Experience Your Eye Specialist, PLC
Experience Your Eye Specialist, PLC was paid $381K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 27% of everything it billed.
33Billing provider infoEXPERIENCE YOUR EYE SPECIALIST, PLC
BAY CITY, MI 48706
BAY CITY, MI 48706
33aNPI1982688412assigned 11/29/2005
33bProvider typeOptometrist
28Total paid$381K
24GClaims12,860
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Michigan
Rank by total paid#62 of 497
Median peer was paid$21K
This provider vs. median18×
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 | 1,030 | $28K | |
| 2019 | 1,686 | $46K | |
| 2020 | 1,772 | $51K | |
| 2021 | 2,332 | $69K | |
| 2022 | 2,147 | $64K | |
| 2023 | 2,186 | $65K | |
| 2024incomplete | 1,707 | $57K |
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 | 27% | 1,324 | 1,314 | $102K |
| V2020 | Frames, purchases | 23% | 2,892 | 2,859 | $89K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 20% | 1,268 | 1,256 | $78K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 12% | 2,246 | 2,220 | $45K |
| 92015 | Determination of refractive state | 8.7% | 2,960 | 2,927 | $33K |
| 92341 | 4.3% | 756 | 753 | $16K | |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 3.0% | 1,035 | 1,002 | $11K |
| S0620 | Routine ophthalmological examination including refraction; new patient | <1% | 80 | 80 | $4K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | <1% | 263 | 252 | $2K |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 36 | 36 | $475.44 |
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 officialNORFLEET, JANEL (OPTOMETRIST OWNER)
Parent organizationEXPERIENCE YOUR EYE SPECIALIST, PLC