Presque Isle Optique LLC
Presque Isle Optique LLC was paid $155K by Medicaid between Oct 2020 and Oct 2024, across 10 billing codes. Its largest line is V2100, Sphere, single vision, plano to plus or minus 4.00, per lens — 37% of everything it billed.
33Billing provider infoPRESQUE ISLE OPTIQUE LLC
ERIE, PA 16501
ERIE, PA 16501
33aNPI1104103456assigned 11/14/2011
33bProvider typeTechnician/Technologist
28Total paid$155K
24GClaims4,821
24DCodes billed10
24AFirst – last monthOct 2020 – Oct 2024
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 | |
|---|---|---|---|
| 2020 | 233 | $9K | |
| 2021 | 1,130 | $41K | |
| 2022 | 1,389 | $49K | |
| 2023 | 1,174 | $36K | |
| 2024incomplete | 895 | $20K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 37% | 1,529 | 860 | $58K |
| V2020 | Frames, purchases | 25% | 1,144 | 1,033 | $39K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 20% | 755 | 735 | $31K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 8.2% | 316 | 310 | $13K |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | 6.1% | 237 | 236 | $9K |
| V2025 | Deluxe frame | 1.2% | 155 | 150 | $2K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | <1% | 398 | 168 | $1K |
| V2523 | Contact lens, hydrophilic, extended wear, per lens | <1% | 12 | 12 | $986.00 |
| V2200 | Sphere, bifocal, plano to plus or minus 4.00d, per lens | <1% | 17 | 13 | $981.33 |
| 92015 | Determination of refractive state | <1% | 258 | 245 | $60.00 |
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 officialSTEFANIC, GERALD (OPTICIAN/OWNER)