Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
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

$0$2.5K$5.0K$7.5K2018201920202021202220232024
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
YearClaimsPaid
2020233$9K
20211,130$41K
20221,389$49K
20231,174$36K
2024incomplete895$20K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)