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    OpenPayerNPI Medicare & MedicaidClassic Optical Laboratories, Inc.
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    Classic Optical Laboratories, Inc. — Billing Profile & Reimbursement Data

    NPI 1962476259 · Youngstown, OH · Eyewear Supplier

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    Classic Optical Laboratories, Inc. is a eyewear supplier provider located in Youngstown, Ohio. This profile covers 0 Medicare and 65 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
    OrganizationClassic Optical Laboratories, Inc.
    Address3710 Belmont Ave
    CityYoungstown
    StateOH
    ZIP44505
    TaxonomyEyewear Supplier
    NPI EnumeratedFebruary 14, 2006

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

    Payer SourceTotal Paid
    Medicaid$147M
    Medicare$0

    Key Findings

    CLASSIC OPTICAL LABORATORIES, INC. operates clearly as a high-volume eyewear supplier: its top Medicaid revenue drivers are V2020 (Frames, purchases) at $43.1M, V2103 (Spherocylinder, single vision) at $30.2M, and V2784 (Polycarbonate lens) at $28.1M, reflecting a product mix focused on frames and a broad array of lenses rather than clinical or medical procedures. The code mix is consistent with a dispensing/retail supplier model that processes large quantities of standard and specialty lenses and frames.

    Revenue concentration is very high: the precomputed top-3 Medicaid codes by revenue account for 70.0% of this provider's total Medicaid revenue, out of a reported $147M in lifetime Medicaid revenue. That level of concentration means most of the provider’s Medicaid volume and revenue depends on a small set of eyewear product lines.

    This entity is effectively single-payer at scale: there is no Medicare billing on file, while Medicaid billing totals $147M, indicating a Medicaid-focused business footprint rather than a mixed Medicare/Medicaid operation. The NPI was enumerated on 2006-02-14 (~20 years ago), which signals long tenure in state Medicaid networks and ample time to build the large claim volumes observed.

    CLASSIC OPTICAL is a dominant statewide participant for many vision codes: it ranks #1 in-state and at the 100th percentile (often described as an extreme outlier, far above typical state volume) for flagship codes including V2020, V2103, and V2784. Those #1 rankings against hundreds of peers (e.g., #1 of 920 for V2020, #1 of 423 for V2103, #1 of 722 for V2784) indicate market-leading scale relative to other in-state suppliers.

    Beyond the top three, the provider shows repeated 100th-percentile outlier status across a wide range of lens and frame codes (examples include V2203, V2100, V2104, V2107, S0580 and V2744), which demonstrates both breadth and depth of dispensing capacity across lens types and enhancements. This pattern suggests the operation processes very large volumes across many SKU-like billing codes rather than a narrow set of custom or low-volume services.

    Claim-level pricing is uniformly low while claim counts are huge: for example, V2020 has 5.4M claims at $8 avg paid/claim, V2103 has 3.8M claims at $8 avg paid/claim, and V2784 has 4M claims at $7 avg paid/claim. That combination of low per-claim reimbursement and multi-million claim counts is consistent with a high-throughput, low-unit-margin supply model that depends on scale to generate substantial revenue.

    The provider’s revenue concentration and dominant in-state rankings create both opportunity and risk: dominance across many Medicaid eyewear codes can provide negotiating leverage or preferred status with plans, but it also exposes the business to outsized impact from any reimbursement changes, prior authorization tightening, or program policy shifts affecting frames and lenses. Analysts should flag the top-3 dependence (70.0% of Medicaid revenue) when modeling downside scenarios tied to code-specific rate adjustments.

    Operational capabilities appear to include handling of specialty and higher-cost lens items in addition to commodity lenses and frames — for example, the provider ranks #1 for S0580 (Polycarbonate lens supplement) and V2750 (Anti-reflective coating), and it also appears as the top or sole provider for some higher-complexity codes (V2106 ranks #1 of 2 providers and is described as typical, unremarkable volume for that code). This mix points to a seller that supports both mass-market dispensing and a portfolio of value-added lens options.

    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.

    65 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    V2020Frames, purchases5,390,120$10$43.1M
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens3,780,710$10$30.2M
    V2784Lens, polycarbonate or equal, any index, per lens4,013,460$10$28.1M
    V2203Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens1,054,310$10$10.5M
    V2100Sphere, single vision, plano to plus or minus 4.00, per lens1,439,850$10$8.6M
    V2104Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens576,920$10$4.6M
    V2107Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens393,210$10$3.1M
    V2200Sphere, bifocal, plano to plus or minus 4.00d, per lens317,390$10$2.5M
    V2106Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens86,390$20$1.6M
    S0580Polycarbonate lens (list this code in addition to the basic code for the lens)80,240$20$1.5M

    Showing 1–10 of 65

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    65 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    V2106Spherocylinder, single vision, plano to plus or minus 4.00d sphere, over 6.00d cylinder, per lens11043,450$20$799.2K
    V2105Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens110200$10$132.3K
    V2204Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens110710$10$107.1K
    V2207Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens110570$10$104.3K
    V2103Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens1420360$10$102.3K
    V2108Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens110170$10$93.5K
    V2020Frames, purchases1920580$10$92K
    V2205Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens11014,540$10$84.7K
    V2715Prism, per lens1101,320$10$81.5K
    V2199Not otherwise classified, single vision lens110950$90$81K

    Showing 1–10 of 65

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Classic Optical Laboratories, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Brittany SchauerNDOptometrist$40.3K$0

    Nearby Providers

    Other providers in the same ZIP code as Classic Optical Laboratories, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Psy-care IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$25.1M
    Quick Med Urgent Care LLCOHUrgent Care Clinic/Center$0$21.8M
    Bhc Belmont Pines Hospital, IncOHPsychiatric Hospital$0$16.1M
    Ohio North East Health Systems IncOHFederally Qualified Health Center (FQHC)$0$11M
    Generations Behavioral Health Clinic, LLCOHMental Health Clinic/Center (Including Community Mental Health Center)$0$9.5M
    Pinnacle Treatment Centers Oh-viii, LLCOHMethadone Clinic$83.9K$8M
    Magdy IskanderOHRheumatology Physician$327.3K$0
    Mita RahejaOHClinical Cardiac Electrophysiology Physician$178.1K$0
    Asif KhanOHAllergy Physician$126.3K$5.4K
    Morgan DannhauserOHSpeech-Language Pathologist$68.7K$0

    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. Ohio Providers
    7 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Classic Optical Laboratories, Inc. — 25 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio