Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Hudsonville Vision Care INC

Hudsonville Vision Care INC was paid $19K by Medicaid between Jul 2018 and Nov 2024, across 11 billing codes. Its largest line is V2020, Frames, purchases — 33% of everything it billed.

33Billing provider infoHUDSONVILLE VISION CARE INC
HUDSONVILLE, MI 49426
33aNPI1972695617assigned 09/29/2006
33bProvider typeOptometrist
28Total paid$19K
24GClaims1,036
24DCodes billed11
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers

Next to other Optometrist providers in Michigan

Rank by total paid#257 of 497
Median peer was paid$21K
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

$0$1.0K$2.0K2018201920202021202220232024
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
201861$1K
2019110$3K
202057$1K
2021157$2K
2022244$5K
2023245$4K
2024incomplete162$2K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 33% 214 212 $6K
92340 Fitting of spectacles, except for aphakia; monofocal 23% 220 220 $4K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 20% 75 73 $4K
S0621 Routine ophthalmological examination including refraction; established patient 11% 42 42 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8.3% 66 65 $2K
V2784 Lens, polycarbonate or equal, any index, per lens 3.5% 112 111 $672.00
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 1.4% 25 15 $266.02
92015 Determination of refractive state <1% 142 140 $87.90
1036F 0% 114 114 $0.00
G9903 Patient screened for tobacco use and identified as a tobacco non-user 0% 12 12 $0.00
G8785 Blood pressure reading not documented, reason not given 0% 14 14 $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 officialWUSTMAN, STACEY (CO-OWNER)