new patient (more involved) <1% 43 $4K
V2200 Sphere, bifocal, plano to plus or minus 4.00d, per lens <1% 149 $3K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 968 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward <1% 86 $3K
V2107 Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens <1% 180 $2K
76514 <1% 86 $614.77
92020 <1% 56 $555.33
92202 <1% 61 $464.01
V2780 Oversize lens, per lens <1% 134 $25.00
2026F 0% 367 $0.00
V2750 Anti-reflective coating, per lens 0% 54 $0.00
3072F 0% 1,696 $0.00
2033F 0% 94 $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 officialSCIESZKA, JEFFREY (OWNER)