Icare Health Solutions LLC

Icare Health Solutions LLC was paid $80.24M by Medicaid between Oct 2018 and Dec 2024, across 103 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 24% of everything it billed.

33Billing provider infoICARE HEALTH SOLUTIONS LLC
MIAMI, FL 33122

33aNPI1942644661assigned 04/24/2013

33bProvider typeExclusive Provider Organization

28Total paid$80.24M

24GClaims2,160,935

24DCodes billed103

24AFirst – last monthOct 2018 – Dec 2024

Compared with peers

Next to other Exclusive Provider Organization providers in Florida

Rank by total paid#1 of 16

Median peer was paid$18K

This provider vs. median4,530×

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	4,076	$145K
2019	105,523	$3.63M
2020	82,351	$3.85M
2021	300,370	$13.64M
2022	610,338	$22.99M
2023	639,547	$20.90M
2024incomplete	418,730	$15.09M

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	24%	275,804	245,968	$19.26M
92014	Ophthalmological services: medical examination and evaluation, comprehensive, established patient	21%	316,679	277,653	$16.61M
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	19%	296,473	246,941	$14.86M
V2025	Deluxe frame	13%	217,274	185,480	$10.11M
V2020	Frames, purchases	11%	271,730	235,278	$8.57M
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	2.4%	25,900	23,582	$1.93M
V2799	Vision item or service, miscellaneous	2.2%	86,882	52,309	$1.74M
92012	Ophthalmological services: medical examination and evaluation, intermediate, established patient	1.9%	24,486	20,625	$1.51M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	1.2%	55,379	42,072	$936K
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	1.2%	7,306	6,504	$929K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	<1%	7,822	6,697	$384K
V2784	Lens, polycarbonate or equal, any index, per lens	<1%	65,911	56,174	$371K

91 more codes

92015	Determination of refractive state	<1%	264,978	$307K
92060		<1%	14,749	$277K
99213	Doctor's office visit, returning patient (routine)	<1%	5,822	$264K
99214	Doctor's office visit, returning patient (more involved)	<1%	3,814	$252K
92340	Fitting of spectacles, except for aphakia; monofocal	<1%	69,175	$168K
67028	Intravitreal injection of a pharmacologic agent	<1%	1,950	$155K
99244	Office or other outpatient consultation, moderate to high complexity	<1%	594	$113K
92250		<1%	18,364	$110K
92083		<1%	5,971	$108K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	1,512	$86K
99243		<1%	619	$81K
92134		<1%	7,678	$81K
92283		<1%	7,474	$79K
92273		<1%	729	$77K
76512		<1%	5,801	$74K
99203	Doctor's office visit, new patient (routine)	<1%	558	$59K
V2599	Contact lens, other type	<1%	594	$54K
92341		<1%	9,906	$49K
92235		<1%	720	$49K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	620	$47K
S0516	Safety eyeglass frames	<1%	280	$47K
V2750	Anti-reflective coating, per lens	<1%	24,461	$44K
99233	Hospital visit by a doctor, follow-up day (complex)	<1%	290	$44K
66984	Extracapsular cataract removal with insertion of intraocular lens prosthesis	<1%	150	$41K
V2781	Progressive lens, per lens	<1%	234	$39K
92100		<1%	412	$36K
92133		<1%	3,722	$27K
92285		<1%	8,033	$27K
V2744	Tint, photochromatic, per lens	<1%	998	$26K
99232	Hospital visit by a doctor, follow-up day	<1%	336	$18K
92025		<1%	2,567	$16K
92286		<1%	3,092	$15K
V2520	Contact lens, hydrophilic, spherical, per lens	<1%	233	$14K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	2,234	$12K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	<1%	314	$10K
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	<1%	54	$9K
92201		<1%	3,350	$8K
92310		<1%	3,094	$8K
V2502	Contact lens, pmma, bifocal, per lens	<1%	172	$8K
92136		<1%	165	$8K
92228		<1%	2,233	$7K
92002		<1%	35	$6K
V2300	Sphere, trifocal, plano to plus or minus 4.00d, per lens	<1%	69	$6K
66761		<1%	34	$6K
92227		<1%	1,193	$5K
J9035	Injection, bevacizumab, 10 mg	<1%	96	$5K
S0595	Dispensing new spectacle lenses for patient supplied frame	<1%	758	$4K
76514		<1%	2,694	$4K
92342		<1%	300	$4K
99212	Office or other outpatient visit for the evaluation and management of an established patient, straightforward	<1%	138	$3K
V2755	U-v lens, per lens	<1%	2,398	$3K
V2521	Contact lens, hydrophilic, toric, or prism ballast, per lens	<1%	44	$3K
99223	Prolong inpt eval add15 m	<1%	13	$3K
2022F		<1%	2,122	$2K
92020		<1%	1,237	$2K
92202		<1%	1,101	$2K
V2522	Contact lens, hydrophilic, bifocal, per lens	<1%	45	$2K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	20	$2K
J3490	Unclassified drugs	<1%	205	$2K
G0117	Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist	<1%	57	$1K
V2762	Polarization, any lens material, per lens	<1%	30	$1K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	468	$1K
76519		<1%	47	$671.70
V2760	Scratch resistant coating, per lens	<1%	1,282	$610.00
1036F		<1%	281	$164.98
99205	Prolong outpt/office vis	<1%	12	$156.42
4040F		<1%	624	$126.28
92226		<1%	385	$36.26
1159F		<1%	569	$35.00
G8428	Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given	<1%	107	$22.76
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	<1%	833	$8.47
1000F		<1%	921	$7.70
5010F		<1%	2,129	$4.62
2020F		<1%	2,861	$4.62
99024		<1%	1,582	$2.31
2023F		<1%	272	$1.54
1160F		0%	569	$0.00
G8482	Influenza immunization administered or previously received	0%	702	$0.00
92225		0%	422	$0.00
99072		0%	728	$0.00
G8785	Blood pressure reading not documented, reason not given	0%	84	$0.00
G9905	Patient not screened for tobacco use	0%	40	$0.00
2025F		0%	12	$0.00
G8397	Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy	0%	2,414	$0.00
G9903	Patient screened for tobacco use and identified as a tobacco non-user	0%	934	$0.00
1157F		0%	63	$0.00
J7999	Compounded drug, not otherwise classified	0%	96	$0.00
G9902	Patient screened for tobacco use and identified as a tobacco user	0%	33	$0.00
3072F		0%	107	$0.00
G9908	Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)	0%	47	$0.00
V2783	Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens	0%	24	$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 officialSTERN, SIDNEY (MANAGER)