Westerly Eye Care, LLC
Westerly Eye Care, LLC was paid $10K by Medicaid between Jan 2019 and Dec 2021, across 6 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 30% of everything it billed.
33Billing provider infoWESTERLY EYE CARE, LLC
WESTERLY, RI 02891
WESTERLY, RI 02891
33aNPI1992253827assigned 09/20/2016
33bProvider typeOptometrist
28Total paid$10K
24GClaims293
24DCodes billed6
24AFirst – last monthJan 2019 – Dec 2021
Compared with peers
Next to other Optometrist providers in Rhode Island
Rank by total paid#135 of 209
Median peer was paid$24K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2019 | 220 | $7K | |
| 2020 | 60 | $2K | |
| 2021 | 13 | $422.95 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 30% | 69 | 55 | $3K |
| 92015 | Determination of refractive state | 30% | 106 | 98 | $3K |
| 92250 | 24% | 73 | 64 | $2K | |
| V2112 | Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens | 9.3% | 14 | 14 | $888.68 |
| V2020 | Frames, purchases | 3.9% | 17 | 15 | $371.28 |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 3.0% | 14 | 14 | $286.02 |
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 officialDIMOVA, KRISTINA (OPTOMETRIST)