Southington Optometric Care, LLC
Southington Optometric Care, LLC was paid $128K by Medicaid between Jan 2018 and Oct 2024, across 9 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 46% of everything it billed.
33Billing provider infoSOUTHINGTON OPTOMETRIC CARE, LLC
SOUTHINGTON, CT 06489
SOUTHINGTON, CT 06489
33aNPI1972799260assigned 09/20/2007
33bProvider typeOptometrist
28Total paid$128K
24GClaims3,566
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Optometrist providers in Connecticut
Rank by total paid#170 of 340
Median peer was paid$125K
This provider vs. median1.0×
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 | 533 | $19K | |
| 2019 | 490 | $19K | |
| 2020 | 537 | $19K | |
| 2021 | 555 | $21K | |
| 2022 | 628 | $21K | |
| 2023 | 562 | $19K | |
| 2024incomplete | 261 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 46% | 1,306 | 1,235 | $59K |
| 92015 | Determination of refractive state | 41% | 1,574 | 1,437 | $53K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.4% | 232 | 203 | $6K |
| V2020 | Frames, purchases | 3.2% | 144 | 138 | $4K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 2.2% | 139 | 132 | $3K |
| 92083 | 1.1% | 64 | 44 | $1K | |
| 92133 | <1% | 59 | 40 | $841.03 | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 33 | 26 | $754.65 |
| 92020 | <1% | 15 | 12 | $156.75 |
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 officialTHERIAULT, HEATHER (MANAGER/MEMBER)