Francis L Pinard Od PC
Francis L Pinard Od PC was paid $1.60M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is 92014, Ophthalmological services: medical examination and evaluation, comprehensive, established patient — 31% of everything it billed.
33Billing provider infoFRANCIS L PINARD OD PC
NEWPORT, VT 05855
NEWPORT, VT 05855
33aNPI1053589374assigned 02/20/2008
33bProvider typeOptometrist
28Total paid$1.60M
24GClaims75,567
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Optometrist providers in Vermont
Rank by total paid#2 of 55
Median peer was paid$39K
This provider vs. median41×
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 | 12,565 | $272K | |
| 2019 | 14,046 | $306K | |
| 2020 | 11,556 | $233K | |
| 2021 | 13,132 | $268K | |
| 2022 | 8,189 | $158K | |
| 2023 | 8,472 | $188K | |
| 2024incomplete | 7,607 | $180K |
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 | 31% | 5,636 | 5,456 | $492K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 24% | 3,565 | 3,393 | $387K |
| 92015 | Determination of refractive state | 13% | 14,762 | 14,199 | $213K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 13% | 3,019 | 2,918 | $204K |
| 92340 | Fitting of spectacles, except for aphakia; monofocal | 7.6% | 4,328 | 4,143 | $122K |
| 92250 | 4.3% | 2,735 | 2,629 | $69K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.4% | 969 | 882 | $55K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 3.4% | 622 | 589 | $55K |
| 92083 | <1% | 211 | 195 | $7K | |
| 92133 | <1% | 31 | 30 | $675.09 | |
| 1036F | <1% | 10,416 | 10,061 | $6.80 | |
| G8952 | Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given | 0% | 2,056 | 2,009 | $0.00 |
16 more codes
| G9903 | Patient screened for tobacco use and identified as a tobacco non-user | 0% | 6,993 | $0.00 |
| G9902 | Patient screened for tobacco use and identified as a tobacco user | 0% | 302 | $0.00 |
| G9906 | Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | 0% | 71 | $0.00 |
| G8397 | Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy | 0% | 30 | $0.00 |
| G8950 | Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented | 0% | 27 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 10,271 | $0.00 |
| G9905 | Patient not screened for tobacco use | 0% | 6,555 | $0.00 |
| G8783 | Normal blood pressure reading documented, follow-up not required | 0% | 1,104 | $0.00 |
| 4004F | 0% | 313 | $0.00 | |
| G9744 | Patient not eligible due to active diagnosis of hypertension | 0% | 396 | $0.00 |
| G8785 | Blood pressure reading not documented, reason not given | 0% | 997 | $0.00 |
| 2026F | 0% | 29 | $0.00 | |
| 5010F | 0% | 29 | $0.00 | |
| G0030 | Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling, pharmacotherapy, or both), if identified as a tobacco user | 0% | 13 | $0.00 |
| 2022F | 0% | 40 | $0.00 | |
| G2104 | Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed | 0% | 47 | $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 officialPINARD, FRANCIS (PRESIDENT)