Managed care
Eyeglass Center LLC
Eyeglass Center LLC was paid $98K by Medicaid between Feb 2018 and Nov 2024, across 10 billing codes. Its largest line is 92004, Ophthalmological services: medical examination and evaluation, comprehensive, new patient — 45% of everything it billed.
33Billing provider infoEYEGLASS CENTER LLC
SAINT ROBERT, MO 65584
SAINT ROBERT, MO 65584
33aNPI1992944979assigned 02/13/2009
33bProvider typeHealth Maintenance Organization
28Total paid$98K
24GClaims3,617
24DCodes billed10
24AFirst – last monthFeb 2018 – Nov 2024
Compared with peers
Next to other Health Maintenance Organization providers in Missouri
Rank by total paid#10 of 12
Median peer was paid$436K
This provider vs. median0.2×
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
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 | 124 | $2K | |
| 2019 | 189 | $2K | |
| 2020 | 145 | $2K | |
| 2021 | 706 | $13K | |
| 2022 | 1,018 | $31K | |
| 2023 | 902 | $36K | |
| 2024incomplete | 533 | $11K |
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 | 45% | 514 | 511 | $44K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 35% | 502 | 494 | $34K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.1% | 872 | 872 | $7K |
| 92015 | Determination of refractive state | 6.7% | 1,366 | 1,354 | $6K |
| V2020 | Frames, purchases | 3.1% | 176 | 162 | $3K |
| 92100 | 1.3% | 80 | 76 | $1K | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | <1% | 20 | 12 | $574.14 |
| 92250 | <1% | 42 | 40 | $538.15 | |
| V2219 | Bifocal seg width over 28 mm | <1% | 33 | 16 | $532.00 |
| 92225 | <1% | 12 | 12 | $126.08 |
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 officialSUTTON, NANCY (FRONT OFFICE MANAGER)