Pinnacle Optical, LLC

Pinnacle Optical, LLC was paid $7.07M by Medicaid between Sep 2018 and Dec 2024, across 24 billing codes. Its largest line is V2784, Lens, polycarbonate or equal, any index, per lens — 22% of everything it billed.

33Billing provider infoPINNACLE OPTICAL, LLC
IRONDALE, AL 35210

33aNPI1174011209assigned 04/24/2018

33bProvider typeEyewear Supplier

28Total paid$7.07M

24GClaims402,324

24DCodes billed24

24AFirst – last monthSep 2018 – Dec 2024

Compared with peers

Next to other Eyewear Supplier providers in Alabama

Rank by total paid#1 of 38

Median peer was paid$58K

This provider vs. median122×

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	8,811	$109K
2019	40,347	$508K
2020	42,061	$515K
2021	62,059	$792K
2022	85,439	$1.70M
2023	97,145	$2.09M
2024incomplete	66,462	$1.35M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
V2784	Lens, polycarbonate or equal, any index, per lens	22%	122,699	114,478	$1.56M
V2020	Frames, purchases	20%	125,374	116,742	$1.38M
V2750	Anti-reflective coating, per lens	19%	14,729	13,633	$1.33M
V2499	Variable sphericity lens, other type	16%	17,382	15,053	$1.12M
V2103	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	11%	67,628	64,007	$794K
V2100	Sphere, single vision, plano to plus or minus 4.00, per lens	2.9%	20,938	19,912	$205K
V2410	Variable asphericity lens, single vision, full field, glass or plastic, per lens	2.4%	1,882	1,731	$170K
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	2.1%	5,692	5,369	$146K
V2104	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	1.5%	8,710	8,268	$108K
V2745	Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens	<1%	794	748	$59K
V2111	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens	<1%	4,978	4,713	$55K
V2105	Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	2,701	2,545	$30K

12 more codes

V2204	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	1,144	$30K
V2107	Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens	<1%	1,546	$18K
V2114	Spherocylinder, single vision, sphere over plus or minus 12.00d, per lens	<1%	1,512	$17K
V2200	Sphere, bifocal, plano to plus or minus 4.00d, per lens	<1%	582	$16K
V2112	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens	<1%	1,490	$15K
V2101	Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	1,855	$14K
V2755	U-v lens, per lens	<1%	51	$5K
V2108	Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens	<1%	419	$5K
V2201	Sphere, bifocal, plus or minus 4.12 to plus or minus 7.00d, per lens	<1%	75	$2K
V2113	Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 4.25 to 6.00d cylinder, per lens	<1%	117	$1K
V2715	Prism, per lens	<1%	12	$107.50
V2110	Spherocylinder, single vision, plus or minus 4.25 to 7.00d sphere, over 6.00d cylinder, per lens	<1%	14	$0.24

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 officialBLACKWELL, JAMES (MANAGING MEMBER)