Manescalco, Kelsey
Manescalco, Kelsey was paid $984.01 by Medicaid between Aug 2019 and Aug 2019, across 3 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 67% of everything it billed.
33Billing provider infoMANESCALCO, KELSEY
OTSEGO, MN 55330
OTSEGO, MN 55330
33aNPI1003338211assigned 07/10/2017
33bProvider typePediatric Optometrist
28Total paid$984.01
24GClaims39
24DCodes billed3
24AFirst – last monthAug 2019 – Aug 2019
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 | 39 | $984.01 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 67% | 13 | 13 | $662.99 |
| V2020 | Frames, purchases | 25% | 12 | 12 | $246.60 |
| 92015 | Determination of refractive state | 7.6% | 14 | 14 | $74.42 |
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.