Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Classic Optical INC.

Classic Optical INC. was paid $124K by Medicaid between Dec 2019 and Dec 2024, across 12 billing codes. Its largest line is V2020, Frames, purchases — 28% of everything it billed.

33Billing provider infoCLASSIC OPTICAL INC.
PHILADELPHIA, PA 19111
33aNPI1982942710assigned 01/29/2013
33bProvider typeOptometrist
28Total paid$124K
24GClaims5,631
24DCodes billed12
24AFirst – last monthDec 2019 – Dec 2024
Compared with peers

Next to other Optometrist providers in Pennsylvania

Rank by total paid#200 of 983
Median peer was paid$20K
This provider vs. median6.2×

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$5.0K$10K2018201920202021202220232024
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
201915$634.64
2020117$4K
2021718$19K
20221,241$30K
20231,746$37K
2024incomplete1,794$35K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
V2020 Frames, purchases 28% 891 589 $35K
92014 Ophthalmological services: medical examination and evaluation, comprehensive, established patient 24% 827 750 $30K
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 18% 505 486 $22K
V2760 Scratch resistant coating, per lens 10% 1,277 434 $13K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 8.8% 406 132 $11K
V2103 Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens 8.8% 400 126 $11K
92083 <1% 14 14 $721.35
92250 <1% 16 15 $638.04
V2784 Lens, polycarbonate or equal, any index, per lens <1% 553 165 $454.73
92015 Determination of refractive state <1% 715 693 $430.00
92020 <1% 15 15 $207.50
76514 <1% 12 12 $68.83

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 officialTAN, AYODALE (VICE PRESIDENT)