Supplier
Spokane Optical Company LLC
Spokane Optical Company LLC was paid $875K by Medicaid between Jan 2018 and Jun 2024, across 14 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 36% of everything it billed.
33Billing provider infoSPOKANE OPTICAL COMPANY LLC
SPOKANE, WA 99204
SPOKANE, WA 99204
33aNPI1922006758assigned 07/14/2005
33bProvider typeEyewear Supplier
28Total paid$875K
24GClaims36,362
24DCodes billed14
24AFirst – last monthJan 2018 – Jun 2024
Compared with peers
Next to other Eyewear Supplier providers in Washington
Rank by total paid#3 of 19
Median peer was paid$33K
This provider vs. median27×
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 | 3,279 | $78K | |
| 2019 | 5,824 | $165K | |
| 2020 | 4,962 | $145K | |
| 2021 | 8,544 | $265K | |
| 2022 | 5,224 | $142K | |
| 2023 | 6,074 | $65K | |
| 2024incomplete | 2,455 | $15K |
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 | 36% | 5,660 | 5,653 | $318K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 21% | 3,704 | 3,691 | $184K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 20% | 9,681 | 9,591 | $175K |
| 92015 | Determination of refractive state | 12% | 13,106 | 13,088 | $104K |
| 92370 | 5.0% | 2,492 | 2,398 | $44K | |
| 92060 | 2.3% | 554 | 551 | $20K | |
| V2020 | Frames, purchases | 1.7% | 736 | 700 | $15K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 235 | 222 | $6K |
| 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% | 77 | 65 | $5K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 16 | 16 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 43 | 41 | $2K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 13 | 13 | $689.00 |
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 officialSIMPSON, JANIS (CEO)