Delaware Eye Care Center PA
Delaware Eye Care Center PA was paid $5.19M by Medicaid between Jan 2018 and Dec 2024, across 37 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 17% of everything it billed.
DOVER, DE 19904
Next to other Durable Medical Equipment & Medical Supplies providers in Delaware
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,173 | $39K | |
| 2019 | 15,976 | $339K | |
| 2020 | 10,435 | $407K | |
| 2021 | 11,544 | $450K | |
| 2022 | 32,655 | $1.51M | |
| 2023 | 30,544 | $1.28M | |
| 2024incomplete | 28,763 | $1.16M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 17% | 17,046 | 15,974 | $894K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 12% | 16,412 | 15,079 | $627K |
| V2020 | Frames, purchases | 8.8% | 21,829 | 20,000 | $457K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.4% | 10,375 | 8,651 | $383K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 6.9% | 7,306 | 6,893 | $361K |
| S0621 | Routine ophthalmological examination including refraction; established patient | 6.0% | 4,740 | 4,068 | $312K |
| 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 | 5.9% | 5,147 | 4,443 | $304K |
| 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 | 3.9% | 2,150 | 1,885 | $201K |
| 92015 | Determination of refractive state | 3.0% | 13,392 | 11,903 | $158K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 3.0% | 5,979 | 5,251 | $156K |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | 3.0% | 2,258 | 2,067 | $155K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | 2.6% | 711 | 576 | $137K |
25 more codes
| V2784 | Lens, polycarbonate or equal, any index, per lens | 2.5% | 4,158 | $130K |
| 92134 | 1.9% | 5,529 | $101K | |
| S0620 | Routine ophthalmological examination including refraction; new patient | 1.8% | 1,560 | $95K |
| 92083 | 1.6% | 2,942 | $84K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1.5% | 2,253 | $80K |
| V2520 | Contact lens, hydrophilic, spherical, per lens | 1.5% | 668 | $77K |
| S0500 | Disposable contact lens, per lens | 1.4% | 886 | $74K |
| V2521 | Contact lens, hydrophilic, toric, or prism ballast, per lens | 1.3% | 552 | $65K |
| 92133 | 1.1% | 2,833 | $58K | |
| 99203 | Doctor's office visit, new patient (routine) | <1% | 951 | $49K |
| 92250 | <1% | 2,224 | $48K | |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 1,448 | $48K |
| V2599 | Contact lens, other type | <1% | 197 | $32K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 558 | $25K |
| 92310 | <1% | 394 | $21K | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 608 | $17K |
| V2025 | Deluxe frame | <1% | 659 | $8K |
| 92136 | <1% | 385 | $8K | |
| 92020 | <1% | 626 | $8K | |
| 92002 | <1% | 151 | $6K | |
| 92326 | <1% | 93 | $5K | |
| 83861 | <1% | 453 | $4K | |
| 76514 | <1% | 473 | $2K | |
| 76519 | <1% | 60 | $375.69 | |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 0% | 84 | $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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Katzen Medical Associates, PC | Lutherville, MD | $5.61M |
| Inland Eye Specialists a Medical Corp | Hemet, CA | $4.76M |
| Shasta Eye Medical Group INC | Redding, CA | $2.68M |
| Madison Street Provider Network INC | Denver, CO | $717K |
| Madison Street Surgery Center, LLC | Denver, CO | $636K |
| Dulaney Eye Institute, LLC | Towson, MD | $504K |
| Shasta Eye Surgeons INC | Redding, CA | $166K |
| Eye Surgery Associates LLC | Hollywood, FL | $121K |
| Inland Eye Specialists a Medical Corp | Murrieta, CA | $80K |
| Inland Eye Specialists a Medical Corp | Murrieta, CA | $48K |
| Colorado Eye Center, LLC | Broomfield, CO | $31K |
| Inland Eye Specialists a Medical Corp | Hemet, CA | $30K |
| Delaware Eye Surgery Center, LLC | Rehoboth Beach, DE | $20K |
| Midwest Eye Center | Calumet City, IL | $13K |
| George B Neal MD PC | Bedford, NH | $7K |
| Inland Eye Specialists a Medical Corp | Fallbrook, CA | $3K |
| Inland Eye Specialists a Medical Corp | Temecula, CA | $2K |
| Mid Florida Eye Center PA | Mount Dora, FL | $922.29 |
| Katzen Medical Associates, PC | Parkton, MD | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.