Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Vision Associates of Prospect PLLC

Vision Associates of Prospect PLLC was paid $658K by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 92015, Determination of refractive state — 32% of everything it billed.

33Billing provider infoVISION ASSOCIATES OF PROSPECT PLLC
PROSPECT, CT 06712
33aNPI1932420064assigned 06/11/2010
33bProvider typeOptometrist
28Total paid$658K
24GClaims22,483
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Connecticut

Rank by total paid#80 of 340
Median peer was paid$125K
This provider vs. median5.3×

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$10K$20K2018201920202021202220232024
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
20184,036$112K
20193,495$99K
20202,489$72K
20212,919$91K
20223,100$90K
20233,289$97K
2024incomplete3,155$97K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92015 Determination of refractive state 32% 7,374 6,266 $213K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 16% 2,826 2,406 $108K
V2020 Frames, purchases 12% 2,929 2,787 $82K
92012 Ophthalmological services: medical examination and evaluation, intermediate, established patient 7.1% 2,205 1,740 $47K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 5.3% 590 551 $35K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 4.5% 994 950 $30K
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 4.4% 678 607 $29K
S0580 Polycarbonate lens (list this code in addition to the basic code for the lens) 3.1% 730 708 $21K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 2.8% 654 640 $18K
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 2.6% 257 236 $17K
92341 2.4% 765 722 $16K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2.2% 885 517 $14K
8 more codes
92250 1.8% 520 $12K
92285 1.5% 650 $10K
92340 Fitting of spectacles, except for aphakia; monofocal <1% 177 $4K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward <1% 139 $2K
92083 <1% 60 $2K
92225 <1% 26 $247.60
0509T <1% 12 $53.13
V2784 Lens, polycarbonate or equal, any index, per lens 0% 12 $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 officialKLINE, LAWRENCE (OPTOMETRIST)