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    OpenPayerNPI Medicare & MedicaidBlondin Shea Eye Care LLC
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    Blondin Shea Eye Care LLC — Billing Profile & Reimbursement Data

    NPI 1225500663 · Torrington, CT · Optometrist

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    Blondin Shea Eye Care LLC is a optometrist provider located in Torrington, Connecticut. This profile covers 0 Medicare and 23 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBlondin Shea Eye Care LLC
    Address379 Prospect St
    CityTorrington
    StateCT
    ZIP06790
    TaxonomyOptometrist
    NPI EnumeratedDecember 26, 2018

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    23 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.17,790$30$604.7K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…12,070$50$591.4K
    V2020Frames, purchases15,010$30$435.3K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal13,420$20$281.8K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens9,320$30$279.7K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.4,330$60$272.7K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)8,850$30$256.6K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…1,910$30$59.1K
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens2,230$30$55.6K
    V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens1,410$20$33.9K

    Showing 1–10 of 23

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Connecticut providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Connecticut median

    23 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…1,1651,590740$50$331.8K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…5881,710750$30$243.3K
    92015The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.144401,200$30$118.2K
    92014An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…18410700$40$99.1K
    V2020Frames, purchases143201,070$30$85.5K
    92004The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.25350460$60$80.2K
    92340Code 92340 describes the fitting of eyeglasses, except for aphakia (absence of the crystalline lens as after cataract surgery); monofocal122701,010$20$59.7K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens14250800$30$58.1K
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)8210770$30$58K
    92250Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…169240320$30$42.7K

    Showing 1–10 of 23

    Nearby Providers

    Other providers in the same ZIP code as Blondin Shea Eye Care LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Charlotte Hungerford HospitalCTGeneral Acute Care Hospital$0$89.4M
    Mccall Foundation, Inc.CTMental Health Clinic/Center (Including Community Mental Health Center)$0$19.8M
    Community Health And Wellness Center Of Greater Torrington IncCTPrimary Care Clinic/Center$0$13.2M
    Neighborhood Health, Inc.CTGeneral Practice Physician$0$9.8M
    Community Health & Wellness Center Of Greater TorringtonCTFederally Qualified Health Center (FQHC)$0$7.4M
    Northwest Hills Pediatrics PCCTPediatric Adolescent Medicine Physician$0$5.7M
    The Maria Seymour Brooker Memorial, Inc.CTPediatric Dentistry$0$4.6M
    Icare Dental LLCCTGeneral Practice Dentistry$0$3.9M
    Mccall Foundation, Inc.CTSubstance Abuse Rehabilitation Facility$0$3.9M
    Synergy Advanced Healthcare LLCCTPrimary Care Nurse Practitioner$0$3.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 6 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    Blondin Shea Eye Care LLC — 5 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut