Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Sun City Vision Clinic Optometry

Sun City Vision Clinic Optometry was paid $688K by Medicaid between May 2018 and Nov 2024, across 13 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 21% of everything it billed.

33Billing provider infoSUN CITY VISION CLINIC OPTOMETRY
SUN CITY, CA 92586
33aNPI1952774788assigned 11/02/2015
33bProvider typeOptometrist
28Total paid$688K
24GClaims28,771
24DCodes billed13
24AFirst – last monthMay 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in California

Rank by total paid#107 of 1,899
Median peer was paid$23K
This provider vs. median30×

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
20181,516$33K
20193,751$88K
20204,580$110K
20215,867$142K
20225,717$140K
20233,229$76K
2024incomplete4,111$99K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 21% 4,124 4,071 $147K
92250 15% 2,645 2,625 $103K
V2020 Frames, purchases 15% 4,929 4,852 $102K
92340 Fitting of spectacles, except for aphakia; monofocal 13% 4,212 4,144 $91K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 12% 2,136 2,131 $81K
92015 Determination of refractive state 7.5% 6,512 6,434 $51K
V2750 Anti-reflective coating, per lens 6.1% 1,399 1,390 $42K
92341 4.3% 936 929 $29K
V2744 Tint, photochromatic, per lens 2.8% 570 568 $19K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1.5% 431 408 $10K
V2784 Lens, polycarbonate or equal, any index, per lens <1% 704 701 $6K
92225 <1% 128 65 $4K
1 more codes
99214 Doctor's office visit, returning patient (more involved) <1% 45 $2K

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 officialSHAW-MCMINN, LYSLE (OWNER/OPTOMETRIST)