Distinctive Eyewear, LLC
Distinctive Eyewear, LLC was paid $13K by Medicaid between Feb 2018 and Sep 2022, across 1 billing code. Its largest line is 92340, Fitting of spectacles, except for aphakia; monofocal — 100% of everything it billed.
33Billing provider infoDISTINCTIVE EYEWEAR, LLC
MAPLE GROVE, MN 55369
MAPLE GROVE, MN 55369
33aNPI1043392632assigned 10/20/2006
33bProvider typeOptician
28Total paid$13K
24GClaims582
24DCodes billed1
24AFirst – last monthFeb 2018 – Sep 2022
Compared with peers
Next to other Optician providers in Minnesota
Rank by total paid#28 of 37
Median peer was paid$76K
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 | 90 | $497.58 | |
| 2019 | 96 | $3K | |
| 2020 | 46 | $1K | |
| 2021 | 207 | $5K | |
| 2022 | 143 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 100% | 582 | 567 | $13K |
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 officialPETTENGILL, KELLY (CREDENTIALING AND DATA MANAGEMENT)
| Provider | Location | Paid |
|---|---|---|
| Distinctive Eyewear, LLC | Golden Valley, MN | $2K |
| Distinctive Eyewear, LLC | St. Anthony, MN | $701.43 |
| Distinctive Eyewear, LLC | Minnetonka, MN | $602.16 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.