Prevmed, INC
Prevmed, INC was paid $460K by Medicaid between Jan 2018 and May 2022, across 15 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 30% of everything it billed.
33Billing provider infoPREVMED, INC
GREENWOOD, IN 46143
GREENWOOD, IN 46143
33aNPI1932574142assigned 12/14/2015
33bProvider typeOptometrist
28Total paid$460K
24GClaims17,316
24DCodes billed15
24AFirst – last monthJan 2018 – May 2022
Compared with peers
Next to other Optometrist providers in Indiana
Rank by total paid#119 of 743
Median peer was paid$22K
This provider vs. median21×
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 | 3,648 | $130K | |
| 2019 | 5,318 | $101K | |
| 2020 | 2,622 | $44K | |
| 2021 | 4,251 | $112K | |
| 2022 | 1,477 | $74K |
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 | 30% | 3,545 | 2,682 | $136K |
| V5060 | Hearing aid, monaural, behind the ear | 19% | 211 | 197 | $86K |
| 92015 | Determination of refractive state | 10% | 5,350 | 3,380 | $46K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 9.2% | 1,093 | 828 | $43K |
| V5241 | Dispensing fee, monaural hearing aid, any type | 8.3% | 215 | 200 | $38K |
| 92553 | 7.1% | 1,395 | 1,381 | $32K | |
| V2020 | Frames, purchases | 5.9% | 1,913 | 1,445 | $27K |
| 92557 | 3.7% | 1,835 | 1,380 | $17K | |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 2.6% | 1,001 | 744 | $12K |
| 92002 | 1.4% | 204 | 147 | $6K | |
| V5257 | Hearing aid, digital, monaural, bte | 1.3% | 17 | 15 | $6K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 1.2% | 328 | 265 | $6K |
3 more codes
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 officialJACKSON, CLAUDIA (VICE PRESIDENT OF FINANCE)
| Provider | Location | Paid |
|---|---|---|
| Prevmed Health Services of Ohio INC | Westerville, OH | $18K |
| Prevmed Podiatry Group, PC | Greenwood, IN | $9K |
| Prevmed Optometry Group, PA | Key West, FL | $17.74 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.