Vision Express
Vision Express was paid $31K by Medicaid between Oct 2022 and May 2023, across 5 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 89% of everything it billed.
33Billing provider infoVISION EXPRESS
PONTE VEDRA BEACH, FL 32082
PONTE VEDRA BEACH, FL 32082
33aNPI1952555427assigned 11/11/2008
33bProvider typeOptometrist
28Total paid$31K
24GClaims632
24DCodes billed5
24AFirst – last monthOct 2022 – May 2023
Compared with peers
Next to other Optometrist providers in Florida
Rank by total paid#430 of 941
Median peer was paid$21K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2022 | 148 | $8K | |
| 2023 | 484 | $23K |
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 | 89% | 118 | 116 | $27K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 4.1% | 13 | 13 | $1K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 3.7% | 134 | 82 | $1K |
| V2020 | Frames, purchases | 3.5% | 193 | 120 | $1K |
| 92015 | Determination of refractive state | 0% | 174 | 170 | $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 officialFALDEN, DAVID (MANAGER)