Supplier
Formica Optical INC.
Formica Optical INC. was paid $167K by Medicaid between Dec 2020 and Dec 2024, across 8 billing codes. Its largest line is V2020, Frames, purchases — 84% of everything it billed.
33Billing provider infoFORMICA OPTICAL INC.
JOHNSTOWN, PA 15905
JOHNSTOWN, PA 15905
33aNPI1972592277assigned 10/19/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$167K
24GClaims2,994
24DCodes billed8
24AFirst – last monthDec 2020 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Pennsylvania
Rank by total paid#143 of 279
Median peer was paid$181K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2020 | 26 | $1K | |
| 2021 | 557 | $26K | |
| 2022 | 868 | $50K | |
| 2023 | 832 | $53K | |
| 2024incomplete | 711 | $37K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2020 | Frames, purchases | 84% | 1,576 | 1,178 | $140K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 5.5% | 777 | 583 | $9K |
| S0620 | Routine ophthalmological examination including refraction; new patient | 3.7% | 208 | 207 | $6K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 3.2% | 121 | 120 | $5K |
| V2500 | Contact lens, pmma, spherical, per lens | 2.5% | 64 | 38 | $4K |
| 92015 | Determination of refractive state | <1% | 221 | 220 | $994.50 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 12 | 12 | $874.21 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | <1% | 15 | 15 | $150.00 |
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 officialFORMICA, CHARLES (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Formica Optical | Somerset, PA | $206K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.