Tri State Optical, INC.

Tri State Optical, INC. was paid $1.16M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is V2020, Frames, purchases — 55% of everything it billed.

33Billing provider infoTRI STATE OPTICAL, INC.
COLDWATER, MI 49036

33aNPI1942357652assigned 01/04/2007

33bProvider typeEyewear Supplier

28Total paid$1.16M

24GClaims80,753

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Michigan

Rank by total paid#4 of 92

Median peer was paid$13K

This provider vs. median89×

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	18,223	$247K
2019	15,333	$202K
2020	11,621	$162K
2021	14,331	$207K
2022	11,299	$178K
2023	5,333	$89K
2024incomplete	4,613	$80K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2020	Frames, purchases	55%	20,675	20,506	$642K
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	21%	29,122	17,498	$250K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	7.9%	10,510	6,174	$92K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	5.5%	9,171	6,403	$64K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	3.5%	4,022	2,843	$41K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	2.6%	3,031	2,031	$30K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	1.4%	1,913	1,464	$16K
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	1.3%	1,060	610	$15K
S0620	Routine ophthalmological examination including refraction; new patient	<1%	66	66	$3K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	282	218	$3K
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%	272	199	$3K
V2204	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	262	189	$3K

6 more codes

V2207	Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens	<1%	87	$844.25
V2111	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens	<1%	66	$762.69
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	30	$606.30
V2715	Prism, per lens	<1%	124	$350.70
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	43	$344.11
V2300	Sphere, trifocal, plano to plus or minus 4.00d, per lens	<1%	17	$181.39

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 officialCASEY, DANIEL (GENERAL MANAGER)