Premier Eye Care of Florida LLC

Premier Eye Care of Florida LLC was paid $53.56M by Medicaid between Jan 2018 and Dec 2024, across 103 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 42% of everything it billed.

33Billing provider infoPREMIER EYE CARE OF FLORIDA LLC
CORAL GABLES, FL 33146

33aNPI1932363934assigned 07/18/2008

33bProvider typeExclusive Provider Organization

28Total paid$53.56M

24GClaims1,646,187

24DCodes billed103

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Exclusive Provider Organization providers in Florida

Rank by total paid#2 of 16

Median peer was paid$18K

This provider vs. median3,024×

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	5,000	$98K
2019	565,215	$20.31M
2020	530,487	$18.95M
2021	431,319	$11.32M
2022	55,208	$2.04M
2023	37,320	$512K
2024incomplete	21,638	$331K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	42%	273,056	267,734	$22.23M
92004	Ophthalmological services: medical examination and evaluation, comprehensive, new patient	29%	176,921	173,102	$15.62M
V2020	Frames, purchases	13%	357,284	352,030	$7.02M
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	3.3%	29,762	26,721	$1.78M
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	1.9%	10,035	9,219	$1.03M
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	1.7%	6,098	5,664	$891K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1.4%	215,479	182,459	$771K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	1.4%	9,628	8,882	$766K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	1.1%	116,416	106,565	$567K
92015	Determination of refractive state	<1%	233,865	229,039	$501K
67028	Intravitreal injection of a pharmacologic agent	<1%	1,435	1,146	$414K
G0467	Community health center visit, returning patientFederally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit	<1%	1,366	1,246	$237K

91 more codes

99233	Hospital visit by a doctor, follow-up day (complex)	<1%	1,115	$187K
92134		<1%	7,796	$143K
92250		<1%	7,957	$140K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	566	$131K
99203	Doctor's office visit, new patient (routine)	<1%	989	$117K
V2025	Deluxe frame	<1%	2,288	$110K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	69,257	$101K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	16,727	$80K
92060		<1%	27,230	$78K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	12,521	$75K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	85	$73K
92083		<1%	3,932	$64K
99205	Prolong outpt/office vis	<1%	464	$56K
92273		<1%	589	$35K
92235		<1%	501	$34K
99254		<1%	109	$32K
J0178	Injection, aflibercept, 1 mg	<1%	36	$29K
68761		<1%	1,039	$27K
99223	Prolong inpt eval add15 m	<1%	91	$23K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	5,326	$17K
92133		<1%	2,738	$16K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	2,629	$14K
S0516	Safety eyeglass frames	<1%	923	$12K
92341		<1%	526	$12K
92226		<1%	4,040	$11K
99072		<1%	76	$10K
V2523	Contact lens, hydrophilic, extended wear, per lens	<1%	323	$9K
92201		<1%	1,982	$8K
92202		<1%	3,555	$7K
66821		<1%	38	$6K
00142		<1%	55	$6K
V2750	Anti-reflective coating, per lens	<1%	8,515	$6K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	1,059	$5K
2022F		<1%	6,717	$5K
99243		<1%	29	$5K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	1,714	$5K
99215	Doctor's office visit, returning patient (complex)	<1%	88	$4K
99232	Hospital visit by a doctor, follow-up day	<1%	77	$3K
G0466	Community health center visit, new patient	<1%	81	$3K
95930		<1%	277	$3K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	261	$2K
V2744	Tint, photochromatic, per lens	<1%	414	$2K
92285		<1%	455	$2K
1036F		<1%	2,347	$2K
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	2,924	$2K
V2520	Contact lens, hydrophilic, spherical, per lens	<1%	170	$1K
76512		<1%	148	$1K
2023F		<1%	118	$975.96
92310		<1%	380	$913.78
V2756	Eye glass case	<1%	1,757	$814.34
V2108	Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	206	$684.62
G8398	Dilated macular or fundus exam not performed	<1%	664	$661.22
99221		<1%	12	$506.64
92002		<1%	15	$480.63
92082		<1%	34	$467.32
76514		<1%	196	$423.54
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	<1%	859	$393.68
92225		<1%	1,447	$376.72
V2300	Sphere, trifocal, plano to plus or minus 4.00d, per lens	<1%	42	$355.68
G9905	Patient not screened for tobacco use	<1%	603	$304.45
J7999	Compounded drug, not otherwise classified	<1%	229	$214.04
G9903	Patient screened for tobacco use and identified as a tobacco non-user	<1%	1,452	$190.22
V2760	Scratch resistant coating, per lens	<1%	911	$181.51
92136		<1%	18	$180.60
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	216	$162.00
92227		<1%	43	$143.59
83861		<1%	50	$142.34
G8785	Blood pressure reading not documented, reason not given	<1%	218	$96.08
S9986	Not medically necessary service (patient is aware that service not medically necessary)	<1%	758	$75.33
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	121	$63.24
G2104	Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed	<1%	122	$42.16
S9999	Sales tax	<1%	70	$37.09
76519		<1%	12	$22.41
99024		<1%	16	$13.53
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	<1%	42	$2.68
V2755	U-v lens, per lens	<1%	668	$1.34
3072F		<1%	47	$1.08
92020		<1%	301	$1.08
5010F		<1%	631	$0.01
V2799	Vision item or service, miscellaneous	0%	118	$0.00
V2782	Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens	0%	1,473	$0.00
V2781	Progressive lens, per lens	0%	41	$0.00
2020F		0%	36	$0.00
V2109	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens	0%	18	$0.00
V2308	Spherocylinder, trifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens	0%	13	$0.00
2027F		0%	12	$0.00
2021F		0%	13	$0.00
G8907	Patient documented not to have experienced any of the following events: a burn prior to discharge; a fall within the facility; wrong site/side/patient/procedure/implant event; or a hospital transfer or hospital admission upon discharge from the facility	0%	17	$0.00
V2106	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens	0%	34	$0.00
4040F		0%	13	$0.00
G8918	Patient without preoperative order for iv antibiotic surgical site infection (ssi) prophylaxis	0%	17	$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 officialPANOS, JASON (COO)