Elaine Happ Od PA
Elaine Happ Od PA was paid $527K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 33% of everything it billed.
33Billing provider infoELAINE HAPP OD PA
MONTICELLO, MN 55362
MONTICELLO, MN 55362
33aNPI1033281597assigned 11/13/2006
33bProvider typeOptometrist
28Total paid$527K
24GClaims15,448
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Minnesota
Rank by total paid#39 of 296
Median peer was paid$57K
This provider vs. median9.2×
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 | 3,134 | $20K | |
| 2019 | 2,503 | $97K | |
| 2020 | 1,505 | $59K | |
| 2021 | 2,344 | $102K | |
| 2022 | 1,867 | $78K | |
| 2023 | 2,139 | $89K | |
| 2024incomplete | 1,956 | $82K |
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 | 33% | 2,172 | 2,124 | $175K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 14% | 892 | 869 | $74K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 12% | 1,900 | 1,832 | $62K |
| V2020 | Frames, purchases | 11% | 1,968 | 1,897 | $60K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 9.1% | 2,282 | 2,202 | $48K |
| 92015 | Determination of refractive state | 8.9% | 3,914 | 3,833 | $47K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 6.5% | 1,375 | 772 | $34K |
| 92060 | 3.1% | 419 | 412 | $16K | |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 1.7% | 473 | 259 | $9K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 12 | 12 | $818.73 |
| 92341 | 0% | 16 | 14 | $0.00 | |
| V2203 | Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 0% | 25 | 13 | $0.00 |
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 officialHAPP, ELAINE (BILLING ASSOC)